n South African Medical Journal - Patient autonomy or patient confusion? : editorial




A couple of weekends ago a friend, Richard, popped in for a cup of tea - a very fit, active septuagenarian who rides the Cape Argus Pick 'n Pay Cycle Tour every year and has recently started running. A few years ago he had a triple bypass. At the time, his cardiologist told him that, 'From today, you become a vegetarian ... '. According to Richard, the cardiologist told him to cut out eggs, butter, red meat and any source of saturated fats from his diet; standard advice that we have all given at some stage in our careers. Richard's problem, though, was this: 'Now' he says, 'I am told that margarine is actually bad for me, eggs are fine and there are even people saying that it is OK to eat saturated fats - who is right? What do I do?'


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