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Monday, February 2, 2026

Low-fat recommendation didn’t simply fail us—it hardened our arteries.


Final week I discussed one thing in passing that caught your consideration: throughout my time in Iceland, I couldn’t assist however discover how many individuals appeared to have broad, well-developed jaws—particularly in comparison with what I typically see within the U.S.

In Iceland, dairy isn’t demonized. It’s celebrated—and it’s completely different from what we discover in most U.S. grocery shops.

Typical Icelandic dairy is:

  • Full-fat
  • Pasture-raised
  • Minimally processed
  • Typically fermented (skyr, uncooked cheese, cultured butter)

Now evaluate that to the US: homogenized, pasteurized, low-fat dairy typically stripped of fat-soluble vitamins and enzymes.

So what’s really on this dairy that could possibly be shaping stronger jaws?

The fats in full-fat dairy carries three key fat-soluble nutritional vitamins: A, D, and K2. These aren’t simply useful—they’re important regulators of bone development, mineral utilization, and immune protection. Collectively, they orchestrate the facial improvement course of in a means that’s so exact, it’s virtually laborious to consider we’ve forgotten it.

  • Vitamin A ensures that cells differentiate correctly and that the epithelial linings of the mouth, sinuses, and respiratory tract keep wholesome and defended. It additionally performs an important position in osteoblast exercise—these are the cells that construct bone.
  • Vitamin D will increase calcium absorption within the intestine and makes positive that calcium really enters the bloodstream. With out it, all that dietary calcium passes proper by way of you.
  • Vitamin K2 is the visitors cop. It prompts proteins like osteocalcin and matrix GLA protein (MGP) that direct calcium into bones and away from arteries, kidneys, and delicate tissue (Beulens et al., 2013; PMID: 23525894).

Right here’s what that appears like in observe: your little one eats a chunk of cultured, full-fat cheese. That cheese accommodates calcium, sure—but in addition nutritional vitamins A, D, and K2. The vitamin D ensures the calcium will get absorbed. The vitamin K2 ensures it will get deposited the place it belongs—within the rising jaws, cheekbones, and palate—not within the kidneys or arteries. Vitamin A ensures these oral and airway tissues keep wholesome and structurally sound.

Now think about that meal with out the fats. You’re lacking the supply system for these vitamins. Fats is what permits your physique to soak up these nutritional vitamins—with out it, they don’t make it out of your plate into your bloodstream. And should you’re not getting sufficient of the nutritional vitamins themselves—or don’t have the microbiome to transform K1 to K2—you’re leaving improvement as much as likelihood.

Worse, you may very well be placing your self in danger. With out sufficient vitamin K2 to activate matrix GLA protein, calcium absorbed by way of vitamin D can find yourself within the incorrect locations—like arterial partitions. That is what Dr. Kate Rhéaume-Bleue, creator of Vitamin K2 and the Calcium Paradox, warned about: the silent calcification of soppy tissues as a result of vitamin K2 deficiency (Rhéaume-Bleue, 2012). Over time, this will contribute to atherosclerosis, kidney stones, and stiffening of joints and tissues.

It’s not that calcium is harmful—it’s that it wants a information. K2 is that information. With out it, you’re build up plaque as an alternative of bone.

Adults profit too: these vitamins proceed to keep up sturdy bones, wholesome gums, and resilient immune limitations. However the window for skeletal improvement, particularly of the face and jaw, is most lively in childhood—which is why this issues a lot for younger households.
Primarily based on what I noticed throughout my time there, Icelanders’ nutrient-dense conventional dairy habits could also be serving to protect bone density, airway improvement, and facial construction—even when it’s not one thing they consciously acknowledge.

With out fats, these nutritional vitamins are more durable to soak up. And let me be clear: K1 isn’t sufficient. Whereas some intestine micro organism can convert vitamin K1 (present in leafy greens) into K2, that course of is inefficient and extremely variable. Most individuals—particularly those that’ve taken antibiotics, have intestine irritation, or don’t eat fermented meals—don’t convert sufficient K1 to satisfy their wants. And even once they do, it’s normally the long-chain types (like MK-7), not the MK-4 type our bones and tooth appear to favor most. With out the proper microbes, they’re more durable to activate.

Let me be clear: K1 isn’t sufficient. Whereas some intestine micro organism can convert vitamin K1 (present in leafy greens) into K2, that course of is inefficient and extremely variable. Most individuals—particularly those that’ve taken antibiotics, have intestine irritation, or don’t eat fermented meals—don’t convert sufficient K1 to cowl their wants. And even once they do, it’s normally the long-chain types (like MK-7), not the MK-4 type our bones and tooth appear to favor most.

You want pre-formed K2 from meals—or from a complement. That’s why fermented dairy, organ meats, and aged cheeses matter. It’s additionally why conventional diets that included these meals noticed fewer points with dental crowding, facial underdevelopment, and artery calcification.

Iceland has each: dietary K2 and a standard food plan that seemingly helps a more healthy intestine microbiome. Fermented dairy and fish present not solely vitamins but in addition the microbial variety that helps optimize absorption of fat-soluble nutritional vitamins like A, D, and K2.. This microbial variety is crucial for nutrient absorption, together with the enzymes and cofactors wanted to totally make the most of fat-soluble nutritional vitamins like A, D, and K2.

Their mineral-rich volcanic soil boosts the nutrient content material of their meals. And their conventional food plan preserves the microbiome wanted to transform vitamin K1 (from vegetation) to K2 (the one we want for bone and jaw development).

However there’s yet another piece of the puzzle that most individuals have by no means heard of. You is perhaps questioning—why is that this particular fats solely in dairy? Why not in different full-fat meals like avocado or nuts?

Right here’s the place it will get much more attention-grabbing.

Full-fat dairy accommodates a lesser-known fats: C15:0 (pentadecanoic acid). It’s what’s referred to as an odd-chain saturated fats, and it’s discovered primarily within the fats of ruminant animals—like cows, goats, and sheep. That’s why meals like avocado, olive oil, and coconut—although nutrient-dense and filled with wholesome fat—don’t include C15:0. This isn’t about fats typically. It’s a couple of very particular kind of fats that comes from a really particular supply.

C15:0 is an odd-chain saturated fatty acid—uncommon, and doubtlessly important. A 2020 examine in Nature Communications proposed it might be the primary new important fatty acid found in many years, citing anti-inflammatory results, mitochondrial advantages, and mobile resilience (PMID: 33099653). Whereas extra human research are wanted, early findings place C15:0 as a compelling nutrient of curiosity for growing older and metabolic well being.

Why does that matter on your mouth?

C15:0 has been proven to decrease over 18 pro-inflammatory markers, together with IL-6, TNF-α, and prostaglandin E2, which is linked to gum irritation and bone loss (Nature Communications, 2020, PMID: 33099653). It additionally strengthens cell membranes—together with these in gum tissue—and helps a extra resilient, balanced inflammatory response throughout the physique.

A lot of the analysis to this point has come from animal research and small human trials. Promising, sure—however early. Nonetheless, the info are compelling sufficient to take significantly.
Personally, I’m not ready.

Fashionable diets have virtually eradicated this fats. In truth, one examine analyzing NHANES dietary information discovered that over 95% of the U.S. inhabitants consumes far beneath the estimated useful ranges of C15:0 (Fleming et al., 2020; Fatty15 White Paper). That is largely because of the shift away from whole-fat dairy and towards low-fat, processed options over the previous 50 years. Except you’re consuming numerous full-fat milk or consuming pastured cheese day by day, you’re seemingly not getting sufficient.

Quite than attempt to overhaul my complete food plan or depend on consuming giant quantities of full-fat dairy day-after-day, I’ve regarded for a constant and real looking solution to reintroduce it.
So I take Fatty15, a pure, vegan-friendly C15:0 complement.

You may learn extra right here: fatty15.com/askthedentist

Right here’s the place I land after digging into all of this…

The early analysis isn’t definitive proof—however it’s undoubtedly sufficient for me to be taking it day-after-day.

I consider meals is drugs—and high-quality, nutrient-dense meals is foundational. However I’ve at all times supplemented. Our soil is depleted. Our schedules are packed. And except your full-time job is cooking and diet, it’s practically inconceivable to get the whole lot you want from meals alone. Fermented, full-fat dairy is the inspiration. However let’s be trustworthy: full-fat dairy can get caloric quick. I don’t need to depend on giant portions of it day-after-day to get sufficient C15:0. Supplementation fills that hole with out the additional load.

For those who’re dairy-free—like my spouse, who’s lactose illiberal and takes Fatty15 day by day—that is one workaround. Early proof means that supplemental C15:0 like Fatty15 can mimic lots of the anti-inflammatory and membrane-supporting results present in food-based sources. Nevertheless, we nonetheless don’t know whether or not supplementation absolutely replicates the synergistic influence of complete meals—particularly these with co-factors like nutritional vitamins A and K2. That’s an space I’d like to see extra human research discover.

For those who’re elevating youngsters? This is without doubt one of the finest causes to convey again butter.

I remorse falling for the low-fat development again within the ’90s. For an extended stretch whereas elevating our daughters, we didn’t have actual butter in the home in any respect—only a vegetable oil unfold from Dealer Joe’s. My spouse and I assumed we had been doing the proper factor. Now I do know higher. And if I may return and alter that, I’d.

However all isn’t misplaced. At the moment, useful dentists have instruments like MARPE and palatal growth to assist correct airway and jaw improvement—even when these foundations weren’t laid in early childhood. These are structural interventions that may enhance respiration, facial steadiness, and long-term oral well being. For those who’re questioning whether or not this might assist your little one (and even you as an grownup), the very best first step is to discover a supplier skilled in this type of care.

That’s why I constructed the Useful Dentist Listing—to attach individuals with dentists who perceive the full-body influence of the mouth. And should you’re a dentist or hygienist desirous about receiving this type of coaching, my CE course—Foundations of Useful Dentistry—opens subsequent month. It’s absolutely on-line and open to all, worldwide. I hope you’ll be part of the useful dentistry motion. Useful dentistry is in excessive demand—I get day by day emails and DMs from individuals saying there’s not a single useful dentist inside a 50-mile radius of the place they reside. Sufferers are hungry for this. For those who’re a healthcare supplier, you might be the one to convey it to your neighborhood.

Again to the subject at hand…I’ve at all times stored uncooked sheep cheese in my rotation as a result of it delivers a lot in a single chunk—vitamin K2, hint C15:0, useful microbes, and fat-soluble vitamins. (Selecting sheep or goat as an alternative of cow is one “hack” to make sure you’re getting grass-fed.) And it’s scrumptious. I’ll have it as an hors d’oeuvre, sliced with fruit or olives—or as a small chunk after dinner. Cheese helps neutralize acids within the mouth, lowering enamel erosion and supporting a more healthy oral pH. It’s probably the most pleasing (and efficient) methods to guard your tooth with meals.

Hope you’ve an exquisite weekend. Would love to listen to what you considered this article, and which matters you’d like me to cowl subsequent.

Dr. B (Mark)

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P.S. Keep in mind after we had been informed skim milk was the “more healthy” possibility? What if I informed you that perception might have set us again many years in understanding oral improvement, fat-soluble vitamins, and irritation? Ahead this to somebody who nonetheless thinks skim milk is “more healthy.”

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