scientists claim that this is proof that the low-fat diet prevents arterial disease. But Noakes offered an alternative explanation in his evidence: a reduction in smoking in these countries has reduced the number of patients experiencing the sudden plaque ruptures that cause heart attacks and strokes, he said. But while fewer people are dying of heart attacks, many more are developing T2DM as a consequence of LFHC diets. The disease burden of arterial disease has therefore simply shifted to the obstructive form found in T2DM. If the low-fat diet really prevented arterial disease, it should
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