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Not surprising. In the China Study they also found a positive correlation between consumption of wheat flour and heart disease. (Some places in China eat mostly rice, others more wheat.)

Any new guesses on the mechanism?

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It's more likely the salt than the wheat. From the article:

| The traditional Japanese diet was thought to increase stroke risk because of the heavy use of seasonings such as miso, salt, and soy sauce.

The science on sodium is far from settled

Amazingly. It's not like it's hard or expensive to study.

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