A whole foods plant based diet can include meat. That’s where the “based” comes in. Did you read my comment above Rowland, I believe that you will be pleasantly surprised.

“the best diet is a whole food plant based diet” Not if you’ve got AS or a host of other auto-immune diseases it isn’t

This is the study that shows that low carb diets based on animal protein increase all cause mortality, while low carb diets based on plant foods actually decrease all cause mortality: “Low-carbohydrate diets and all-cause and cause-specific mortality: Two cohort Studies”.

By “plenty of associative data” that vegans have a higher stroke risk this study that you are referring to: “Risks of ischemic heart disease and stroke in meat eaters, fish eaters, and vegetarians over 18 years of follow-up: results from the prospective EPIC-Oxford study”. Firstly it doesn’t even parse out vegans from vegetarians. We all know vegetarians can eat a lot of animal protein, and we also know that vegan diets can be very unhealthy. Also this is not an intervention study. A criticism you had regarding studies linking meat consumption with cancer and cardiovascular risk. So it seems you are less rigorous about the studies that support your own point of view. The vegetarians in this study were only eating 22 grams of fiber a day, compared to the meat eaters eating 18 grams a day. How was their fiber intake possibly so low? Because the vegetarians in this study were eating a poor quality vegetarian diet. Regardless the study showed that the vegetarian group were significantly more healthy than the meat eaters. The data only showed more strokes in the vegetarian group after blood pressure was corrected for in the meat eating group. To draw that conclusion the data was over adjusted, because the vegetarians smoked less and had lower levels of blood cholesterol.

Remember to remain intellectually honest. Because it is well understood that meat eaters across the globe have more heart disease and more strokes than vegans. But a vegan diet isn’t necessarily healthy the best diet is a whole foods plant based diet.

I’m not gonna lie tailoring a whole foods plant based diet for AS is challenging. I would suggest peanuts for protein, however the main carbohydrate in peanuts is starch. Apparently pealed walnuts are low starch, and they are an excellent source of protein. But peeling a walnut is a difficult proposition. AS may be the one condition I have come across where animal derived foods are necessary in a person’s diet. I think I’m beginning to understand your and Rowland Ross’ insistence that eating animal foods are necessity at lest for those with AS. I think I also understand Rowland’s devaluation of starches. Where as through human history they were critical for the development of humans as a species people suffering from AS appear to be the exception. There is an AS diet it turns out. It’s called “The London AS Diet”. It looks more akin to what we consider a “Paleo” diet than a “Keto” diet. I would be careful with Keto (centering on animal protein) and especially Carnivore protocols. The data on those, while sparse at this point indicates very poor long term health outcomes. Obviously with your condition you must consider the lesser of two evils. Having said that I would recommend a so called “paleo diet” where you derive the bulk of your calories from non starchy plants.

Good luck.

“extreme risk for CVD and cancer” – no, no I haven’t… 🤦

Number of intervention studies showing that stement to be true = 0

Anyway, I’ve no objection to you leading your life how you choose. However not accepting that others are fundamentally not suited to a plant based lifestyle is frankly ignorant.

Typing this on my phone is like pulling teeth for some reason, there’s a 20+ second lag between me finishing typing and the words appearing, so enjoy your day bud, and maybe consider that people don’t always have the same choices and options as you do in life.

You see what I’m saying here? You improved your simptoms, while putting yourself at extreme risk for CVD and cancer.

I’m just going to leave the blanket “all cause mortality rise” to one side, I’ve been reading about high fat and keto for 20 odd years, never seen anything causative.

I won’t sit here and say that Veganism definitely causes strokes despite plenty of associative data

A plant based diet that excludes starch?

Feel free to write me one out and I’ll have a look…

Eliminating starch = eliminating basically all decent protein sources too. You’re then left with trying to get energy from fats, most of which are polys, and on average lean towards omega 6, unless I turn into a fruitarian, which I have zero interest in (I’m ok with berries, disinterested in most other fruit, plus food miles are a joke)

Due an over 40s check soon, not expecting anything bad on my lipids. ApoB not an issue on keto anyway. I used to be on max dose dilcofenac for my joints, that was basically a life sentence. Current meds are less problematic for kidneys and heart long term, but avoiding them is still a priority for me.