They are getting about 30 infections a day, down from 3000 in the January peak.

The US is following, and we are close to our old minimum (not counting initial run-up) of 600 deaths a day (last July).

Visit the COVID-19 Information Center for vaccine resources.

If Dr. Ken Berry actually meant to say that you need to eat saturated fat for your nerves and brain, he flunks Biochem 101. First of all, your body can make all the saturated fat you need out of carbs and proteins. You don’t need to eat ANY saturated fat. Second, the most common fatty acid in your brain is the polyunsaturated fatty acid (PUFA) called DHA, which you DO need to eat, because you can’t make it from non-fats (you need to eat it or EPA in things like seafood, or at least the precursor omega-3 PUFA called ALA in cold-climate plants.) Ironically enough, ALA is common in Canola oil, which Dr. Berry deprecates, but not in the tropical plant oils that he likes. More on that later.

A diet with a lot of saturated fat is NOT the best for the heart. The American Heart Association continues to recommend low saturated fat diets (with the missing sat-fat replaced by mono and polyunsaturated fat, not by carbohydrates) because the evidence from animal and human trials and even properly controlled epidemiology, shows these the best diets (see reference below—an extensive review of meta analyses [1]). Examples are the DASH hypertension diet and the closely-related Mediterranean diet (which has lots of olive oil for monounsaturated fatty acid, and seafood for DHA). If Dr. Berry thinks he has something better than the Mediterranean diet for longevity, what is his direct evidence?

Saturated fat, of course, is used by the body to make cholesterol (you don’t need to eat any cholesterol for this reason), and it does raise cholesterol levels and it does increase atherosclerosis in nearly every controlled prospective experimental model in animals and humans. This is the gold standard of evidence in medicine.

One can go only so far with epidemiology, because occasionally when one bad thing (saturated fat) is heavily replaced for calories by another bad thing (certain carbohydrates) one detects no epidemiologic effect from changing just the first thing.

That happens with various high and low saturated fat diets around the world enough to make saturated fat look benign as a single input variable. It is not. Rather, what these studies really show is that replacing butter with sugar or high glycemic carbs gives you a diet equally bad for the arteries. One cannot see how bad that is, until one compares these with low-carbohydrate, low-saturated-fat diets, which are less common, but better. The double-negative tradeoff of carbs and saturated fats (where carbs are a statistical “confounder”) is one of those occasional cruel misdirectional things that happen with imperfectly controlled past-observations, but (again) it’s why biomedical knowledge consists of more than just epidemiology.

The saturated oils Dr. Berry recommends are by themselves on the edge of PUFA deficiency. This can be dramatic: for example the only way I know to give dogs atherosclerosis nutritionally, is to feed them just coconut oil for fat, and NO monounsaturates or PUFA. Apparently a little PUFA is extremely important for the heart, and larger amounts do no harm. There are hints that high PUFA diets are risks for certain cancers, but that merely underscores the need to get monounsaturates like olive and Canola where one can, and some PUFA foods. I know of no civilization that eats a lot of coconut oil that doesn’t eat seafood as well, so that combination is safe.

Canola oil is merely rapeseed oil bred to remove erucic acid and other potential toxins. It is high in monounsaturates and ALA and of all the plant oils is probably closest to optimal for human nutrition. Olive oil is probably better than Canola for frying, since ALA will oxidize, but Canola’s ALA is very important for vegans who need an omega-3 PUFA plant oil to convert to brain DHA. Seafood and olive oil are a fine replacement for Canola, but the person who cannot eat meat or seafood had better look for a baking and salad oil with ALA in it, and Canola oil is the best for this. Linseed oil is hard to digest and hard to work with, so that leaves Canola as the best omega-3 alternative for vegans. Dr. Berry never mentions his problem with Canola beyond saying it is GMO. But he is wrong there, as it doesn’t have to be. Canola as a product (1970’s) was created with hybrid not GMO techniques, and although GMO Canolas exist now, there also exist certified non-GMO and “organic” Canola oils which are labeled with a butterfly and tested to make sure no GMO Canola has crept in (there are tests available for this too complicated to go into here, but you can be sure).

In short, the ONLY part of Dr. Berry’s piece I agree with is dumping your hydrogenated shortening products (Crisco, etc.) in the garbage. That’s why I give this segment a D, rather than the F it otherwise deserves.

Steven B. Harris, M.D.

[1]

Cardiovascular disease (CVD) is the leading global cause of death, accounting for 17.3 million deaths per year. Preventive treatment that reduces CVD by even a small percentage can substantially reduce, nationally and globally, the number of people who develop CVD and the costs of caring for them. This American Heart Association presidential advisory on dietary fats and CVD reviews and discusses the scientific evidence, including the most recent studies, on the effects of dietary saturated fat intake and its replacement by other types of fats and carbohydrates on CVD. In summary, randomized controlled trials that lowered intake of dietary saturated fat and replaced it with polyunsaturated vegetable oil reduced CVD by ≈30%, similar to the reduction achieved by statin treatment. Prospective observational studies in many populations showed that lower intake of saturated fat coupled with higher intake of polyunsaturated and monounsaturated fat is associated with lower rates of CVD and of other major causes of death and all-cause mortality. In contrast, replacement of saturated fat with mostly refined carbohydrates and sugars is not associated with lower rates of CVD and did not reduce CVD in clinical trials. Replacement of saturated with unsaturated fats lowers low-density lipoprotein cholesterol, a cause of atherosclerosis, linking biological evidence with incidence of CVD in populations and in clinical trials. Taking into consideration the totality of the scientific evidence, satisfying rigorous criteria for causality, we conclude strongly that lowering intake of saturated fat and replacing it with unsaturated fats, especially polyunsaturated fats, will lower the incidence of CVD. This recommended shift from saturated to unsaturated fats should occur simultaneously in an overall healthful dietary pattern such as DASH (Dietary Approaches to Stop Hypertension) or the Mediterranean diet as emphasized by the 2013 American Heart Association/American College of Cardiology lifestyle guidelines and the 2015 to 2020 Dietary Guidelines for Americans.

If Dr. Ken Berry actually meant to say that you need to eat saturated fat for your nerves and brain, he flunks Biochem 101. First of all, your body can make all the saturated fat you need out of carbs and proteins. You don’t need to eat ANY saturated fat. Second, the most common fatty acid in your brain is the polyunsaturated fatty acid (PUFA) called DHA, which you DO need to eat, because you can’t make it from non-fats (you need to eat it in things like seafood, or at least the precursor omega-3 PUFA called ALA in cold-climate plants.) Ironically enough ALAis common in Canola oil, which Dr. Berry deprecates, but not in the tropical plant oils he likes. More on that later. A diet with a lot of saturated fat is NOT the best for the heart. The American Heart Association continues to recommend low saturated fat diets (with the missing sat-fat replaced by mono and polyunsaturated fat, not by carbohydrates) because the evidence from animal and human trials and even properly controlled epidemiology, shows these the best diets (see reference below–an extensive review of meta analyses [1]). Examples are the DASH hypertension diet and the closely-related Mediterranean diet (which has lots of olive oil for monounsaturated fatty acid, and seafood for DHA). If Dr. Berrythinks he has something better than the Mediterranean diet for longevity, what is his direct evidence? Saturated fat, of course, is used by the body to make cholesterol (you don’t need to eat any cholesterol for this reason), and it does raise cholesterol levels and it does increase atherosclerosis in nearly every controlled prospective experimental model in animals and humans. This is the gold standard of evidence in medicine.

One can go only so far with epidemiology, because occasionally when one bad thing (saturated fat) is heavily replaced for calories by another bad thing (certain carbohydrates) one detects no epidemiologic effect from changing just the first thing.

That happens with various high and low saturated fat diets around the world enough to make saturated fat look benign as a single input variable. It is not. Rather, what these studies really show is that replacing butter with sugar or high glycemic carbs gives you a diet equally bad for the arteries. One cannot see how bad that is, until one compares these with low-carbohydrate, low-saturated-fat diets, which are less common, but better. The double-negative tradeoff of carbs and saturated fats (where carbs are a statistical “confounder”) is one of those occasional cruel misdirectional things that happen with imperfectly controlled past-observations, but (again) it’s why biomedical knowledge consists of more than just epidemiology. The saturated oils Dr. Berryrecommends are by themselves on the edge of PUFA deficiency. This can be dramatic: for example the only way I know to give dogs atherosclerosis nutritionally, is to feed them just coconut oil for fat, and NO monounsaturates or PUFA. Apparently a little PUFA is extremely important for the heart, and larger amounts do no harm. There are hints that high PUFA diets are risks for certain cancers, but that merely underscores the need to get monounsaturates like olive and Canola where one can, and some PUFA foods. I know of no civilization that eats a lot of coconut oil that doesn’t eat seafood as well, so that combination is safe. Canola oil is merely rapeseed oil bred to remove erucic acid and other potential toxins. It is high in monounsaturates and ALAand of all the plant oils is probably closest to optimal for human nutrition. Olive oil is probably better than Canola for frying, since ALAwill oxidize, but Canola’s ALA is very important for vegans who need an omega-3 PUFA plant oil to convert to brain DHA. Seafood and olive oil are a fine replacement for Canola, but the person who cannot eat meat or seafood had better look for a baking and salad oil with ALA in it, and Canola oil is the best for this. Linseed oil is hard to digest and hard to work with, so that leaves Canola as the best omega-3 alternative for vegans. Dr. Berry never mentions his problem with Canola beyond saying it is GMO. But he is wrong there, as it doesn’t have to be. Canola as a product (1970’s) was created with hybrid not GMO techniques, and although GMO Canolas exist now, there also exist certified non-GMO and “organic” Canola oils which are labeled with a butterfly and tested to make sure no GMO Canola has crept in (there are tests available for this too complicated to go into here, but you can be sure).

In short, the ONLY part of Dr. Berry’s piece I agree with is dumping your hydrogenated shortening products (Crisco, etc.) in the garbage. That’s why I give this segment a D, rather than the F it otherwise deserves.

Steven B. Harris, M.D.

[1] https://www.ahajournals.org/doi/epub/10.1161/CIR.

Advertising can really mislead you when it comes to your health. Thinking a certain cooking oil is good for you can ruin the quality of your dinner, and harm your health.

Huge corporations farm huge GMO crops, then highly process the seeds to get “vegetable oils”. After spending all the money to do this, they have to convince you the oil is healthy so you will buy it.

Your health is too important to buy this crap from big-food, and the silly recommendations from big-medicine. Here is a list of the oils you Should use to cook with, and a list of the ones you should avoid. And, I’ll also tell you the one you should get out of your house right now.

What other LIES have you been told? https://amzn.to/2FYIAj8

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A tale of GS-441524, the remdesivir sister drug that cures coronavirus (FIP) in cats, but that Gilead refused to develop for fear it would mess up the approval process of remdesivir.

Yes, it a tale of capitalism on steroids, and the FDA on drugs. It’s the kind of thing that may well kill you and your family, but you will never know about it (unless you read about it in The Atlantic, or some obscure journal).

Cat owners are resorting to China’s underground marketplace to buy antivirals for a feline coronavirus.

Hypothetical COVID-19 Treatments.

The virus causes clotting everywhere and widespread epithelial damage. One is tempted to treat it like stroke prophylaxis. Patients clot rather than bleed, almost always. The same thing happens in influenza, also.

The pro-clotting effects of corticosteroids may be a reason why they have not stood out yet. The profound anticlotting treatment necessary to treat patients with ECMO extracorporial oxygenation in COVID-19, might have its own therapeutic value (it’s not just the artificial lung but the heparin they need to put you on it!). The lungs of COVID-19 patients in trouble are not only full of fluid, but macro and micro-emboli. Low molecular weight heparin, given in all ICUs, looks like a good gamble.

Aspirin if not contraindicated. Also even Plavix (clopidagrel) for patients with D-dimer showing.

The w-3 fatty acids in fish oil are anti-inflammatory in ways that inhibit clotting, and have been used against shock lung and other inflammatory lung pathologies. Work on COVID-19 is continuing but all are in the hypothetical pipeline.

Drugs which in theory modulate inflammation and clotting in the right direction would be Ca-blockers (particularly verapamil) and ACE-1 inhibitors (particularly lisinopril). The anticlotting antiinflammatory pentoxiphylline (Trental) looks interesting. Trental decreases inflammasomes along with azithromycin (do not exceed recommended dose!), long of interest in COVID-19. Doxycycline and minocycline have specific antiinflammatory activity synergistic with azithromycin.

Background: On the 31 December 2019, the World Health Organization (WHO) was informed of a cluster of cases of pneumonia of unknown origin detected in Wuhan City, Hubei Province, China. The infection spread first in China and then in the rest of the world, and on the 11th of March, the WHO declared that COVID-19 was a pandemic. Taking into consideration the mortality rate of COVID-19, about 5–7%, and the percentage of positive patients admitted to intensive care units being 9–11%, it should be mandatory to consider and take all necessary measures to contain the COVID-19 infection. Moreover, given the recent evidence in different hospitals suggesting IL-6 and TNF-α inhibitor drugs as a possible therapy for COVID-19, we aimed to highlight that a dietary intervention could be useful to prevent the infection and/or to ameliorate the outcomes during therapy. Considering that the COVID-19 infection can generate a mild or highly acute respiratory syndrome with a consequent release of pro-inflammatory cytokines, including IL-6 and TNF-α, a dietary regimen modification in order to improve the levels of adiponectin could be very useful both to prevent the infection and to take care of patients, improving their outcomes.