I can't help but think that if all of the world's leaders were to read this book and promote the implementation of its recommendations, we would see a lot less premature death and morbidity. Our population would shrink in girth. Diabetes and hypertension would be relegated to the genetically less fortunate...―Dr Melissa Shirley Walton MD, Cardiologist, Medscape
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Keep in mind, too, that all oils are a mixture of saturated, monounsaturated, and polyunsaturated acids (though they’re usually called by the name of the fatty acid that is most abundant). Olive oil is about 14% saturated fat, so if you’re pouring olive oil into your skillets and food every day, you’re likely consuming significantly more artery-clogging saturated fat than you realized.

This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.


All these benefits occurred despite the fact that MCTs are a saturated fat. There was no difference in daily exercise or consumption of total calories of protein, fat, or carbohydrates. There was no calorie restriction, yet the subjects still lost more weight. It further proves that it’s not all about the calories in food, it’s about the information!
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There’s not enough of it to matter in coconut oil, it tastes bad, and it often results in stomach/gastric upset, but it converts quickly to ketones! If your generic MCT oil makes your throat burn or has a weird flavor, one reason may be that the distillation process didn’t remove enough of the C6. There are other reasons this can happen, too. We’ll cover that below.
Also don’t weigh yourself everyday, your weight will fluctuate a lot on this diet due to water loss/retention cycle (particularly if you’re a woman), if you want to weigh yourself regularly then pick a day of the week and do it at the same time every time (like Sunday morning after you’ve woken up and been to the loo etc but not had breakfast yet), otherwise though just go by whether your clothes are getting looser slowly over time (they will).

At the same time, you need to remember to increase the amount of fat that you eat. Also, it doesn’t mean a complete ban on carbs. You just need to reduce the amount that you eat to 15g or less per day. On average, we tend to eat around a third to a half more than that on a daily basis. Reducing carbs won’t be easy for some, which is why having delicious recipes to try first is the way to go.
Recently, many people have begun to question the usefulness of BMI as a general indicator. A sizable amount of people who may be overweight or even obese may be classified as such even though they have a high amount of muscle. Conversely, people with a “healthy” or low BMI may have a high level of body fat and actually be at a greater risk for developing health problems. [5, 6]
Like the ketogenic diet, the subjects aimed to eat 20 grams of carbohydrates per day or less for a 2-3 month induction phase; then, they were asked to eat 50 grams of carbohydrates daily for the following 9-10 months. All participants were instructed to maintain a calorie deficit and utilize professional support to adjust to their diet and make sure that they stayed healthy. Additionally, the research team emphasized general health-promoting behaviors such as regular exercise and using nutritional supplements.
I'm not usually a fan of prescribed "diets"-I live by more of the anti-diet mantra. Call me jaded, but the word "diet" has a bit of a negative connotation these days, with "fad" and "restrictive" usually preceding it. So, when I had the chance to give Dr. Axe's new Keto360 program a two-week test run, I did some serious digging on the ketogenic diet and whether it's healthy.
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Ten years ago an ambitious and unique research trial was started in Spain in 7,500 mildly overweight men and women in their 60s at risk of heart disease and diabetes. They were randomly allocated to two diets for five years: one a low-fat diet recommended by doctors in most western countries and the other a high fat Mediterranean diet supplemented with either extra olive oil or nuts.
It requires a pit stop in the liver rather than getting immediately converted into energy like the other MCTs above. This is why it is more accurately described as an LCT, not an MCT like marketers claim. It raises cholesterol more than any other fatty acid (not necessarily a bad thing.) It is also commonly cited as having antimicrobial benefits, which it does…except the shorter chain MCTs are more effective against aggressive candida yeast and even gonorrhea and chlamydia (as a monoglyceride).[3][4]

I just started keto on dec 1st, im kind of winging it … Im drinking half my body weight in water, not eating at night at all, ive been researching non stop .. Again this goes against everything ive ever known … Yesterday i had bpc for breakfast, 2 eggs,heavy cream, 1/4 c shredded cheese, 1/4 pancetta & half an avocado, for lunch, dinner was 2 small haddock fillets crusted in parmesean with 2 cups of steamed broccoli & a green salad, romaine & cucumbers with 2 tbs poppyseed dressing .. Things i thought that werent keto friendly other websites says are ok.. I just want to do this right, i want to see my weight go in the opposite direction, i would hate to gain !!
To start, olive oil is very high in compounds called phenols, which are potent antioxidants capable of lowering inflammation and fighting free radical damage. Olive oil is mainly made up of monounsaturated fatty acids, the most important of which is called oleic acid. Oleic acid is known to be extremely heart-healthy in numerous ways, especially when compared to many other refined vegetable oils, trans-fats or hydrogenated fats.
Hallberg and colleagues are currently in the midst of a study in which ten overweight mostly menopausal women, who have been doing low carb keto eating but whose weight loss has stalled prematurely, will spend about five days in a monitored environment. During this time the women’s food and activity will be observed and recorded and their metabolism analyzed. While studies like this have been done before, this is the first time the focus has been on women who have stalled in their weight loss on a low carb and high fat diet, Hallberg says. “Most of the other studies found it was overconsumption leading to the problem. We want to see what is happening for these women.”

Now that Flynn’s diet has demonstrated acceptance and encouraging results among several different populations, she feels that its potential is even greater than she had first fathomed. The financial accessibility of a plant-based olive oil diet is one of its most significant features, since it is often assumed that such an eating pattern will inherently be pricier than a more traditional standard American diet. Flynn remarks, “When someone says that olive oil is expensive, I point out that they are comparing olive oil pricing to vegetable oil, which I do not think is a fair comparison.” She goes on to note that since animal products often comprise the lion’s share of one’s food budget, purchasing less meat while adding more olive oil typically results in a decrease in overall food costs. This point is especially important for Flynn’s current work with food pantry clients and her future plans to bring the diet to low-income populations to improve their risk factors for chronic diseases.
In this phase, you may continue to lose 1-2 pounds per week, or it could slow down. If your weight loss slows down, that’s okay! Remember, as you lose weight, your metabolism will slow down a little as well. Your caloric needs will also lower, which means you’ll have to eat less to maintain your deficit. Stick with it. The CDC suggests that people who lose weight gradually and steadily at a rate of 1 to 2 pounds per week are more successful at keeping that weight off.

Judy Ridgway is an acclaimed food writer and international expert on olive oil. She was the first non-Italian judge to sit on the judging panel of the prestigious Leone d'Oro international awards for olive oil. She travels frequently to the producing regions meeting the growers and tasting the oils along the way. She is also in regular contact with specialist cooking schools, university agricultural departments and research institutes. Previous books featuring olive oil include two editions of Judy Ridgway's Best Olive Oil Buys Round the World and The Olive Oil Companion. She also has extensive experience of national TV and radio.
On the other hand, coconut oil does have some well-documented health benefits that concentrated MCT oils might be lacking. The biggest drawback to buying manufactured MCT oil is that you might not really know what you’re getting. In order to produce a liquid MCT oil that does not become solid at colder temps, it might need to be more refined than regular coconut oil.
MCTs get their name because of the length of their chemical structure. All types of fatty acids are made up of strings of connected carbon and hydrogen. Fats are categorized by how many carbons they have: short-chain fats (like butyric acid) have fewer than six carbons, medium-chain fats have between six to 12 carbons and long-chain fats (like omega-3s) have between 13–21.

You may also want to try a cyclical keto diet, or carb cycling. You follow the standard keto diet for 6 days of the week, when you eat less than 50 grams of net carbs a day. But on one day of the week, you increase your carb intake to roughly 150 grams of net carbs. Doing this satisfies any carb cravings you might have, making it easier to sustain keto in the long-run. Learn more about the benefits of carb cycling and weight loss here.


Benefits It packs lycopene, a powerful antioxidant that is associated with a reduced risk of some cancers, like prostate and breast. Other components in tomatoes may help reduce the risk of blood clots, thereby protecting against cardiovascular disease, according to a review published in December 2013 in the journal Annual Review of Food Science and Technology. (9,10)
All new habits need a plan. Luckily, I had the Keto360 Blueprint (which mapped out how this was all going to go down), Dr. Axe at my disposal for ALL the questions, a Keto360-approved food list, and a husband who agreed to jump on the two-week keto bandwagon with me. (Research shows that having a buddy system will increase your rate of success in fitness, a diet, and even sticking to your New Year's resolutions.) Still, sitting down to figure out my first week of keto diet meals and snacks was daunting. (Side note: I knew that if I was going to succeed at this, I'd have to be able to buy lunch. Luckily, Dr. Axe is totally on board, saying that most café salad bars will have what I need to create a keto meal-a big spinach salad with salmon and avocado, for example.)
• Other research suggests MCTs help with weight loss by reducing your appetite. As reported by Mental Health Daily:12 "Some scientists speculate that MCT acts on various hormones such as: cholecystokinin, gastric inhibitory peptide, pancreatic polypeptide, peptide YY and neurotensin. The precise mechanism of action of MCTs remains unknown, but it is known to induce satiety and reduced appetite compared to [LCTs]."
HDL cholesterol has long been considered “good” because it is largely responsible for picking up excess cholesterol from tissues, including the artery wall, and bringing it back to the liver for disposal. This process is known as reverse cholesterol transport. It’s easy to remember if you think of HDL as the garbage trucks that help rid the body of garbage (LDL).
Day 8: I'm still struggling to find a morning beverage that I enjoy and that keeps me full, so I try flavorless collagen protein powder with my coffee plus a splash of macadamia nut milk. It still isn't the same as a French press with cream, but it's a win! On the solid-food front, I'm starting to get a little grossed out about all the meat I've eaten in the past week. It's more than I'd normally eat in three times as long. Lamb burgers, turkey lettuce-wrap tacos, chicken salads. My digestion is off (even though I take probiotics every morning), so Dr. Axe recommends his Keto Digest supplements at lunch. They contain fat-digesting enzymes to help break down the extra fat and protein that my body isn't used to consuming, and it helps.
Complex high fat foods such as extra virgin olive oil, when eaten with a wide variety of other healthy polyphenol-dense foods, provide the basis for a rich and diverse community of gut microbes. This diversity is increasingly being shown to be important for our health. The original PREDIMED study didn’t measure gut microbes directly (although subsequent research is doing so) but the striking benefits of the Mediterranean diet and particularly extra virgin olive oil are that they are superb gut microbe fertilisers and improve gut health.

A systematic review of 26 short-term intervention trials (varying from 4-12 weeks) evaluated the appetites of overweight and obese individuals on either a very low calorie (~800 calories daily) or ketogenic diet (no calorie restriction but ≤50 gm carbohydrate daily) using a standardized and validated appetite scale. None of the studies compared the two diets with each other; rather, the participants’ appetites were compared at baseline before starting the diet and at the end. Despite losing a significant amount of weight on both diets, participants reported less hunger and a reduced desire to eat compared with baseline measures. The authors noted the lack of increased hunger despite extreme restrictions of both diets, which they theorized were due to changes in appetite hormones such as ghrelin and leptin, ketone bodies, and increased fat and protein intakes. The authors suggested further studies exploring a threshold of ketone levels needed to suppress appetite; in other words, can a higher amount of carbohydrate be eaten with a milder level of ketosis that might still produce a satiating effect? This could allow inclusion of healthful higher carbohydrate foods like whole grains, legumes, and fruit. [9]


Great article and very inspiring. I am very interested in the Keto lifestyle. My husband has Chrons disease and a friend of ours was telling us about the Keto diet. From the research I have done this seems very beneficial. However, I am struggling with the meal planning part of this. I currently plan our meals and grocery shopping weekly and know if I had a meal plan/recipes that we could be very successful. Do you have recommendations or suggestions on a place to find this?

Good fats in olive oil, nuts, and fish are beneficial for our health, and science is continually proving this to be the case. Recent studies have shown that consuming a Mediterranean diet with extra virgin olive oil leads to lower rates of cardiovascular diseases and cancer. And now there is evidence that the healthy fats in olive oil is linked to weight loss.

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MCT oil powder is a unique form of dietary fat rapidly absorbed by the body and has a wide range of health benefits. Supplementation with MCT powder can help combat fatigue, suppress appetite[*], enhance thermogenesis (aka ‘fat burning’)[*] and help your body adapt to using ketones for fuel. A recent scientific review showed that MCTs can effectively decrease body weight, total body fat, hip circumference, waist circumference, total subcutaneous fat and visceral fat[*]. Check out this articlefor more information on how to supplement with MCTs.
Day 5: As fate would have it, 3 p.m. rolls around and we get a message that there are cookies in the conference room. I have been snacking on keto-approved foods like Granny Smith apples (the tart green apple has way less sugar than, say, a red Gala), and full-fat cottage cheese with blueberries (where have you been all my life, snack?) with no real trouble with cravings. But just knowing there are cookies that I can't eat makes me feel a little cheated. (Though These Low-Carb Keto Desserts Help With That.)
Elena Paravantes, RDN is a Registered Dietitian Nutritionist, Writer and consultant specializing in the Mediterranean Diet and Cuisine. She has been active as a clinician, consultant and lecturer for 20 years, both in the U.S. and Greece. An expert on the Greek Mediterranean Diet, her interviews and articles have been published in many publications including CNN, U.S. News and World Report, Prevention, NPR, and Shape. Elena has collaborated with a number of organizations including Loyola University, Yale University, University of Missouri, Louisiana State University, and the American College of Greece.
I'm not usually a fan of prescribed "diets"-I live by more of the anti-diet mantra. Call me jaded, but the word "diet" has a bit of a negative connotation these days, with "fad" and "restrictive" usually preceding it. So, when I had the chance to give Dr. Axe's new Keto360 program a two-week test run, I did some serious digging on the ketogenic diet and whether it's healthy.
On the other hand, coconut oil does have some well-documented health benefits that concentrated MCT oils might be lacking. The biggest drawback to buying manufactured MCT oil is that you might not really know what you’re getting. In order to produce a liquid MCT oil that does not become solid at colder temps, it might need to be more refined than regular coconut oil.
The health benefits of the Mediterranean diet are evident from both a medical and holistic perspective. While weight loss is not the primary intent of this diet, it’s an inherent effect from eating more plant-based foods while curbing sugar and red meat. Additionally, the high-fiber content of many whole grains, vegetables, fruits, and legumes found in the Mediterranean diet will help you feel fuller for longer, and reduce the chance of overeating. You’ll also pick up additional perks such as better digestive health and effective weight management. A Mediterranean diet can also be beneficial to those with type-2 diabetes by helping to lower blood glucose levels while promoting good HDL (high-density lipoprotein) cholesterol. Lastly, studies have also shown a link between the Mediterranean diet and long-term brain health. These health perks, combined with increased exercise and leisure-time, help earn the Mediterranean diet its reputation as a well rounded, logical, and realistic way to live.
Like the ketogenic diet, the subjects aimed to eat 20 grams of carbohydrates per day or less for a 2-3 month induction phase; then, they were asked to eat 50 grams of carbohydrates daily for the following 9-10 months. All participants were instructed to maintain a calorie deficit and utilize professional support to adjust to their diet and make sure that they stayed healthy. Additionally, the research team emphasized general health-promoting behaviors such as regular exercise and using nutritional supplements.
Olive oil is an integral part of the "Mediterranean diet" which is associated with sensible tasty portions and slower, more enjoyable eating. People who eat a "Mediterranean diet" have been shown to have a remarkable variety of health benefits. The olive oil in the Mediterranean diet can quickly satisfy hunger and lead to fewer total calories ingested at mealtime. It is unclear if any single component of this diet is responsible for these health benefits or if it is a combination of olive oil and a diet high in vegetables, fruit and fish.
The study found that those people eating a Mediterranean diet that was supplemented with the olive oil deliveries were 30 percent less likely to die of heart attack, disease, stroke or death from cardiovascular causes than those eating a low-fat diet. (1) In fact, the study finished earlier than planned, because the results were drastic enough that it was considered unethical to continue conducting it. For those of us who advocate eating a Mediterranean diet, this study was a welcome validation.
The 2017 meta-analysis by Drs. Kevin Hall and Juen Guo provide us with very convincing data, but we must also consider the fact that the data came from studies where all the food was provided by the scientists. Although this is a great way to assess the difference between low-carb and high-carb diet, this does not simulate the real-world effectiveness of each diet. For this reason, we must investigate data from less strict studies. In other words, we need to look at what happened when subjects were told to follow a specific diet on their own.
According to the American Heart Association, the Mediterranean diet is higher in fat than the standard American diet, yet lower in saturated fat. It’s usually roughly a ratio of 40 percent complex carbohydrates, 30 percent to 40 percent healthy fats and 20 percent to 30 percent quality protein foods. Because this balance is somewhat ideal in terms of keeping weight gain and hunger under control, it’s a good way for the body to remain in hormonal homeostasis, so someone’s insulin levels are normalized. As a byproduct, it also means someone’s mood is more likely to stay positive and relaxed, energy levels up, and physical activity easier.

There is a risk of excess calorie intake because specific amounts of foods and portion sizes are not emphasized, which could lead to weight gain. It might be helpful to use the Mediterranean Diet Pyramid, which provides guidance on specific types of foods to choose, along with a balanced plate guide such as the Harvard Healthy Eating Plate, which gives a better indication of proportions of food to eat per meal. However, it is important to note that—probably in part due to the higher intake of olive oil and less processed foods—the Mediterranean dietary pattern provides satiety and enables long term adherence. In one of the most successful weight loss trials to date, those assigned to the Mediterranean diet maintained weight loss over a period of six years. [14]
A ketogenic diet helps control blood sugar levels. It is excellent for managing type 2 diabetes, sometimes even leading to complete reversal of the disease. This has been proven in studies. It makes perfect sense since keto lowers blood-sugar levels, reduces the need of medications and reduces the potentially negative impact of high insulin levels.
The North American Olive Oil Association is committed to supplying North American consumers with quality products in a fair and competitive environment; to fostering a clear understanding of the different grades of olive oil; and to expounding the benefits of olive oil in nutrition, health, and the culinary arts. | © North American Olive Oil Association. All Rights Reserved.

So don’t reward olive oil with the laurels, agreed Dr. Alice Lichtenstein, one of the nation’s top nutrition scientists, at the Human Nutrition Research Center on Aging at Tuft University in Boston. In several interviews about this study of Greek adults, she said, “If the main message that Americans get is to just increase their olive or canola oil consumption, that’s unfortunate because they will increase their caloric intake and they are already getting too many calories.
For example, a 2003 study published in the Journal of Obesity and Related Metabolic Disorders showed that after comparing long-term consumption of MCTs and LCTs on energy expenditure, body composition and fat oxidation in obese women, the MCTs had more significant effects. Substitution of MCTs for LCTs in a targeted energy balance diet proved to offer better prevention of long-term weight gain due to increases in energy expenditure and fat-burning. (2)
Neither protein nor carbohydrate triggers the production of chylomicrons. Only long-chain fatty acids do, which are what the vast majority of all naturally occurring fats and oils are made up of. More LPS and chylomicrons may help explain the unique role of dietary fat in raising CRP and other inflammatory substances in the blood, as researchers from the University of Strathclyde, Glasgow, and Edinburgh University, Edinburgh, discussed. (9)
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As a dietary supplement, take 1 tablespoon (15 mL) 1 to 4 times daily. Onnit Pure Premium MCT Oil can be mixed into smoothies, or try it with Hemp FORCE for a certified delicious protein shake. Can also be used as a substitute for conventional oils in salad dressings or unheated sauces. Not recommended for cooking due to its relatively low boiling point. Not recommended for use with Styrofoam or any other foam-based material.
Benefits The main ingredient in hummus, chickpeas pack an impressive amount of fiber (more than half of a woman’s 25 g daily quota), as well as iron, zinc, folate, and magnesium, according to a paper published in November 2014 in the journal Applied Physiology, Nutrition, and Metabolism. (15,16) The stats above are for a whole cup, but you only need ½ cup per day to reap the benefits.
Con: Results can vary depending on how much fluid you drink. By drinking more water, you dilute the concentration of ketones in the urine and thus a lower level of ketones will be detected on the strips. The strips don’t show a precise ketone level. Finally, and most importantly, as you become increasingly keto-adapted and your body reabsorbs ketones from the urine, urine strips may become unreliable, even if you’re in ketosis.
“MCTs” are medium-chain triglycerides, a form of saturated fatty acid that has numerous health benefits, ranging from improved cognitive function to better weight management. Coconut oil is one great source of MCTs — roughly 62 percent to 65 percent of the fatty acids in coconut oil are MCTs — but recently more concentrated “MCT oil” has also been growing in popularity.
The group who ate yogurt with the extract had increased blood flow in brain areas typically associated with fat consumption—even though the overall fat content of the snack was low. That's all thanks to the scent of olive oil, which might help you feel full, according to the researchers. (This isn't the first time studies have shown that olive oil can increase feelings of satiety and fullness.)
The long-term effects of the keto diet aren’t clear. The fact that the body can derive energy from ketones is an evolutionary adaptation that helps people survive during periods of starvation, when glucose isn’t available to power the brain, points out Charlotte Vallaeys, a nutritionist and a senior food and nutrition policy analyst for Consumer Reports.
L-glutamine is an amino acid with many functions in your body including acting as a powerful antioxidant[*][*]. Research shows that L-glutamine can help stabilize blood glucose levels[*] and has been recommended to help reduce sugar cravings. Supplementing with L-glutamine (about ½-1 teaspoon powdered form or 500 mg dose) may help in reducing carb/sugar cravings and aid in your ketogenic weight-loss journey.
When examining the studies, the researchers noted that, on average, the participants in the VLCKD groups lost about 2 lbs. more of bodyweight compared to the low-fat diet groups. [19] This difference was statistically significant and described as “moderate”. The researchers also noted greater improvements in triglycerides, blood pressure, and HDL cholesterol in the VLCKD group compared to the low-fat diet group.

Doctors and medical professionals in United States are increasingly advocating a Mediterranean diet plan as research uncovers its many health benefits. A groundbreaking 2013 study by the University of Barcelona made the connection between the Mediterranean diet and cardiovascular health strikingly clear. Over 7,000 Spanish participants—many of whom were overweight, smokers, or diabetic—adopted a Mediterranean-style diet rich in healthy fats (olive oil or nuts) for nearly five years. After a comprehensive follow-up, surprised researchers ended the study early after observing a sharp improvement in participants’ health. The findings showed an “absolute risk reduction,” or a 30% decrease of cardiovascular disease among these high-risk individuals. The results, published in the New England Journal of Medicine, made news across the U.S. as evidence enough that everyone, from high-risk to healthy individuals, can benefit by eating Mediterranean diet foods.
Elena Paravantes, RDN is a Registered Dietitian Nutritionist, Writer and consultant specializing in the Mediterranean Diet and Cuisine. She has been active as a clinician, consultant and lecturer for 20 years, both in the U.S. and Greece. An expert on the Greek Mediterranean Diet, her interviews and articles have been published in many publications including CNN, U.S. News and World Report, Prevention, NPR, and Shape. Elena has collaborated with a number of organizations including Loyola University, Yale University, University of Missouri, Louisiana State University, and the American College of Greece.

In 2007, a team of eight research scientists compared the impact of the Atkins diet on body mass and body fat with three other diets in a 12-month randomized controlled trial. The team recruited 311 overweight and obese, premenopausal women with no history of diabetes or cardiovascular diseases. The women had an average age of 41 years, BMI of 32, and body fat percentage of 40. After taking baseline measurements, researchers distributed the subjects to one of four different groups.
What’s next for Flynn? With teaching, research, clinical and non-profit work on her plate, she still feels that there is much left to learn about the application of a plant-based diet that includes high-quality extra virgin olive oil. Securing funding remains challenging, which Flynn attributes in large part due to the “dismal failure” of low-fat diet research. She also is confident in the potential of using “food as medicine” to improve risk factors for chronic diseases among low-income groups, which offers dual benefits of improving lives as well as decreasing health care costs. She is also curious about the freshness of olive oil vis-à-vis its provision of health benefits and whether there is a cutoff at which these benefits begin to decline.

Several human studies have also poked holes in olive oil’s heart–health claims. When researchers from the University of Crete recently compared residents of Crete who had heart disease with residents free of the disease, they found that the residents with heart disease ate a diet with “significantly higher daily intakes” of monounsaturated fats (principally from olive oil) as well as higher fat intake overall. (3)
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