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Put down the torches and pitchforks for a second and hear me out.

The paleo movement these days seems to consider the notion that saturated fat is essential and healthful to be a truism. Surely an ancestral diet would contain a fair amount of it and we have had our fair share of evolutionary exposure to it over the millennia. As such, there's no legitimate case to be made regarding it's safety.

What I'm wondering however is whether someone trying to lose body fat can cut saturated fat out of their diets without any ill effects. The common knowledge answer that I run into a lot is that saturated fat gets "turned into" cholesterol, which becomes pregnenolone and then is the substrate for the sex-, stress-, corticosteroids and vitamin D. I looked into it though, and hepatic cholesterol synthesis uses acetyl-CoA, not saturated fat, as a substrate, though I suppose the metabolism of saturated fatty acids could contribute to the general pool of acetyl-CoA, though it wouldn't necessarily need to.

I hate to talk about dietary monoliths such as "saturated fat." What we're really talking about (in descending order of hypercholesterolemic potential) are myristic, palmitic, lauric and stearic acid. Stearic acid is converted to oleic acid (a monounsaturated fat) by the liver, so it has no effect on serum cholesterol concentrations. Interestingly, stearic acid was shown in the Nurse's Health Study to be more atherogenic than the other 3.

So, when you eat the first 3 fatty acids, it appears that they increase serum cholesterol by downregulating hepatic LDL receptors (in the presence of dietary cholesterol). This causes the serum pool of cholesterol to swell as, I assume, less is taken out of circulation by the liver and turned into bile etc.

Now, most of our cholesterol has an endogenous source, constructed of a molecule present in abundance with any diet containing sufficient calories. I wondered what the cholesterol level is of a person whose diet contain practically no dietary cholesterol (i.e. vegans). I had such a diet for 8 years (don't ask) and my cholesterol was about 143 toward the end of it. A study here: http://www.ncbi.nlm.nih.gov/pubmed/1849932 shows the mean of a group of vegans to be a little over 130mg/dl. I tend to agree with Paul Jaminet that the optimal range is 200-240, so you'd likely be healthier than someone eating the SAD for other reasons, but you probably would die early.

So, I thought, a good proxy to examine for whether these vegans are producing enough cholesterol for health would be testosterone levels. Surely you couldn't have inadequate cholesterol circulating but still have acceptable sex hormones, right? Typically, in a time of scarcity, testosterone is the first thing to plummet. A study here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2374537/ shows their free testosterone to be roughly the same as meat eaters. Indeed, my personal experience was that I had no problems with libido whatsoever (set a few PRs, truth be told) - but I digress.

Given all of this, what if, in order to reduce energy density in a fat loss protocol, one were to rely on lean meats and reduced saturated fat as much as possible while also focusing on dense sources of cholesterol that don't also contain a lot of fat, such as crustaceans of various types. Between endogenous production and dietary cholesterol, one would expect a serum cholesterol level well in excess of that achieved by a vegan, which I think ought to be sufficient for all involved biological processes.

I suppose a counter-argument would be that our bodies have evolved to "expect" that aforementioned hepatic LDL receptor downregulation, but it might simply be that the body requires extra cholesterol in that specific case order to cope with some aspect of a surge in saturated fat intake, otherwise I don't see why its clearance would be downregulated under that circumstance.

I feel like I'm missing something here, though, so let me know where I've strayed.

Edit: I just thought of the fact that lauric acid increases HDL significantly, but if you're eating macadamia nuts, you get a fair amount of it without getting much in the way of other saturates.

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I appreciate the way you analyze this stuff! I'm gonna stay out of the ring at the moment but I look forward to what will surely be a lively discussion here! – Jeff Aug 10 2011 at 23:07
Thanks for the vegan study link Travis, of which the handheld only let me see the abstract. I calculate LDL for this vegan group at 70, and found some corroboration on another site. I wonder whether this is due to lower dietary sat fat or cholesterol, and also how much due to being at healthy weight. How much butter is enough is something I'm thinking about at 120 LDL. – thhq Aug 11 2011 at 1:50
Me too, I'll just watch and upvote. (do I need safety glasses?) – The Loon Aug 11 2011 at 4:11
thhq: A standard vegan diet would have no cholesterol if you don't can't plant sterols and there should be precious little of those 3 fatty acids unless they were going heavy with palm/coconut oils. I'm allergic to those, so I never ate them. As such, I'm guessing that both factors lead to it. – Travis Culp Aug 11 2011 at 4:55
Travis - Regarding your "Edit"... that's great, because my macadamia nut tree in my backyard is BURSTING with mature nuts. They are starting to drop like rain every day now. Mmmmmm. – Jack Kronk Aug 11 2011 at 18:24

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I always like to do the chemistry argument: your body can't interconvert saturated fatty acids, monounsaturated, or poly unsaturated. Basically the saturation is what it was when you ate it (you can change the lengths of the chains though). Your brain is in the neighborhood of 80% saturated fat. Therefore, I'd argue that saturated fat is essential to your health.

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That's a great point; I had always assumed that myelin sheaths were constructed of DHA and cholesterol, but it looks like there's quite a lot of saturated fat as well. Difficult to say what the turnover rate would be and what a proper intake of sat. fat might be as a result. The protocol I'm developing has a fair amount of hard-bolied eggs and some macadamia nuts, so it's likely sufficient. – Travis Culp Aug 11 2011 at 15:54
A diet promoting myelination would be a revelation. But I think the amounts of saturated fat incorporated on a day to day basis are miniscule. – Dean Aug 11 2011 at 18:28
Does saturated fat indirectly increase myelination? "High cholesterol level is essential for myelin membrane growth." ncbi.nlm.nih.gov/pubmed/15793579 – Dean Aug 11 2011 at 19:00
@Dean- is that cholesterol necessarily coming from blood cholesterol though? – mari Aug 11 2011 at 19:12
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Not evidence for saturated fat specifically, but ruminant fat may be extremely beneficial due to its content of conjugated linoleic acid (which may have potential weight loss benefits) and vitamins A and K2 (butterfat specifically).

Here's a somewhat relevant (and great) article in which the author gives an interesting take on the benefit of cholesterol-rich foods:

http://people.csail.mit.edu/seneff/why_statins_dont_really_work.html

My research has uncovered compelling evidence that the nutrient that is most crucially needed to protect the heart from atherosclerosis is cholesterol sulfate. The extensive literature review my colleagues and I have conducted to produce these two papers shows compellingly that the fatty deposits that build-up in the artery walls leading to the heart exist mainly for the purpose of extracting cholesterol from glycated small dense LDL particles and synthesizing cholesterol sulfate from it, providing the cholesterol sulfate directly to the heart muscle. The reason the plaque build-up occurs preferentially in the arteries leading to the heart is so that the heart muscle can be assured an adequate supply of cholesterol sulfate. In our papers, we develop the argument that the cholesterol sulfate plays an essential role in the caveolae in the lipid rafts, in mediating oxygen and glucose transport.

So perhaps getting adequate supplies of cholesterol and sulfur containing foods, such as eggs, liver, crustaceans, mollusks, onions and garlic, will persuade the body to stop forming plaques, which the author suggests are formed for macrophages to extract cholesterol sulfate.

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Beta oxidation of fats leads to beaucoup Ach!

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Are there other common pathways that create it? – Travis Culp Aug 10 2011 at 23:31
Lcfa that are saturated are packaged in the intestinal wall with cholesterol into TG MCT sat fat go straight to liver and are burned immediately and can not be stored as TGs. This is why coconut oil raised HDL better than all other sat fats – The Quilt Aug 11 2011 at 0:57
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MCT are optimal in all brain diseases and in leaky gut disease due to their benefits at liver and in brain. My blog yesterday really touches on why coconut oil and the ketogenic diet are optimal for brain disease. – The Quilt Aug 11 2011 at 0:58
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great blog post! of course you lost me intermittently but I made it through and am really fascinated by ketogenic diets – Jeff Aug 11 2011 at 1:22
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Thanks....the other part I should have gotten into in the blog post was how cholesterol is required for neurotransmitter synthesis and release and really required for maintenance of the voltage potential of excitable membranes.....this reduces ATP needs and when you have decreased cholesterol in the brain it increases the need for ATP production and screws the mitochondria up more......the brain needs tons of sat fat for sure as a substrate – The Quilt Aug 11 2011 at 1:56
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Travis: what about butter? you claim that its ratio of palmitic(or was it lauric) to myristic acids predispose one to higher LDL levels. Now you state that Stearic acid does this? So what fat source should I go with here(butter, tallow, ...)? Given lots of cholesterol(12 egg yolks, 7 oz. of liver every 2nd day+ beef+ butter) wouldn't this serve to counterbalance the damage as per your argument above? Do the MCTs in butter, et.al not get processed through the liver more efficiently and thus don't lower LDL levels(forgive my ignorance...)?

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Butter has tons of butyric acid if it's pastured. Great for gut and liver – The Quilt Aug 11 2011 at 1:14
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"but travis said" it led to LDL level increases given its myristic:palmitic acid ratio. Reveal your site quilt! – PersonMan Aug 11 2011 at 1:47
The myristic and palmitic boost LDL, whereas stearic has no effect. – Travis Culp Aug 11 2011 at 4:48
So tallow would be a better choice than butter(pastured or otherwise)? – PersonMan Aug 11 2011 at 12:51
If you want to keep your LDL within evolutionarily appropriate ranges, then tallow is a far better choice. – Travis Culp Aug 11 2011 at 15:50
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As a long term diet, would this lead to a preponderance of pattern B LDL which may be atherogenic even at the lower levels?

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I think a small LDL particle size is mostly the result of fructose intake (and thus triglyceride amount) – Travis Culp Aug 10 2011 at 23:49
ncbi.nlm.nih.gov/pubmed/14564088 – Travis Culp Aug 10 2011 at 23:50
Yeah, I think PUFAs and to a lesser extent carbs cold do the same ncbi.nlm.nih.gov/pubmed/8299884 and – Jeff Aug 10 2011 at 23:55
Yeah, what I'm proposing would be within the standard paleo framework, like Cordain's paleo but with more starch and more dietary cholesterol. – Travis Culp Aug 10 2011 at 23:59
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sat fat leads to pattern B? I thought pattern A was the light and fluffy ones – Jeff Aug 11 2011 at 0:04
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I have heard vegans claim that you don't need saturated fats in the diet because stored body fat can be broken down and then used for necessary processes.

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