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With a heavy heart, we share the news of Dr. John McDougall’s passing. A visionary physician and author, beloved husband, father, grandfather, brother, mentor and friend, Dr. McDougall died peacefully at his home on Saturday, June 22nd, at the age of 77.


The fundamentals of the McDougall Program are simple yet often difficult to implement. Learn about the 12-Day McDougall Program - a life-saving medical program that empowers participants with the knowledge and practical steps needed to live a vibrant, long life. For questions on whether a change in diet can help your ailment, learn more about our consultations.
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Cause: Heredity may play a role in the development of atherosclerosis and associated complications (heart attacks and strokes), but little attention should be given to this factor when planning therapy. First of all, heredity is obviously not an overriding factor, since whole populations of people in the non-American world (as in most Asian and African countries) show no clinical evidence of atherosclerosis–and do not suffer heart attacks or strokes. Their genes are not protecting them–if they change to an American diet, they soon develop this disease in epidemic proportions, just as Americans do. (Another important reason why heredity should be given little or no attention is the obvious one: you can’t do a thing about it.)

An atherosclerotic plaque is not made of concrete. It can be removed rather easily. So when you start controlling your knife and fork, keeping them from scooping up gobs of grease and clumps of cholesterol-filled fats, you stop promoting the disease. Soon, with such restraint on your part, more cholesterol leaves your arteries than enters them. The plaques shrink and the artery walls strengthen. The risk of tragedy to you from a ruptured blood vessel or a blocked artery is diminished almost overnight.

To reduce the risk to your health and to hasten the progress of your recovery, focus your attention on the amount of cholesterol you eat each day and the cholesterol level in your circulating blood. Estimates by respected doctors say that when a person’s cholesterol level has fallen by 65 mg%, then reversal of his atherosclerosis probably has begun. (People on The McDougall Program drop an average 28 mg% in only 11 days, but in many individuals their cholesterol levels fall 100 mg% or more in this short time.) And consider this optimistic prediction: when cholesterol levels fall to 150 mg% then more than 90% of people will have succeeded in turning the tide; they are now reversing atherosclerosis, according to some international experts. Many people on the McDougall Program easily attain this ideal with diet alone or, for a few, cholesterol-lowering drugs along with the McDougall diet.

It is never too late to start. During WW II, when rich foods almost disappeared from civilian markets in Western Europe, people there had no choice but to eat simpler fare, lower in fats and cholesterol content, and their rates of death from heart disease began to decrease very quickly. This rapid fall occurred for people in every decade of life, including elders over the age of 80 years, who were undoubtedly already suffering from advanced atherosclerosis acquired in the well-fed years before the war.

  • Recommendations

    A low-fat, no-cholesterol diet. Monitor your progress by how you feel, by your improved physical activity, reduced chest pains, and by laboratory tests to measure your blood cholesterol values (ideally 150 mg% or less). Take time for regular daily moderate exercise. Use surgery and drugs to control symptoms only as a last resort. (For a more detailed explanation see McDougall’s Medicine–A Challenging Second Opinion.)

    • Related Video

    • References

      Detre, K. Overview of coronary artery bypass graft surgery. Prog Cardiovasc Dis 28:387, 1986

      Petch, M. Coronary angioplasty: time for reappraisal. Br Med J 295:453, 1987

      Sandercock, P. Asymptomatic carotid stenosis: spare the knife. Br Med J 294, 1368, 1987

      Inkeles, S. Hyperlipidemia and coronary atherosclerosis: a review. Medicine 60:110, 1981

      McGill, H. The pathogenesis of atherosclerosis. Clin Chem 34:B33, 1988

      Blankenhorn, D. Prevention or reversal of atherosclerosis: review of current evidence. Am J Cardiol 63:38H, 1989

      Blankenhorn, D. Reversal of atherosis and sclerosis. The two components of atherosclerosis. Circulation 79:1, 1989

      Blankenhorn, D. Beneficial effects of combined colestipol-niacin therapy on coronary atherosclerosis and coronary venous bypass grafts. JAMA 257:3233, 1987

      Strom, A. Mortality from circulatory diseases in Norway 1940-1945. Lancet 1:126, 195