Between 2009 and 2018, competitors qualified for the Games through participation at CrossFit Games regional events. For the 2019 Games, CrossFit, Inc. discontinued hosting the Regional qualifier and instead sanctioned independent fitness events as qualifiers separate from the Open. Most of the sanctioned events were already widely participated in by CrossFit Games athletes, often used as a part of off-season training, around the world. Each sanctioned event has its own rules for participation, but athletes that attend the sanctioned events are either by invite or through the event's qualification process.

Thank you for all of this. I’m going to give it a try. I’m trying to get rid of some added weight and more importantly I have GERD and can’t deal with the pain anymore. I’m completely overwhelmed by the side effects of the prescribed medication I was told to take. The cure sounds worse than the disease. You’ve taken all the stress of trying to figures all of this out off of me and that is truly appreciated. Thank you for all of your hard work. I look forward to starting week 1.
When you're scrambling up a rocky bluff or bounding along a riverbank, the last thing you want is gravel and grit seeping into your FiveFingers. The Vibram FiveFingers KSO is an all-new design with thin, abrasion-resistant stretch polyamide and breathable stretch mesh that wraps your entire forefoot to "Keep Stuff Out." A single hook-and-loop closure helps secure the fit. Non-marking Vibram TC1 performance rubber soles are razor-siped for a sure grip. KSO IS BEST FOR: Light Trekking, Climbing, Canyoneering, Running, Fitness Training, Martial Arts, Yoga, Pilates, Sailing, Boating, Kayaking, Canoeing, Surfing, Flats Fishing, Travel. Available in Black or Grey/Palm/Clay.
The Paleolithic or “Paleo” diet seeks to address 21st century ills by revisiting the way humans ate during the Paleolithic era more than 2 million years ago. Paleo proponents state that because our genetics and anatomy have changed very little since the Stone Age, we should eat foods available during that time to promote good health. Our predecessors used simple stone tools that were not advanced enough to grow and cultivate plants, so they hunted, fished, and gathered wild plants for food. If they lived long enough, they were believed to experience less modern-day diseases like diabetes, cancer, and heart disease because of a consistent diet of lean meats and plant foods along with a high level of physical activity from intensive hunting. However, the life expectancy of our predecessors was only a fraction of that of people today.
The Paleo diet has been associated with many health benefits from better blood sugar levels to reduced inflammation. Considered one of the best diet plans for weight loss because it’s high in protein and fat and emphasizes nutrient-rich foods, it may also increase satiety and help correct nutrient deficiencies. Still, the diet has remained the subject of much controversy in recent years.
I wrote a book called The Paleo Solution which went on to become a New York Times Bestseller. This book incorporates the latest, cutting edge research from genetics, biochemistry and anthropology to help you look, feel and perform your best. I am a research biochemist who traded in his lab coat and pocket protector for a whistle and a stopwatch to become one of the most sought after strength and conditioning coaches in the world. With my unique perspective as both scientist and coach you will learn how simple nutrition, exercise and lifestyle changes can radically change your appearance and health for the better.

There will be two Opens in 2019. Our first Open of the year just kicked off on February 21st, and will run will 5 weeks. This if Open will be a similar structure to the one we’re used to. The other Open will be in October. The October Open will help determine the athletes participating in the 2020 games. From then on, the Open will be in October only. As of right now, we have no insight as to what the October Open will look like or when the 2020 Games will take place. 

The best part of CFA are the people! CrossFit has really changed my life and my perspective on so much. There are so many things that CrossFit and it’s community of people, especially the women, have taught me. I’ve finally found not only an outlet I was missing since my gymnastics days, but also a group of people who continually inspire me, support me and others, and are genuinely interested in seeing their peers meet goals. CrossFit has completely solidified my viewpoint that people and relationships matter most in life.
I’m not going to say I didn’t have some pretty difficult moments. For example, don’t purchase an ice cream maker the day you start your Whole30 and let it sit in your entryway for 30 days to taunt you. I did that; it was dumb. Also, there were points in the program on those days when I felt off that I broke down or wanted to throw in the towel. Feeling bad on top of the normal Lyme symptoms wasn’t great, but I’m glad that I stuck it out.
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To get an idea of what that means, we turned to the experts, including Loren Cordain, PhD, a professor emeritus at Colorado State University in Fort Collins, Colorado, and the author of The Paleo Diet; Erin Holley, RD, of Ohio State University Wexner Medical Center in Columbus, Ohio; and Lona Sandon, PhD, RD, an assistant professor of clinical nutrition at the University of Texas Southwestern Medical Center in Dallas.
Most of these recipes give us enough dinner for our family and then leftovers for my husband and I (I make a separate lunch for the kids most times). If you both eat normal-sized portions, you would probably be fine to cut it in half and have enough for leftovers. But if you tend to eat larger portions, I’d err on the side of caution and just go with the full amount.
The evolutionary discordance is incomplete, since it is based mainly on the genetic understanding of the human diet and a unique model of human ancestral diets, without taking into account the flexibility and variability of the human dietary behaviors over time.[26] Studies of a variety of populations around the world show that humans can live healthily with a wide variety of diets and that humans have evolved to be flexible eaters.[27] Lactose tolerance is an example of how some humans have adapted to the introduction of dairy into their diet. While the introduction of grains, dairy, and legumes during the Neolithic revolution may have had some adverse effects on modern humans, if humans had not been nutritionally adaptable, these technological developments would have been dropped.[28]
Thank you so much for your wonderful testimonial! I’m so glad to hear you guys are having such great results. I never really drink anything other than water and kombucha (not even milk, soda, or alcohol) even when I’m not on a Whole30, so that’s all I ever drank. If you are missing milk, you could try making your own almond milk (since the store-bought stuff is hard to find without sugar or carageenan). Other than that, I think it’s probably best to stick with water (maybe even infused with citrus, cucumbers, or fruits).

Thank you CFA coaches for always scaling the WOD for my medical needs, but still making the WOD fun and challenging. I may not be able to lift heavy or ever be a part of the CF games, but I do feel like a part of CFA family and with that I could never go back to a gym. It’s been a privilege meeting and working out with great people. I feel honored to be selected CFA Athlete of the Month. CROSSFIT PROUD!!!
Grass-fed meat is recommended on the paleo diet because it is leaner than meat from grain-fed animals and has more omega-3 fatty acids, the healthy fats that reduce inflammation in the body and protect your heart. A typical American diet is high in saturated and trans fats and lower in healthy poly- and monounsaturated fats, hence the paleo diet's emphasis on grass-fed meats.
This traditional legal effort is paired with an aggressive social-media operation run by two men, Russ Greene and Russell Berger. At CrossFit headquarters in Santa Cruz, they are known as the Russes.The Russes assist the company's conventional corporate social-media efforts (running the Twitter handle, promoting company news on the CrossFit Facebook page) while also closely monitoring what they call "the wide world of Internet assholes": chronic complainers, trolls, Wikipedia page editors, cynical bloggers, even the American College of Sports Medicine, which the Russes and Glassman believe has it in for CrossFit. When the Russes feel any of these parties go over the line, their approach is simple: They obliterate them. (See "Social Media, CrossFit Style.")

This one was hard for us to grasp, so it deserves some explanation. If a Paleo pancake calls for nothing but Whole30-approved ingredients (eggs and bananas), the flapjack is still off-limits. The Whole30 wants you to change your habits and your emotional relationship with food. "Your brain doesn't know the difference between an almond flour brownie and your mom's recipe; it just knows you crave sugar. So if you keep eating those sweets during the 30 days, your habits aren't changing," Hartwig says. Don't shoot the messenger!


On Day 4, I reached for a beef jerky stick from Epic. I simultaneously took a big bite while turning over the packaging to read the label. When I saw it on the ingredients list, I stopped mid-chew: "honey." I immediately spit the partially chewed jerky in my garbage can. Close one. After that, I always read the labels on my food twice before eating a morsel.
Absolutely. In fact, I’m doing it again right now as a way to reset into the New Year. It gets easier the second time around, actually. I already know how to meal prep, and have an arsenal of recipes that I created from the first go-around to guide me through. I kinda miss cheese and chocolate (because, yum), but I’m excited to push that glorious reset button.
Fattening cattle with corn changes the lipid balance and is clearly not the natural diet for a grass eating cow. In Simple change in cattle diets could cut E. coli infection researchers have found that when cattle were fed hay or grass for just five days before slaughter, much less E. Coli cells were present in the animal's feces and virtually all surviving E. coli bacteria were not acid-resistant and were killed by human stomach acid.
Legumes are members of a large family of plants that have a seed or pod. This category includes all beans, peas, lentils, tofu and other soyfoods, and peanuts. Legumes are not allowed on paleo because of their high content of lectins and phytic acid. Similar to grains, this is a point of controversy in the scientific community. In fact, lots of research supports eating legumes as part of a healthy diet because they are low in fat and high in fiber, protein and iron.
Buried in the middle of The Revised Metabolic Oncolytic Regimen for Effecting Lysis in Solid Tumors one can find their diet recommendations for tumor control. It has a paleo diet orientation. Protein is 35%, preferably Omega 3 rich. Carbohydrates (also 35%) are only vegetables and fruit, no beans, bread, potatoes, or any grain. Then dietary and supplemental forms of fat should provide 20-30% of (daily) calories.
A 2015 study in the Journal of the American College of Cardiology found that 76 people who followed the Paleo diet for 60 days (as well as those who followed vegan, Mediterranean and DASH plans for the same length of time) lost an average of 9 pounds and showed improvement in their blood pressure levels. The effects were greatest and most sustained among people who also attended regular diet support group meetings.

Glassman was already familiar with the Anderson case. In May 2005, the owner of the garage gym where the incident took place wrote about it in the CrossFit Journal, the company's online publication. In October, Glassman wrote an article himself, "CrossFit-Induced Rhabdo," in which he soberly explained the circumstances of the six CrossFit-related cases he knew about, outlined ways affiliates could lower the likelihood of injury, and announced he would add a rhabdomyolysis discussion to his weekend seminars and to the website.
NeanderThin: Eat Like a Caveman to Achieve a Lean, Strong, Healthy Body (Hardcover) by Ray Audette, with Troy Gilchrist, was one of the early paleo diet authors. His home page NeanderThin [now restored from archive.org] has a diet based on the ideas of paleolithic nutrition. The diet can be followed as a low-carb, moderate or high carb diet, depending upon whether and how much fruit is used. You can read up through page 19 of the book at Google Books. The original press release from 1999. [The webmaster has an extra copy with the author's signature for sale. It has the original lime-purple cover. Pristine new condition. $60 (shipping included). Paypal only. Use e-mail link at page bottom.]
Update: So today is day 18 on my Whole30 journey. I just wanted to let you guys know that there is a lot of cooking involved with this program. I'm actually tired of cooking, which is why I started making large meals to freeze for the week. It actually works out well for me, especially since I don't mind eating the same food everyday. I've also been drinking a lot of tea and water. I feel like it is helping to flush out more toxins from my body. I has been approximately four days since my previous review and I lost an additional 2 pounds on this journey. I have so much energy that I actually am unable to sit still like I used to. I guess I was depressed before going on this journey so the Whole30 has actually improved my mood as well. I go for a walk every day and I've actually started a new workout program!
Using a 1/2 cup measuring cup, scoop the potatoes out of the skillet and into the greased jumbo muffin cups. Depending on the size of your potato, you may get slightly more or less than 5 cups. Using a small jar or cup, press an indentation into the potatoes, creating a well in the middle and pushing the potatoes up the sides of the muffin cup. This is your nest.
So what does the science say about the paleo diet? Some research suggests that the health claims hold truth. A review analyzed four randomized, controlled trials with 159 participants, and researchers found that the paleo diet led to more short-term improvements in some risk factors for chronic disease (including waist circumference and fasting blood sugar) compared with other control diets. (4)
To deal with this major food rut and disinterest in cooking, I bought my lunch every single day from Dig Inn and begged my boyfriend to take me out to dinner at a restaurant with Whole30–compliant options. As someone who typically brings lunch to work and cooks dinner on weeknights, I knew I was spending way over my normal budget, but I couldn't help myself. It was for my sanity.

For the handstand push-up, prior to the start of the workout, athletes must measure out and mark a box measuring 36in wide by 24in from the floor. This is for the athlete’s hand placement. The athlete’s palms may not extend beyond this box over the course of any handstand push-up repetition, however, their fingers may. The box must be marked out clearly to be visible in the video. Each repetition begins with the kicking upside down, onto the wall, with the athlete’s hands clearly inside of the box, arms and shoulders locked out, body vertically aligned, with feet in contact with the wall. Once this position is established, the athlete may lower their body down to bring their head in contact with the ground. From here, the athlete may use any style of handstand push-up, including kipping or strict, to press and finish with their body vertically aligned, arms and shoulders locked out, and feet in contact with the wall. Each rep must have the athlete’s head make contact with the floor, and finish in this extended position. If at any point in time an athlete kicks off the wall, they must first establish the locked out finish position, with body vertically aligned before lowering down to begin repetitions. If over the course of a repetition, the athlete’s hands leave the marked box, that rep shall not count. However, if the athlete is resting with their head on the floor, they may adjust their hands (which may have them come out of the box,) but must return them to the box before attempting to complete another repetition. If head cushioning is used, please ensure the head is still level with the hands, or your score will not count
Trick And Treat - how 'healthy eating' is making us ill by Barry Groves. The author is one of the world's most outspoken proponents of a high-fat, low-carbohydrate diet. This book is an account of how and why the health-care establishment has got the concept of 'healthy eating' so wrong. Whereas Taubes work (see above) is a fairly straight forward review of the existing science, Groves expands into the politics of medical research and treatment to a much greater extent. "Trick and Treat" is divided into two parts. Part One describes the corruption in the health industry, points out the problems inherent in a high-carb, low-fat diet, and then prescribes a diet that leads to good health. The prescribed diet is high in fat - specifically animal fat, not polyunsaturated vegetable fat - and low in carbohydrates, with 60-70% of calories from fat, 15-25% of calories from protein, and a mere 10-15% of calories from carbohydrates. Part Two describes numerous diseases the author claims are the result of high carbohydrate consumption. These range from life-threatening disorders such as cardiovascular disease, diabetes, and cancer to less serious problems such as acne, near-sightedness and dental problems. The Amazon reviews average to 4+ stars.

Advocates of the diet argue that the increase in diseases of affluence after the dawn of agriculture was caused by changes in diet, but others have countered that it may be that pre-agricultural hunter-gatherers did not suffer from the diseases of affluence because they did not live long enough to develop them.[29] Based on the data from hunter-gatherer populations still in existence, it is estimated that at age 15, life expectancy was an additional 39 years, for a total expected age of 54 years.[30] At age 45, it is estimated that average life expectancy was an additional 19 years, for a total expected age of 64 years.[31][32] That is to say, in such societies, most deaths occurred in childhood or young adulthood; thus, the population of elderly – and the prevalence of diseases of affluence – was much reduced. Excessive food energy intake relative to energy expended, rather than the consumption of specific foods, is more likely to underlie the diseases of affluence. "The health concerns of the industrial world, where calorie-packed foods are readily available, stem not from deviations from a specific diet but from an imbalance between the energy humans consume and the energy humans spend."[33]

Sweden's Staffan Lindeberg has a home page Paleolithic Diet in Medical Nutrition [archive.org]. A recent study of Staffan's has A Paleolithic diet improving glucose tolerance more than a Mediterranean-like diet in individuals with ischemic heart disease. Also see his first web page, an overview of his Kitava study: On the Benefits of Ancient Diets. Now he has a book Food and Western Disease: Health and nutrition from an evolutionary perspective. Here's a book review: Easy to Read, Informative, Packed with Footnotes on Studies.
Chris Masterjohn has Cholesterol: Your Life Depends on It!, another web site pointing out that the war on cholesterol and the push to put people on statins is misguided. The site argues it is actually polyunsaturated fats, not saturated fats or cholesterol, that contribute to heart disease, cancer, liver damage, and aging. He also has a popular blog.

The Raw Paleo Diet & Lifestyle site is a resource created by members of the Raw Paleolithic Diet community for people looking to improve their health by choosing a more historically natural approach to diet, fitness and lifestyle. They have two forums: Raw Paleo Forum. It has some activity. And Raw Paleo Diet, or RVAF Raw Veg and Animal Foods Group, a forum for followers of semi-RPD diets, (such as Aajonus Vonderplanitz's Primal Diet/Weston-Price Diet/Sally Fallon/Instincto) and followers of the NeanderThin/Paleo/Stefansson Diets, who, for health reasons, wish to pursue a more fully Raw, Paleolithic variation of those diets.
And if you have an iPhone or iPad, go download my Webby Award-winning app! With over 100 Whole30-approved recipes, interactive guides, a customizable shopping list, fully-emailable recipes, and a 30-day Whole30 meal plan, this app is an invaluable tool for Paleo foodies and culinary newbies alike. There’s even a dedicated Whole30 recipe category in the app!

Due to CrossFit's official partnership with Reebok, competitors at the 2015 Games were banned from wearing Nike footwear.[32] Nike arranged for several trucks to be parked near the main entrance to the arena, which served as mobile billboards with the slogan "Don't ban our shoe, beat our shoe".[33] The partnership also prohibits Nike from labeling its Metcon shoes as intended for CrossFit – the brand uses the term "high intensity training" instead.[32]

In 2011, ESPN began to broadcast the CrossFit Games, with live coverage streamed through ESPN3, and some television coverage on ESPN2. As the event grew, ESPN expanded its television coverage; in 2014, the network entered into a multi-year deal to continue broadcasting the CrossFit Games, and coverage expanded to nine-and-a-half hours on ESPN and ESPN2 by 2015.[36] In 2017, the event began a new broadcast arrangement with CBS Sports, with television coverage on CBS Sports Network, and a total of 40 hours of digital streaming coverage. CrossFit also streamed coverage through Facebook and their website.[37]
The plan focuses on unprocessed foods and foods with very minimal, or, better yet, no added ingredients. Whole30 requires dieters to cut out a lot of items, including sugar, dairy and legumes, and then slowly reintroduce these food groups back into their diets after the 30 days. The purpose of the reintroduction phase is to see if any of the foods cut out are the culprit for any health issues.

Prior to starting, athletes should state their name, and show and state the weights and equipment to be used. All video submissions must be uncut and unedited in order to accurately display the performance. A clock or timer, with the running workout time clearly visible should be in the frame throughout the entire workout. Shoot the video from an angle so ALL exercises can be clearly seen meeting the movement standards. Videos shot with a fisheye lens or similar lens may be rejected due to the visual distortion these lenses cause. If an athlete needs someone to adjust their camera during the WOD to capture all movements, this is acceptable, as long as the flow of the workout and the athlete is in view the whole time. It is the athletes responsibility to ensure their video meets the standard.
This traditional legal effort is paired with an aggressive social-media operation run by two men, Russ Greene and Russell Berger. At CrossFit headquarters in Santa Cruz, they are known as the Russes.The Russes assist the company's conventional corporate social-media efforts (running the Twitter handle, promoting company news on the CrossFit Facebook page) while also closely monitoring what they call "the wide world of Internet assholes": chronic complainers, trolls, Wikipedia page editors, cynical bloggers, even the American College of Sports Medicine, which the Russes and Glassman believe has it in for CrossFit. When the Russes feel any of these parties go over the line, their approach is simple: They obliterate them. (See "Social Media, CrossFit Style.")
Ideally one should eat a wide variety of proteins from as many animal sources as possible. One need not and should not avoid fatty cuts of meat, particularly if consuming pastured sources. An often overlooked piece of the paleo diet in popular culture is an over-reliance on standard cuts of meat, at the expense of organ meats, bone broth and other collagen sources. For more information on the historical and practical aspects of consuming a more balanced protein intake, check out the Weston A. Price Foundation. If weight-loss is a goal, protein makes you feel satisfied between meals.
This is a complete list of foods not allowed on the paleo diet. It’s a sad day when you first have to say goodbye to these foods but, once you start, it’s much easier and you find there are even better paleo substitutes for these foods. The first few weeks might be tough, but if you stick with it over time, it’ll be worth it. We promise. Here’s the ultimate list of foods not allowed on the paleo diet.

For your body to enter ketosis, a good percentage of your calories (generally, somewhere between 60-80%, according to keto experts) needs to come from fats (this is why people frequently associate the Keto Diet with foods like bacon, even though most nutritionists say it's better to eat healthier items like avocados, nuts and seeds, eggs, and lean meats). The idea is that all of that fat-burning will help you lose weight, says Kizer.
Evolution of the Human Diet: The Known, the Unknown, and the Unknowable by Peter S. Ungar. Diet is key to understanding the ecology and evolution of our distant ancestors and their kin, the early hominins. A study of the range of foods eaten by our progenitors underscores just how unhealthy many of our diets are today. This volume brings together authorities from disparate fields to offer new insights into the diets of our ancestors. Paleontologists, archaeologists, primatologists, nutritionists and other researchers all contribute pieces to the puzzle. The book has four sections: Reconstructed diets based on hominin fossils--tooth size, shape, structure, wear, and chemistry, mandibular biomechanics. Archaeological evidence of subsistence--stone tools and modified bones. Models of early hominin diets based on the diets of living primates--both human and non-human, paleoecology, and energetics. Nutritional analyses and their implications for evolutionary medicine.
Similarly, any foods that were not easily available to Paleolithic humans are off-limits in this diet, Holley explains. That means processed foods — many of which contain added butter, margarine, and sugar — should not be a part of the paleo diet. The same goes for dairy, which may not have been accessible to Paleolithic humans, and legumes, which many proponents of the diet believe are not easily digestible by the body.
Trying to devise an ideal diet by studying contemporary hunter-gatherers is difficult because of the great disparities that exist; for example, the animal-derived calorie percentage ranges from 25% for the Gwi people of southern Africa to 99% for the Alaskan Nunamiut.[39] Descendants of populations with different diets have different genetic adaptations to those diets, such as the ability to digest sugars from starchy foods.[39] Modern hunter-gatherers tend to exercise considerably more than modern office workers, protecting them from heart disease and diabetes, though highly processed modern foods also contribute to diabetes when those populations move into cities.[39]
This is by far the best meal plan I found! It has flavor and variety, both of which I NEEDED in planning meals. My husband even ate all of this, and he tends to be picky. I did deviate from it more and more as the weeks went by to fit time and schedule and inspiration, but from the ingredients I got to match this plan, I had plenty to work with and was able to still feed us while following Whole30 guidelines and finish the program. Thanks so much for putting this together!!!!
Paleo critics point out that not all grains are created equal—whole grains do not spike your blood sugar as much as refined grains. Even so, paleo dieters still steer clear of grains because they contain different compounds and proteins like gluten, lectins and phytates, which they claim cause inflammation in the body and block other nutrients from being absorbed. Paleo critics say these compounds are not a problem unless you have an allergy or sensitivity.
According to Adrienne Rose Johnson, the idea that the primitive diet was superior to current dietary habits dates back to the 1890s with such writers as Dr. Emmet Densmore and Dr. John Harvey Kellogg. Densmore proclaimed that "bread is the staff of death", while Kellogg supported a diet of starchy and grain-based foods.[11] The idea of a Paleolithic diet can be traced to a 1975 book by gastroenterologist Walter Voegtlin,[7]:41 which in 1985 was further developed by Stanley Boyd Eaton and Melvin Konner, and popularized by Loren Cordain in his 2002 book The Paleo Diet.[8] The terms caveman diet and stone-age diet are also used,[12] as is Paleo Diet, trademarked by Cordain.[13]
Optimal Diet is a dietary model of human nutrition devised and implemented by Dr. Jan Kwasniewski. Lots of fat and low in carbs. Lots and lots of articles collected from various places. He has an out-of-print book: Optimal Nutrition. The book is explained at the Australian Homo Optimus Association website. A thorough analysis is the first post here: Dr. Kwasniewski's Optimal Diet: Sanity, Clarity, Facts.
The toe to bar requires an athlete start each set at a dead hang from a pull-up bar, with shoulders, arms, hips and legs at full extension. Each repetition consists of an athlete bringing both feet behind the perpendicular vertical plain created by the pull-up bar, and finishes with both feet simultaneously in contact with the pull-up bar, between the athlete’s hands.
The WHO trial (so named because the international team of principal investigators contained World Health Organization members) tested the potential of clofibrate, a “pre-statin” cholesterol-lowering agent, to reduce heart attack morbidity and mortality. The investigators ultimately concluded that clofibrate "cannot be recommended as a lipid-lowering drug for community-wide primary prevention of ischaemic heart disease.” Nevertheless, clofibrate remained in use until 2002, when it was pulled for increasing cancer rates. In their review of studies such as the WHO trial, Uffe Ravnskov and David Diamond observe, “Despite the largely disappointing findings from 50 years of cholesterol lower[ing] trials, the indictment and conviction of cholesterol as the causal agent in CVD [cardiovascular disease] has stood the test of time. … [Yet] the grand effort to reduce cholesterol as a strategy to improve health has failed.”
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