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Dr. Neal Barnard's Program for Reversing Diabetes: The Scientifically Proven System for Reversing Diabetes without Drugs 1st Edition, Kindle Edition
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Revised and updated, this latest edition of Dr. Barnard’s groundbreaking book features a new preface, updates to diagnostic and monitoring standards, recent research studies, and fresh success stories of people who have eliminated their diabetes by following this life-changing plan.
Before Dr. Barnard’s scientific breakthrough, most health professionals believed that once you developed diabetes, you were stuck with it—and could anticipate one health issue after another, from worsening eyesight and nerve symptoms to heart and kidney problems. But this simply is not true—Dr. Barnard has shown that it is often possible to improve insulin sensitivity and tackle type 2 diabetes by following his step-by-step plan, which includes a healthful vegan diet with plenty of recipes to get started, an exercise guide, advice about taking supplements and tracking progress, and troubleshooting tips.
- ISBN-13978-1594868108
- Edition1st
- PublisherRodale Books
- Publication dateFebruary 27, 2018
- LanguageEnglish
- File size4350 KB
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Editorial Reviews
About the Author
Neal D. Barnard, MD, is an adjunct associate professor of medicine at George Washington University School of Medicine and president of the nonprofit Physicians Committee for Responsible Medicine. Dr. Barnard is the author of numerous books, including Breaking the Food Seduction, Turn Off the Fat Genes, and Foods That Fight Pain. His scientific articles have appeared in prestigious journals such as Diabetes Care, the American Journal of Cardiology, the American Journal of Clinical Nutrition, the Journal of the American Dietetic Association, and Scientific American.
Excerpt. © Reprinted by permission. All rights reserved.
The Basics Have Changed
In the past few years, much of what we thought we knew about diabetes has been turned on its head. What is now coming into focus is an understanding of its fundamental causes, and that gives us power we never had before.
To make sure we are at the same starting point, let me walk you through the basics: symptoms, diabetes types, and typical treatments as they are currently used. Then I will show you what's new.
HOW DO WE KNOW IT'S DIABETES?
First, let's make sense of the symptoms. Diabetes may arrive with no symptoms at all, but often it starts with fatigue. For no apparent reason, your spark is just no longer there. It may also seem that you are losing water more rapidly than you should be, which is to say that you make trips to the bathroom more often than usual. And you are thirsty: You find yourself drinking a surprising amount of water.
Here is what is going on: The fundamental problem is that sugar is not able to pass from your bloodstream into the cells of your body. From that single problem come a great many others, like one domino knocking over another and another and another.
The sugar we are speaking of is glucose--one of the smallest and simplest sugar molecules. In this case, sugar is not just another word for junk food or empty calories. The fact is that the cells of your body use this kind of sugar--glucose--as an energy source. Like gasoline for your car or jet fuel for an airplane, glucose is your body's fuel. It powers your movements, your thoughts, and more or less everything you do.
And that is exactly the problem. If glucose is unable to enter your cells, they are deprived of their basic fuel, so you lose your energy. That is why you are fatigued. If your muscles do not have the glucose they need for power, you tire easily.
Meanwhile, the glucose that cannot get into your muscle cells builds up in your bloodstream. It becomes more and more concentrated in the blood, and eventually it starts to pass through the kidneys and ends up in your urine.*
Now, as glucose passes through your kidneys, it carries water along with it- -lots of water, hence all those trips to the bathroom. What follows, naturally, is thirst--you are losing all those fluids. So fatigue, frequent urination, and thirst are all symptoms of one problem: glucose having trouble getting into your cells.
You may also find that you are losing weight. And no, this is not an especially welcome event--not in this situation. You lose weight because your cells are in essence starving. Nutrients cannot enter your cells, so your body is malnourished. Yes, even if you are eating plenty of food, nutrients and fuel are unable to get where they are needed.
Every day, people arrive at doctors' offices complaining of fatigue, frequent urination, thirst, and sometimes unexplained weight loss. The doctor takes a blood sample, finds an unusually high level of glucose in the blood, and diagnoses diabetes. The doctor then advises the patient that it is essential to get blood sugar under control. An overly large amount of glucose flooding through the bloodstream day after day can harm the arteries. Left unchecked, it can damage the heart and the delicate blood vessels of the eyes, kidneys, and extremities.
But as we have shown in our research studies, the road to high blood sugar is a two-way street. When you change your diet and make other healthful improvements, a rising glucose level can fall. Sometimes the change can be so dramatic that no doctor looking at you afterward would ever guess that you had once been diagnosed with diabetes.
* The passage of glucose from the bloodstream into the urine led to the technical name doctors use for diabetes: diabetes mellitus. Diabetes comes from a Greek word meaning "to pass through," and mellitus is the Latin word for "honey" or "sweet."
How Doctors Diagnose Diabetes
Doctors diagnose diabetes if:
. You have symptoms of diabetes (frequent urination, unusual thirst, unexplained weight loss) and your blood glucose level is 200 milligrams per deciliter (mg/dl)--(or 11.1 millimoles per liter (mmol/l)*--or higher, regardless of the time of day or whether you are fasting, or . Your blood glucose level is 126 mg/dl (7.0 mmol/l) or higher after an 8-hour fast.
Your doctor will consider this a provisional diagnosis until it is confirmed by similar testing on a separate day. In some cases, doctors perform a glucose tolerance test, in which you drink a syrup containing 75 grams of glucose. If your blood glucose value is 200 mg/dl (11.1 mmol/l) or higher 2 hours later, your doctor will diagnose diabetes.
Normal fasting blood glucose is less than 100 mg/dl (5.6 mmol/l). After a 2- hour glucose tolerance test, the value should be less than 140 mg/dl (7.8 mmol/l). If your values are above the normal limit but not high enough for a diagnosis of diabetes, your doctor will diagnose prediabetes (impaired glucose tolerance), which often precedes an eventual diabetes diagnosis.
* US medical laboratories measure glucose in milligrams per deciliter (mg/dl). In most other countries, glucose is measured in millimoles per liter (mmol/l). As you will see, the same units are used in cholesterol measurements.
Diabetes Types
A diagnosis of diabetes--or prediabetes--means the insulin in your body is not doing its job adequately. Insulin is a hormone that moves sugar from your bloodstream into the cells of your body, among other functions. It acts like a key, opening a door to the cell, so to speak, and allowing nutrients inside. When insulin arrives at the cell's surface and opens the door, glucose is able to enter the cell, which uses it for power.
If for some reason your body is not making insulin, the result is rising blood glucose levels. Similarly, your blood glucose rises if your cells resist insulin's actions--the key goes in the lock, but the door will not open. Over the long run, high blood glucose levels can damage your nerves, eyes, kidneys, and other parts of your body.
Diabetes comes in three main types, called type 1, type 2, and gestational diabetes. Let's look at each one.
Type 1 diabetes usually manifests in childhood or young adulthood. It used to be called childhood-onset or insulin-dependent diabetes. In type 1 diabetes, something has damaged the pancreas's ability to produce insulin, and you need to get it from an outside source--typically by injection. However, recent research has revealed a great deal about how diet changes can dramatically reduce the risk that diabetes will bring any serious complications your way, as you will see in Chapter 3.
In addition, we know more than ever about the causes of the disease, arming us with more power to prevent it. The damage to the insulin-producing cells is caused by the biological equivalent of "friendly fire." That is, it is caused by the body's immune system--our white blood cells that are supposed to fight bacteria and viruses. These cells ought to protect you, but instead they have attacked the cells of the pancreas, destroying its ability to produce insulin. In Chapter 3, we will look at what triggers this process. It may surprise you to learn that foods--particularly the foods infants are fed within the first months oflife--are leading suspects.
Type 2 diabetes used to be called adult-onset diabetes, or sometimes non- insulin-dependent diabetes. About 9 out of 10 people with diabetes have type 2. Most people with this form of the disease still produce insulin; the problem is that their cells resist it. Insulin tries to bring glucose into the cells, but the cells respond like a door with a malfunctioning lock. In response to these sluggish cells, your body produces more and more insulin, trying to overcome the resistance. If the body's insulin supply cannot overcome the resistance, glucose simply builds up in your blood.
Diabetes drugs work to counteract this problem: Some make your cells more responsive to insulin. Others cause your pancreas to release more insulin into the bloodstream or block your liver from sending extra glucose into the blood.
Until now, most diabetes diets have tried to compensate for the cells' resistance to insulin's action, too. They limit the amount of sugar in your diet. They also limit starch (complex carbohydrate) because starch is actually made from many glucose molecules joined together in a chain. During digestion, starch breaks down to release natural sugars into the blood. The idea is that if you do not get too much carbohydrate at any one time, your cells will not be overwhelmed with too much glucose. For people on medications, typical diet plans aim to keep the amount of glucose or starch fairly constant from meal to meal and from day to day so the amount of medication required to help your body process glucose--your daily dosage- -can stay the same, too. In short, these diets guide you on what, when, and how much to eat.
Insulin is Made in the Pancreas
Insulin is made in the pancreas, an organ located just behind your stomach that is about the size and shape of a TV remote control. In fact, remote control is what the pancreas is all about. It sends insulin into the bloodstream to travel to the cells of your body to help them take in glucose from the bloodstream. In type 1 diabetes, the pancreas has stopped making insulin. In type 2 and gestational diabetes, the pancreas is usually able to make insulin, but the body's cells resist its action.
New research has changed everything, however. We can now use diet changes to influence insulin sensitivity directly. So, as you will see shortly, the nutrition prescription has been completely rewritten to take advantage of this new understanding.
Gestational diabetes is similar to type 2 except that it occurs during pregnancy. While it typically disappears after childbirth, it is a sign of insulin resistance, and that means that type 2 diabetes may be around the corner. With the same sorts of steps that tackle type 2 diabetes, we can often stop gestational diabetes from ever turning into type 2.
GENES ARE NOT DESTINY
Diabetes runs in families, but don't take that to mean that if one of your parents has diabetes, a similar diagnosis has to be your fate as well. You can change things.
Let's take a look at type 1 diabetes first. Many children are born with genes that make it possible for them to develop type 1 diabetes, but most of them never do. In fact, even among identical twins, when one twin has type 1 diabetes, the other has less than a 40 percent chance of having it.1 What makes the difference, apparently, is the environment, particularly the foods the child is exposed to early in life, viral infections, and perhaps other factors.
Genes play a similar role in type 2 diabetes. Many years before diabetes ever manifests, special tests can detect insulin resistance in young adults who have inherited a tendency toward type 2 diabetes from their parents. If they eat the same kinds of foods their parents did, they are very likely headed for a diagnosis. Abundant evidence shows, however, that changes in diet and lifestyle can cut the odds that diabetes will occur. When it does occur, diet can dramatically alter its course.
The point is this: Some genes are dictators, and others are not. The genes for hair color or eye color, for example, really are dictators. If they call for you to have brown hair or blue eyes, you can't argue. But the genes for diabetes are more like committees. They do not give orders; they make suggestions.
If our genes call for diabetes, we do not necessarily have to listen to them. We have more control than you might imagine.
HEMOGLOBIN A1C
As you have seen, doctors diagnose diabetes based on your blood glucose level, and tracking your blood glucose is an important way to track the effects of diet and medication dosages. As helpful as glucose testing is, though, it really indicates only how you are doing at the time you take the test. The best way to tell how you are doing over the long run is with a test called hemoglobin A1c, or A1c for short. This is the main way you will track your progress in controlling diabetes.
Hemoglobin is the pigment that gives color to your red blood cells and whose job it is to carry oxygen. What the A1c test actually measures is how much glucose has entered your red blood cells and become stuck to hemoglobin. If you have had a lot of glucose in your blood, a fair amount of it gets into your cells and sticks to your hemoglobin. If you have not had much glucose in your blood, your hemoglobin has much less stuck to it.
Since red blood cells have a fairly short life span (about 4 months), the test indicates how well your blood sugar has been controlled over the preceding 3 months or so. The American Diabetes Association (ADA) recommends that people with diabetes get their A1c values below 7 percent. Research shows, however, that lower values cut the risk of complications, so many experts now call for targets of 6.5 or even 6 percent.
DIABETES DIETS
If you have diabetes, chances are you were given printed guidelines on what to eat and what to avoid. Perhaps you have met with a dietitian, and you may have been referred to a diabetes class. Unfortunately, most people do not get the ongoing support they need to make dietary changes, and as a result, this well-meaning effort may not have much effect. If you are like many people, you may have found your diet tough to sustain.
For many years, the ADA has offered diet recommendations designed to provide basic nutrition while also keeping calorie intake and food choices reasonably stable over the course of the day and from one day to the next, as you saw above. The idea was that if you had no carbohydrates for breakfast but then had a big carb-fest later in the day, your blood sugar would change erratically. Similarly, if you had lots of starchy foods on Monday but went low-carb the rest of the week, your blood sugar would be all over the map, and your medications could not keep up with you.
Product details
- ASIN : B075DNLCGB
- Publisher : Rodale Books; 1st edition (February 27, 2018)
- Publication date : February 27, 2018
- Language : English
- File size : 4350 KB
- Text-to-Speech : Enabled
- Screen Reader : Supported
- Enhanced typesetting : Enabled
- X-Ray : Not Enabled
- Word Wise : Enabled
- Sticky notes : On Kindle Scribe
- Print length : 290 pages
- Page numbers source ISBN : 1635651271
- Best Sellers Rank: #68,860 in Kindle Store (See Top 100 in Kindle Store)
- #12 in Diabetic & Sugar-Free Cooking (Kindle Store)
- #14 in Diabetes (Kindle Store)
- #102 in Detox & Cleansing Diets
- Customer Reviews:
About the author
Neal D. Barnard, M.D., is a nutrition researcher, author, and health advocate. As an adjunct associate professor of medicine at the George Washington University School of Medicine, Dr. Barnard conducts studies on the role of nutrition in diabetes, obesity, and lipid management, among other health issues. His most recent clinical trial, funded by the National Institutes of Health, established the value of a novel dietary program for type 2 diabetes and set a new standard for dietary approaches to this increasingly common condition.
Dr. Barnard’s articles have appeared in the American Journal of Clinical Nutrition, the American Journal of Medicine, the Journal of the American Dietetic Association, Scientific American, the American Journal of Cardiology, Obstetrics & Gynecology, Lancet Oncology, Preventive Medicine, and many other scientific and medical journals. Dr. Barnard is the editor-in-chief of the Nutrition Guide for Clinicians and the author of more than a dozen books for lay audiences.
In 1985, Dr. Barnard established the Physicians Committee for Responsible Medicine, a nonprofit organization advocating for preventive medicine and higher ethical standards in research. He later established The Cancer Project, a nonprofit organization providing nutritional services for cancer patients and survivors and public education geared toward prevention, and the Washington Center for Clinical Research, an organization dedicated to studies of diet and health.
Growing up in Fargo, N.D., his extended family includes both doctors and cattle ranchers, two groups that are increasingly butting heads over America’s health policies. Dr. Barnard’s scientific approach aims to shed new light on these important issues.
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You won't get any of this info supplied by Barnard & Fuhrman from your doctors who are still doing pretty much nothing other prescribing medications and telling your to exercise more and lose weight. It's more than that to reverse this lifestyle condition.
A recent study found that more than 90% of the 500 million T2 diabetics in the world weren't receiving the information that they needed to make the profound lifestyle changes that could save their health (from ScienceDaily, May 21, 2021, "Vast under-treatment of diabetes seen in global study.", Michigan Medicine, University of Michigan). What's worse is that big pharma never wants you to have the information supplied by Barnard & Fuhrman.
Recently read an interesting SCIENCE review of how making all the changes advocated by Drs. Barnard & Fuhrman within the first 5 years of a T2 diabetes diagnosis, especially losing the weight, adding regular exercise and changing your diet, will give you a greater than 70% chance of reversing your T2 diabetes. No pharmaceuticals needed, no loss of body parts, no blindness, only great health for the rest of your long natural life. Own it and live it.
2 year update: 91 lb weight loss (effortless still), A1C is 4.7, blood glucose at recent check-up was 85. Cholesterol at 118, HDL's at 82 and LDL's 59. BMI is 20.
Oh and my age? It's prehistoric at 60+. Based on my blood work, the medical team classified me as a 20 something. Wow. I was so ignorant until I started this journey and my entire body changed as a result of following this regimen.
Here's a radical thought. If my bloodwork says that I'm healthy, shouldn't insurance rate classes be based on data and not age discrimination? You know, a fair and equitable health insurance system based solely on, golly, health? Just sayin'.
My doctor officially removed the type 2 diabetes diagnosis from my medical record. Do I miss anything? Yah, the prospect of blindness, kidney failure and limb loss if I didn't own my diagnosis and get serious. This is real medicine instead of profiteering to feed some big pharma fat cat who'd rather watch us die young as free lab rats than actually get well. No thank you & FTS.
6 month update as a vegan: Weight loss = 63 lbs (effortless, btw), median blood glucose was 243 now 105, A1C was 10.3 and now it's 5.5. It's science, period. Reversed my diagnosis. Even the medical team can't believe it; they've read and recommend these books to their patients.
Even if you're young and healthy, BUY THIS BOOK. As you age, it will save your life, literally.
This book is based on SCIENCE, not pseudoscience. Want to live long & prosper? BUY THIS BOOK.
Want to prevent or reverse type 2 diabetes, heart disease and virtually all (if not all) of the lifestyle diseases? BUY THIS BOOK.
Want to lose weight, stay thin and feel the best that you've ever felt in your life? BUY THIS BOOK.
Want to have a healthy body and a sharp mind without pharmaceuticals or a medical intervention, e.g.. Lipitor or a gastric bypass? BUY THIS BOOK.
I see that the self-proclaimed, smarty pants 'experts' bash this diet as incomplete or containing too much soy. Seriously, you have access to the web or you wouldn't be on Amazon. Buy Dr. Barnard's nutrition guide for clinicians (used to be part of med school training) if you think that this vegan diet is somehow lacking and figure it out.
Read this book more carefully. There are soy substitutes like TVP, white beans and other vegetable milks like rice or almond milks. Don't eat so much soy if you don't like it. Dr. Barnard provides a ton of protein alternatives in the form of other beans and grains. BTW, I never knew about soy yogurt. It's delicious and tastes just like milk-based yogurts.
Lastly, this book doesn't pretend to be a vegan cookbook. It's only a start and lays out the plant based food pyramid, which is critical to understand how to eat plant-based and be nutritionally sound.
Want more vegan variety? Search Amazon for some amazing vegan cookbooks. With all of the vegan possibilities (we love eastern Indian food), you're not going to miss a single animal protein in your diet. OK, we miss the incredible edible egg, but we prefer our health more.
Then there are the negative reviews because this lifestyle change is, in many reviewers' estimations as 'too hard'. Hmmm... We're guessing that these people want someone to do it for them so that they don't have to do the work to save themselves.
Bad news: only you can save yourself. You have a choice; spend the rest of your life with diseases that will make your world smaller and smaller as your health declines or transform your life with the wake-up call of your diagnosis.
Time to say good-bye to all of the over-indulgence, every last molecule of it. You're right, no more cheese, meat, fish - every source of animal proteins and fats, processed foods, refined sugars and lack of exercise; it's killing you. There's no going back and no cheating if you want a disease free or more manageable life. Quick survey - who actually likes to live in pain? Show of hands...no one? Thought so.
Dr. Barnard lays it out from the data of his clinical studies and others; you can either get well as a vegan or fail by following the current AHA and ADA guidelines that allow for animal proteins and fats. Your diseases mean that there is no longer any middle ground. It's cut & dried; the data reveal all.
Wake up, stop whining, buck up & own it. But hey, it's your life...
These easy to follow, tried & true, tasty meal and exercise plans reversed my type 2 diabetes and saved my life. There are so many great vegan cookbooks out there that we don't miss the non-vegan world. I also discovered that I had to educate the institutionalized medical diabetic 'industry' along the way because, as Dr. Barnard shows again and again in his clinical studies, it's either a vegan way of life with exercise or nothing if you want to improve your health permanently.
Bottom line is that you are what you eat. My numbers do all the talking. Period.
Thank you, Dr. Barnard!
He calls it functional medicine which he says is growing in popularity in the world of modern medicine which avoids handing out pills and looks at what is causing your biological situation, whether it is diabetes or high blood condition or other ailments we all are exposed to.
He blames our crazy food industry and fast food joints that cause us harm over the decades of eating bad or junk foods that sets us up with inflammation which causes disease of liver or other parts of our body, like the brain getting inflamed and getting poor outcomes of the brain later in life !
This medicine man blames mostly high intake of carbohydrates and it's cousin, sugar, which is vastly used in most of our foods and drinks we eat or consume daily !!! Which he says causes pre-diabetes and more serious conditions !
There are now more doctors who follow this mans pioneering ideas in new modern medicine !
Most people eat lots of carbs each day ! Because the food industry knows many people can't afford much else. This is why many people end up over weight and diabetic.
Proper nutrition is very crucial to staying healthy. In fact, most diabetes doctors don't explain this fact to their patients and they just hand out drugs to keep blood glucose down to normal levels.
But if the carbs are dramatically reduced, then diabetes is an easy metabolic disease to control or even Reverse !
It depends on many many cases how a patient adopts the understanding that cutting bagels and pasta and pizza and bread and potatoes can greatly help in controlling diabetes and often Reversing diabetes ! Yes reversing !
A claim that is achievable if a patient really understands and uses this idea each day of his or her life !
Also the nasty insulin resistance also is avoided if carbs are dramatically avoided each day !
This powerful information is often not mentioned in doctors offices because it is not high tech but it is what is needed to avoid serious complications among type 2 diabetics, whose numbers are growing daily because medical personnel do not discuss low tech solutions !!!
Low tech solutions don't promote big office charges!
Good luck.
Gerard
Top reviews from other countries
Coming to the results. His blood sugars dropped over 20 points in 8 weeks with no medications. This had not happened in a few years now even with medications. He lost 5 kg of weight over the same period. He is much more conscious of what he eats now and about walking as exercise. And he just said how he feel much more energetic at age 64 and willing to take on more work.
Thank you, thank you, thank you for returning his health and vitality. Giving us hope. Showing us an alternative healthier approach.
I am more keen than ever to take this forward with more patients through my practice. To give diabetics hope and alternative healthier approach. And to also use diet to prevent lifestyle diseases.
I am also guiding a few acquaintances on weight loss based on Dr. Barnard's program. I like that these are scientifically proven principles, there is absolutely no guilt or judgement attached. It is simple to follow, and the best part, you are never required to go hungry!
Thank you for sharing this with the world. God bless!
1.禁煙する!(血液の健全性の確保)なお、エクササイズをする、しない、およびその量については、その人の自由です。
2.ビーガン食のみを食べる!でも、なんと、量は無制限!(肉、卵、牛乳及び、これらの動物由来の食物を避けるることで、脂肪を削減する)ただし、ありがたいことに、普通の量であれば、お酒に制限はない!日本酒、ワイン、ウイスキー、ブランデー、ビール、焼酎、ウオッカ等なんでも大丈夫!
3.植物油は最小限にする!
原理は簡単です。最新の研究で、病気の原因が、血糖値が高いことにあるのではなく、筋肉細胞内(脂肪細胞ではなく)の脂肪の増加にあることがわかったのです。脂肪が多くなると、細胞膜のインスリンゲートに鍵をかけてしまいます。これがインスリン抵抗性の原因なのです。血糖値が高いことは、その結果にすぎません。これまでの食事療法は、原因(細胞内の脂肪の増加)を放置して、それによる結果(血糖値の上昇)のみに対策しているにすぎません。これではまるで、蛇口が壊れて、ふろ場が水浸しになっているときに、蛇口を修理せず、たまった水をただ単にくみ出しているようなものです。
したがって、従来のように、血糖値を下げる食事をしても、脂肪を制限しない限り効果は限定的か、ほとんど効果はありません。むしろ、徐々に悪化する場合が多いのです。
細胞内の脂肪が多くなると、細胞膜のインスリンゲートに鍵がかかるメカニズムは、以下のように考えられます。人間の体のハードは、いまだに、狩猟採集生活の時代に最適化されています。脂肪の供給源である動物の捕獲は、せいぜい週に一回ぐらいで、保存も難しいので、その場で摂取した脂肪を筋肉細胞内にため込むのですが、インスリンが来て、持っていかれては大変とばかりにゲートに鍵をかけるわけです。これを避けるためには、ぜひとも、脂肪(コレステロールを含む)の最大供給源である動物由来の食物を避けることなのです。植物油には、コレステロールは含まれませんが、やはり脂肪なので、最小限にする必要があります。
なお、参考までに申し上げると、巷間の食事療法の本に時々引用されている「摂取するコレステロールと体内のコレステロールは無関係」という説には根拠がないことが明らかとなっています。