J. Lipid Res.  Neurobiology of Lipids (ISSN1683-5506)
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A more recent version of this article appeared on September 1, 2004

Papers In Press, published online ahead of print April 21, 2004
J. Lipid Res., doi:10.1194/jlr.R400003-JLR200
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Submitted on April 5, 2004
Revised on April 21, 2004
Accepted on April 5, 2004

An interpreted history of the cholesterol controversy

Daniel Steinberg

Medicine Dept., University of California San Diego, La Jolla, CA 92093-0682

Corresponding Author: dsteinberg{at}ucsd.edu

This is the first of a series of reviews of the controversy that swirled around the “lipid hypothesis” of atherosclerosis for so many years. Today, in the era of the statins, there is no longer any doubt about the value of lowering blood cholesterol levels. In fact, ‘the lower the better’ is the position of many clinicians. However, getting to this point has been a long uphill battle marked by heated debate and sometimes violent disagreement. The history of this controversy is worth telling for its own sake and because remembering it may help us avoid similar mistakes in the future.


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