
In the ever-growing debate over diet and health, the carnivore diet has been both praised and scrutinized. Recent attention has turned to an alarming side effect that few anticipated: what plant-based health educator Mic the Vegan has dubbed “cheese hands.” The term refers to xanthelasma, yellowish cholesterol deposits that typically form under the skin around the eyes but, in one reported case, spread across a man’s hands, feet, and elbows.
‘‘The carnivore diet’s risks are on full display with “cheese hands,” a shocking case of extreme cholesterol buildup. This highlights the dangers of excessive animal fat consumption and reinforces the benefits of a balanced, plant-based diet for heart health, longevity, and overall well-being.’’
The case, detailed in a study published in JAMA Cardiology, describes a 40-year-old man who followed the carnivore diet for eight months before developing extensive xanthelasma. His cholesterol levels surged to nearly 1,000 mg/dL—far exceeding the recommended limit. His diet consisted of large quantities of animal fat, including cheese, butter, and fatty meats, which likely contributed to the dramatic increase in cholesterol levels.
What Is Xanthelasma?
Xanthelasma is a condition where cholesterol deposits build up under the skin, appearing as yellowish plaques. These deposits are often associated with high cholesterol and can signal underlying cardiovascular disease. While xanthelasma typically appears around the eyes, the extreme case reported in JAMA Cardiology demonstrates that unchecked cholesterol levels can lead to more widespread manifestations of the condition.
Dr. Ethan Weiss, a cardiologist not involved in the case study, explained the implications: “Xanthelasma is often a red flag for dangerously high cholesterol levels. When cholesterol deposits are visibly accumulating under the skin, it suggests that similar deposits may be forming in the arteries, increasing the risk of heart disease and stroke.”
The Carnivore Diet and Its Risks
The carnivore diet is an extreme form of low-carb eating that eliminates all plant-based foods in favor of animal products. Proponents claim it reduces inflammation, stabilizes blood sugar, and aids weight loss. However, critics warn that relying solely on animal-based foods can result in serious health consequences, particularly in terms of cardiovascular health.
Diets high in saturated fat and cholesterol have long been linked to increased risks of atherosclerosis and heart disease. The American Heart Association (AHA) recommends limiting saturated fat intake to no more than 5-6% of total daily calories to maintain heart health. A diet composed entirely of animal-based foods—especially one heavy in cheese, butter, and fatty meats—easily exceeds these recommendations, as demonstrated in this extreme case.
Dr. Michelle McMacken, a physician specializing in lifestyle medicine, weighed in on the risks: “We see time and again that diets high in animal fat and cholesterol lead to increased cardiovascular disease risk. The case of ‘cheese hands’ is just another stark example of how excessive cholesterol intake can manifest in unexpected and concerning ways.”
Why a Balanced Plant-Based Diet is the Healthiest Choice
While extreme diets like the carnivore diet can lead to severe health risks, a well-balanced plant-based diet has been consistently shown to improve health outcomes. Plant-based diets emphasize whole foods such as fruits, vegetables, legumes, whole grains, nuts, and seeds, all of which contribute to heart health, weight management, and longevity.
A plant-based diet is naturally low in cholesterol and saturated fats while being rich in fiber, antioxidants, and essential nutrients that support cardiovascular health. Research from the Journal of the American College of Cardiology suggests that individuals who follow a plant-based diet have significantly lower cholesterol levels, reduced inflammation, and a lower risk of developing heart disease.
Benefits of a Plant-Based Diet
Adopting a balanced plant-based diet offers numerous benefits:
Heart Health: A plant-based diet has been shown to lower cholesterol, reduce blood pressure, and decrease the risk of heart disease.
Weight Management: Fiber-rich plant foods help regulate appetite and promote healthy digestion, aiding in sustainable weight management.
Reduced Inflammation: Whole plant foods contain antioxidants and phytonutrients that combat inflammation, reducing the risk of chronic diseases.
Longevity: Studies show that people who follow plant-based diets tend to live longer, healthier lives with a lower risk of age-related diseases.
Sustainability: A plant-based diet requires fewer resources and generates lower greenhouse gas emissions than meat-heavy diets, making it better for the planet.
Lessons from the ‘Cheese Hands’ Case
For those considering or already following a high-fat, meat-based diet, this case serves as a warning. Regular cholesterol monitoring and awareness of potential symptoms, such as xanthelasma, are crucial. Instead of relying on extreme dietary approaches, experts recommend adopting a more balanced, plant-forward way of eating.
Experts suggest the following steps for those looking to transition toward a healthier diet:
Incorporate more whole plant foods: Start by adding more fruits, vegetables, legumes, and whole grains to meals.
Limit animal-based fats: Reduce the intake of butter, cheese, and fatty meats, replacing them with heart-healthy fats from nuts, seeds, and avocados.
Choose plant-based protein sources: Lentils, chickpeas, tofu, and tempeh provide high-quality protein without the harmful effects of saturated fats.
Monitor cholesterol levels: Regular check-ups can help track progress and prevent issues before they become serious.
Consult a nutritionist or physician: Personalized guidance can make transitioning to a plant-based diet easier and more effective.
The Bigger Picture
The carnivore diet is part of a broader trend of extreme diets that attract devoted followers but often lack long-term studies on safety. While anecdotal success stories abound, cases like the one reported in JAMA Cardiology highlight the need for caution and further research.
A balanced plant-based diet offers a scientifically-backed approach to health, providing all the essential nutrients without the risks associated with excessive cholesterol and saturated fats. As dietary trends continue to evolve, choosing a whole-food, plant-based approach remains the most effective way to maintain optimal health and longevity.
As the case of ‘cheese hands’ vividly illustrates, what we eat profoundly impacts our bodies—sometimes in ways we least expect. Moving toward a balanced, plant-based diet is not just a way to prevent extreme health outcomes but a step toward a healthier future for both individuals and the planet.
Sources:
JAMA Cardiology: Case Study on Xanthelasma and Carnivore Diet https://jamanetwork.com/journals/jamacardiology
American Heart Association: Dietary Fats and Cholesterol https://www.heart.org
Journal of the American College of Cardiology: Plant-Based Diets and Cardiovascular Health https://www.onlinejacc.org
Further Reading:
How Not to Die by Dr. Michael Greger – A comprehensive guide to the science behind a plant-based diet and how it can prevent chronic diseases.
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‘‘Fellow Creatures: Our Obligations to the Other Animals’’ by Christine Korsgaard
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