High cholesterol in most people is caused by eating too many refined carbohydrates.
"what causes high cholesterol in most people is too many refined carbohydrates." (said at 0:33:28)
Dietary refined carbohydrates do not cause elevated total or LDL cholesterol (hypercholesterolemia). Extensive meta-analyses of randomized controlled feeding trials show that dietary saturated fatty acids and trans fatty acids, alongside polygenic and familial genetic factors, are the primary drivers of elevated LDL cholesterol. In contrast, replacing dietary fats with carbohydrates typically lowers or does not raise LDL cholesterol, but can increase fasting triglycerides, lower HDL cholesterol, and shift LDL particles toward a smaller, denser phenotype (the atherogenic dyslipidemia pattern associated with insulin resistance).
- contradicts: Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL choles… (The American journal of clinical nutrition 2003)
"The ratio did not change if carbohydrates replaced saturated fatty acids, but it decreased if cis unsaturated fatty acids replaced saturated fatty acids... Replacing fats with carbohydrates increased fasting triacylglycerol concentrations." (abstract, results)
pubmedfull study (doi) - contradicts: Saturated fat, carbohydrate, and cardiovascular disease. (The American journal of clinical nutrition 2010)
"A focus of dietary recommendations for cardiovascular disease (CVD) prevention and treatment has been a reduction in saturated fat intake, primarily as a means of lowering LDL-cholesterol concentrations... However, replacement with a higher carbohydrate intake, particularly refined carbohydrate, can exacerbate the atherogenic dyslipidemia associated with insulin resistance and obesity that includes increased triglycerides, small LDL particles, and reduced HDL cholesterol." (abstract, passage verified)
pubmedfull study (doi) - context: Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart A… (Circulation 2017)
"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." (abstract, passage verified)
pubmedfull study (doi)