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August 2, 1947


JAMA. 1947;134(14):1197. doi:10.1001/jama.1947.02880310055020

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To the Editor:—  Dr. Falk's paper on coronary disease (The Journal, June 7, p. 491) not only repeats the ancient legend that blood cholesterol is independent of dietary cholesterol intake but specifically recommends junket and eggs as daily dietary ingredients for patients with coronary disease. Falk seems not to have noted the fall in blood cholesterol reported by Kempner in 79 patients on a rice diet (the average fall was from 243 to 186 mg. per hundred cubic centimeters, Bull. New York Acad. Med.22:361 [July] 1946) or the consistent slight rise in blood cholesterol noted in normal women fed four egg yolks daily (Okey, Ruth, and Stewart, Dorothy: J. Biol. Chemi.99:717 [Feb.] 1933).Granting that blood cholesterol is rather stable, rising and falling slowly when diets rich in cholesterol and calories are administered or discontinued, and that going without favorite foods is to many a "fate

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