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27 Lifetime Protection for Your Heart（第2页）

A1997studyledbyMichaelGaziano，MD，ofHarvardMedicalSchoolcarriedfidsrelatioher。HeiheheretilyceridestoHDLandfounditsignifitatalllevels。Ahighratiomeansabigrigly'desaredividedbyHDLlevel。Peoplewhoseratiowasiy-fivepertweresixteentimesmorelikelytohavearytroublethahoseiy-fivepert。Thatprediumberisastrikingfindidiseaseflak。WilliamCastelIi，MD，direhamstudyodisease，entedba1992，"Thefindings[fromhisstudy]swingthependulumandshowthathightriglyc-eridesbeasignifitriskfaepatienta?

AstudypublishedinCirbyaresearHelsihosewithhightriglyceridesplusanunfavorableLDLHDLcholesterolratiocouldlowertheirheartattackriskratebysevewhentheseproblemswerecorrected。

AninsulinAssault

'sreversethislihought。Highblohtriglycerides，lowHDLandbeiallturnouttobetlyassociatedwithhighinsulihat'sthepresumablyhighinsulinitselfshouldpredictheartdisease。FnifitstudiesdoneinWales，Finland，Franadasupportthistheory:

1。TheCaerphilly，Wales，heartdiseasestudy，whichobserved2512meo59，foulasmainsulinlevelsadiseasethatexistedilyofotherriskfactors。

2。IntheHelsiudy，1，059meo59weretrackedforfiveyears。Thedatarevealedthatfatal（andnoacksweremostoninthosewhohadthehighestinsulinlevels，n

3。TheParisprospectivestudyfollowed7，246menfeofsixty-threemonths。Againaryheartdiseaseortiooinsuliherelationshipwasgreaterwheswereobese。

4。AstudydoneinQuebecublishedinTheNewEnglandJournalofMedi1996。Theresearchershadcolleplesfrom2，i03men。Overfiveyears，114ofthemhadheartattacks。Theiheseindividualswereeighteehigherethaherestofthegroup?

Theselarge，statisticallypowerfulepidemiologicaleffortsreallyputinsulinhighoforwheheworkdonebyDr。ReavealpicturethathedubbedSyndromeXisbeingexglyclear。Theabuseofhighlytetiarchycatbohydratesinmionsofthemodemworldstitutesalong-termabuseofthebody'sinsulihatsystembeginstlutolerandhyperinsulinismetherwithevents。Arterialpassagewaysareinjuredbyinsulinitselfahycholesterolratiehighbloodpressure，whichwillbeeveedipersofethowbei，bihblood-sugarandinsulinimbalances，hasresultediedtwentymillioisplusaernumberofpre-diabetis。

Foryourhearthealth，it'svitaltoknowaboutthisbinationoffactorsthatclustertogethertoformSyndromeX。WhenyAtkins，you'refollowiionalapproachthatcorrectsthisentiresyndromewhilenyourselfwithhealthyfoods。

&diseaseisn'tjustabouttheuy。Nosuchludishitonanyone?）Ifyou&#ledwithyht，themessageofthischapterisofcrucialimportaoyou!

&hanNever

MyfirstforaysirolbegayyearsagowhenIwasayistidlyesgweightproblemandastroofindahuodealthatmyinitialattemptsworked，Iwasdelighted。muchbetterIfelt，Iierstill。Butimaginemypleasureandastowheopreheioweearycad。hydratesandblood-sugarandinsuliheabilitytoeradieedfhblondptessureaions。Inturomyseeinghowmuchhealthiermypatiethepharmaceuticals。ThismeantthatIithag-edgenutritionalapproachtohelpingovereheartdisease。ThiswasuionablyadefiiInowcalltheAtkinsNutritionalApproachwasborn。

Ierveningdecades，Ihaveworkedwiththousaients，gthemtoabandontheirjunkfoodaural，healthyfoodthattheAtkinsplanemphasizes。Asuetosupportmythesis。

Oally，Ioveythemessagetwice。Fifteenyearsago，Stahe。Attheageof54，asheinganeighborpushhisbrokente，hehadsuddehepavementwiths。HiswifekientofminewhohadachievedsugAtkins，ahsmadeanappoihmesooanweighed315poundsaremehyperinsulinism。AftersixmonthsofdoingAtkiwasdownto225，hisinsulinhadstabilized，hisbloodpressuremediwasathiand，inhisownwords，"Ifelt29yearsoldinsteadof54。"

Startfeltsogoodthatiyearortwohewentbacktohisways。"I'dhavealoafofbread，halfagallonoficedaquartofmilkatoing，"herecalls。

Ididn'tseeStallformorethatime，hisweightratchetedbackupto310aohisbloodpressuremedi。Thenabo，onaflightfromFloridatoNewYork，hestartedhavipaiwhentheplanelanded，hewasrushedtoahospital。Therehenarrowlyavoidedaterwiththetable。TheweekIsawhiminmyoffice。

Talkaboutcejavu。IputSumbatheAtkinsprogramhehadabaenyearsbeforeandpresutritios。IalsogavehimadjuherapyingEECP（see"Twenty-FirstturyDiagnosisa;onpages356-358）。Naturally，Itoldhimhimselfforawhile。Sumtellstherest:

"EveryweekmywifedrovemetomyappoihDr。Atkins。Forthefirsttwoweeks，Ineededawheelchairtogetoutofthedtotheelevator。Byweekthree，Iushthewheelchair，usingittosteadymyself。Weekfour，Icouldshuffleupalone。Byweekfive，Iwasodriveinmyselfandwalkfrarage。OverthehsIuedtoseeDr。AddbythenIwasagainleadingapletelyaallifestyle。

"I'mstilldoingAtkins。I'malsopaisideofmyhouse，waxingmysedananddoingyardwofishisup。tomykoavoidtheingrays。Thosebootsgetheavywhenthey'rewet，butgarouisnolongeraproblem。Atage69，IfeelmorerobotandvigorousthanIdid>

Stallgotlucky。Hecouldhavediedorsufferedpermaiinjurybeforehereturkinsplan。Helood60poundsandisstilllosing2poundsamonth，hislabrovedastonishingly，aobelievehewillnevergobacktoeatingthewayheatebefore。

GofortheWhram，Friendsl

WhatI'vesaidinpreviousw。ersalmostmakesmygeionohself-explanmajorityofyouwillfindthatonatrolledcarbimenynizedriskfactorsforpresentaproblemsroveandwillremaingoodaslongnsyoufollowthisnutritionalapproach。

Yourtotalcholesterodown—that'sthemostoevenifitdoesn'torifitily，yourratioofHDLtoLDLorelikelytogetbetterandyourratilyceridestoHDLiseveodoso。ThoseratiosaretherealMsofdell'miningriskofafuturearyevent。Andifytowarddiabete—o，graoheartdiseaso—theimprovementsinyourblood-sugarandinsulinlevelsshouldastonishayourphysi。

HalfofallAmerisstilldieofsomeformofheartdisease。PSIhopeyouwilltakethemaligialofthisdiseasesoseriouslythatyouwilleattheAtkinswayforalifetime—andfollowtheotherposofnutritioaliohesetwofactorsarenaudyribbonsthatIwaveinfrontofyoutoimpressyouwiththefactthattheAtkinsplanisn'tonlyloss。

Ihavestubhornlyihroughoutthisbookthatyoushouldexercise。It'sgoodfoodforyourmuscles，goodfylevel，especiallygoodforyourheart。Evenifyou'veneverexercised，itisnottoolate。（Andyou'llprobablyenjoyitoart。）

Thesameadvieeappliestosupplementals。Ohideboundphysishavefailedtoappreciatetheirvaluebyenwholebvitas，soI'msureyouknowl'mserious。Supplementationhavemajorpositiveeffeheartfunentsthataddresscardiovasculardisease，seeDr。Atkins'Vita-ion。

&kinsNutritionalApproachislikeathree-leggedstonatrolledcarbohydratewayofeating，nutritioionandexercise。Relyowoofthelegs，aoolwillnotsupportyou。Butfollowthewholeplanfaithfully，andyouWIllbefirmlypositicardiovascularhealth。

TheDaransFats

ManyAmerisarestilluhemostgrosslyharmtulhearthealthtreturywasthegradualreplatofhealthynaturalfatsandproteinfoodswithfoodssuchasmargariheyarestructedwithhydrogenatedandpartiallyhydrogenatedoils，whichbothfatsneverfoundinNature。Calledtraraheirnaturalstate—theyaremaiableoilsatahightemperatureandbthemwithhydrogengastoformmorestableoils。Theprocesscreatestransfatsstructedoftwisted，unnaturalmoleculesthatthebodyotprocess。Thefoodindustrysticksthesehydrogenatedandpartiallyhydrogenatedoilsintovirtuallyallbakedgoodsandotherjunkfood。Thereasonsareeilikebutter，oliveoilorothernaturalfats，transfatshaveashelflifefromnowtoDoomsday。