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when i look at the guidance, though, from the american heart association, leading heart health group in the united states, the message there is moderation is key, though. is this new guidance in conflict with that? it s difficult to tell people not to do something ever. so when i talk to patients about, for instance, their diet, i talk act low fat, heart-healthy diet, but i never tell somebody they can never again have a hamburger, because it s hard to live like that. you want to change behaviors and move them in different directions, but for the same reason, if people enjoy a glass of wine, i don t tell them they can t drink. i tell them they need to drink in moderate amounts.