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‘Keto-like’ diet may be associated with a higher risk of heart disease, according to new research | CNN

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‘Keto-like’ diet may be associated with a higher risk of heart disease, according to new research | CNN



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A low-carb, high-fat “keto-like” food plan could also be linked to larger ranges of “unhealthy” ldl cholesterol and double the chance of cardiovascular occasions equivalent to blocked arteries, coronary heart assaults and strokes, based on new analysis.

“Our examine discovered that common consumption of a self-reported food plan low in carbohydrates and excessive in fats was related to elevated ranges of LDL ldl cholesterol – or “unhealthy” ldl cholesterol – and a better danger of coronary heart illness,” lead examine writer Dr. Iulia Iatan with the Wholesome Coronary heart Program Prevention Clinic, St. Paul’s Hospital and College of British Columbia’s Centre for Coronary heart Lung Innovation in Vancouver, Canada, mentioned in a information launch.

Within the examine, researchers outlined a low-carb, high-fat (LCHF) food plan as 45% of whole each day energy coming from fats and 25% coming from carbohydrates. The examine was offered Sunday on the American Faculty of Cardiology’s Annual Scientific Session Collectively With the World Congress of Cardiology.

“Our examine rationale got here from the truth that we might see sufferers in our cardiovascular prevention clinic with extreme hypercholesterolemia following this food plan,” Iatan mentioned throughout a presentation on the session.

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Hypercholesterolemia, or excessive ldl cholesterol, will increase an individual’s danger of coronary heart assault or different adversarial cardiovascular occasions.

“This led us to marvel concerning the relationship between these low-carb, high-fat diets, lipid ranges and heart problems. And so, regardless of this, there’s restricted knowledge on this relationship,” she mentioned.

The researchers in contrast the diets of 305 individuals consuming a LCHF food plan with about 1,200 individuals consuming a normal food plan, utilizing well being info from the UK database UK Biobank, which adopted individuals for no less than a decade.

The researchers discovered that individuals on the LCHF food plan had larger ranges of low-density lipoprotein, often known as LDL, ldl cholesterol and apolipoprotein B. Apolipoprotein B is a protein that coats LDL ldl cholesterol proteins and might predict coronary heart illness higher than elevated ranges of LDL ldl cholesterol can.

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The researchers additionally seen that the LCHF food plan contributors’ whole fats consumption was larger in saturated fats and had double the consumption of animal sources (33%) in comparison with these within the management group (16%).

“After a mean of 11.8 years of follow-up – and after adjustment for different danger elements for coronary heart illness, equivalent to diabetes, hypertension, weight problems and smoking – individuals on an LCHF food plan had greater than two-times larger danger of getting a number of main cardiovascular occasions, equivalent to blockages within the arteries that wanted to be opened with stenting procedures, coronary heart assault, stroke and peripheral arterial illness,” researchers discovered, based on the information launch.

The researchers mentioned within the launch that their examine “can solely present an affiliation between the food plan and an elevated danger for main cardiac occasions, not a causal relationship,” as a result of it was an observational examine, however their findings are value additional examine, “particularly when roughly 1 in 5 Individuals report being on a low-carb, keto-like or full keto food plan.”

Iatan mentioned the examine’s limitations included measurement errors that happen when dietary assessments are self-reported, the examine’s small pattern measurement and that a lot of the contributors had been British and didn’t embrace different ethnic teams.

The examine additionally seemed on the longitudinal impact of following the food plan, whereas most individuals who observe a keto-like food plan are inclined to observe it intermittently for shorter durations of time.

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A lot of the contributors – 73% – had been ladies, which Iatan mentioned is “fairly attention-grabbing to see, however it additionally helps the literature that’s accessible that girls generally are inclined to observe extra dietary patterns, are typically extra inquisitive about altering their life.”

When requested if there have been any teams that weren’t harmed by following a LCHF food plan, Iatan mentioned how lengthy individuals are on the food plan and whether or not or not they shed pounds “can counterbalance any LDL elevation.”

“What issues to recollect is that every affected person responds in another way. And so, there’s actually an inter-individual variability between the response. What we discovered is that, you recognize, on common, sufferers have a tendency to extend their LDL levels of cholesterol,” she mentioned.

Most well being consultants say the stylish keto food plan, which bans carbohydrates to make your physique burn fats for gas, cuts out wholesome meals equivalent to fruit, beans and legumes, and complete grains. Within the keto food plan, you restrict your consumption of carbohydrates to solely 20 to 50 a day – the decrease, the higher. To place that into perspective, a medium banana or apple is round 27 carbohydrates – the complete day’s allowance.

Keto is brief for ketosis, a metabolic state that happens when your liver begins to make use of saved fats to provide ketones for vitality. The liver is programmed to try this when your physique loses entry to its most popular gas – carbohydrates – and thinks it’s ravenous.

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The keto food plan has been round because the Twenties, when a health care provider found it as a means of controlling seizures in kids with epilepsy who didn’t reply to different remedy strategies.

Low-carb diets like keto rely closely on fat to fill you up. Not less than 70% of the keto food plan might be made up of fats; some say it’s extra like 90%.

Whereas you will get all that fats from wholesome unsaturated fat equivalent to avocados, tofu, nuts, seeds and olive oil, the food plan additionally permits saturated fat like lard, butter and coconut oil, in addition to whole-fat milk, cheese and mayonnaise. Consuming a number of meals excessive in saturated fats will increase the physique’s manufacturing of LDL ldl cholesterol, which might construct up contained in the arteries and limit blood circulate to the center and mind.

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Big majority of Greenlanders do not want to be part of US, poll finds

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Big majority of Greenlanders do not want to be part of US, poll finds

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An overwhelming majority of Greenlanders have rejected US President Donald Trump, saying they do not want to be bought by America, according to an opinion poll.

The first survey of Greenlanders since Trump renewed his interest in buying the Arctic island found that 85 per cent did not want to leave the Kingdom of Denmark and become part of the US.

Just 6 per cent said they wanted to join the US, while 9 per cent were undecided, in the poll for Greenlandic newspaper Sermitsiaq and Danish daily Berlingske.

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The survey comprised 497 people and was conducted online over the past week by the research firm Verian.

“Trump shouldn’t have Greenland. Greenland is Greenland,” said Lars Løkke Rasmussen, Denmark’s foreign minister, on Tuesday.

Trump’s interest in buying Greenland and his refusal to rule out military force or tariffs against Denmark to achieve his aim have thrust the world’s largest non-continental island and its 57,000 inhabitants into the geopolitical spotlight.

Downtown Nuuk: in the Verian poll, 85% of respondents said they did not want to leave the Kingdom of Denmark © Charlie Bibby/FT

Múte Egede, Greenland’s prime minister, has repeatedly insisted the island is not for sale. “We don’t want to be Danish, we don’t want to be American — we want to be Greenlandic,” he said earlier this month.

Mette Frederiksen, Denmark’s prime minister, embarked on a whistle-stop tour of European leaders on Tuesday, visiting Germany’s Olaf Scholz, France’s Emmanuel Macron, and the Nato secretary-general Mark Rutte.

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None mentioned Trump or his threat to seize Greenland publicly, in line with Danish requests for silence to avoid offending the US president.

But Frederiksen said at the end of the trip: “broadly, there is very, very great support for Denmark in this situation”.

Jean-Noël Barrot, France’s foreign minister, said Paris had discussed sending troops to Greenland but that “at this point, it is not Denmark’s wish”.

Five current and former senior European officials told the Financial Times last week that Trump had been aggressive and confrontational in a call with Frederiksen in which he insisted the US still wanted Greenland.

At the weekend, the US president said America would “get” Greenland. He said of Greenlanders: “I think the people want to be with us.”

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Denmark and Greenland unveiled a sharp increase in military spending for the Arctic this week, including three new ships and two drones for the island.

Vivian Motzfeldt, Greenland’s foreign minister: ‘What we need to do is we need to ensure a tomorrow for us in this country’ © Charlie Bibby/FT

Vivian Motzfeldt, Greenland’s foreign minister, told a press conference in Nuuk that it was important her country could look after itself.

“What we need to do is we need to ensure a tomorrow for us in this country. That is our most important responsibility,” she added.

But Trump ridiculed the spending at the weekend saying that “two dog sleds” — trailed by Denmark’s defence minister Troels Lund Poulsen as being part of the package, but not announced this week — was not enough protection for Greenland.

Greenland’s main military protection comes from a US military base in the far north. Politicians on the island as well as in Denmark have said they are open to America expanding its presence.

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The company planning a successor to Concorde makes its first supersonic test

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The company planning a successor to Concorde makes its first supersonic test

Boom Supersonic’s XB-1 breaks the sound barrier on Jan. 28.

Boom Supersonic


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Boom Supersonic

A private company aiming to build the first supersonic airliner since the Concorde retired more than two decades ago achieved its first sound-barrier-busting flight over California’s Mojave desert on Tuesday.

Denver-based Boom Supersonic’s XB-1 demonstrator plane, with Chief Test Pilot Tristan “Geppetto” Brandenburg at the controls, hit Mach 1.122, or 750 mph, at an altitude of about 35,000 feet. Brandenburg brought the plane to a successful landing at the end of the approximately 34-minute flight.

Founder and CEO Blake Scholl described the flight as “phenomenal.”

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“We’re ready to scale up. We’re ready to build the passenger supersonic jet that will pick up where Concorde left off and ultimately allow the rest of us to fly supersonic,” Scholl said.

The Mach 1 milestone was reached on the 12th test flight of the XB-1. The company says it plans to incorporate what it learns from the XB-1 into a supersonic passenger jet known as Overture that can carry up to 80 passengers. The new passenger plane is designed to maintain a cruising speed of Mach 1.7, or roughly twice as fast as current commercial jet airliners.

According to Boom, United, American and Japan Airlines have all expressed interest in purchasing the Overture. In a statement emailed to NPR, United Airlines said that in 2021, it “reached a conditional, non-binding purchase agreement” with the company to buy 15 of the airliners, with “options for up to an additional 35 aircraft.”

Boom says it expects Overture to be ready for commercial flights by 2030. The plane is expected to be capable of transoceanic flights at altitudes up to 60,000 feet — much higher than conventional jet airlines, “high enough to see the curvature of the earth below,” according to the company. “Flying at supersonic speeds tends to be smoother than subsonic flight because at 60,000 feet, you’re flying above most turbulence,” it says.

Unlike Concorde, which proved uneconomical to operate, Boom says airlines should be able to make a profit selling seats on Overture at fares similar to those for first and business class seats on current commercial airliners.

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“The biggest problem with Concorde was it was just simply too expensive to operate,” Scholl said. “So the single most important problem to solve is not to break the sound barrier, but to break the economic barrier.”

Concorde made its first operational flight from London to Washington, D.C., in 1976. Developed jointly by Britain and France, Concorde was operated for nearly three decades by Air France and British Airways.

However, the jet was criticized for its inefficiency. Compared to a Boeing 747, the delta-wing Concorde guzzled four times as much fuel and carried only one-fifth as many passengers — around 100. The plane was also the subject of complaints about noise from its loud turbojet engines and its sonic booms.

Scholl says Concorde had very loud, converted military engines, but Overture will be “dramatically quieter, and that means around an airport, Overture will be no louder than the subsonic airplanes that are flying today.”

In 1996, Concorde set a speed record of just 2 hours, 52 minutes, and 59 seconds between New York and London. In 2000, a Concorde was involved in a fiery crash shortly after takeoff from Paris Charles de Gaulle Airport that killed all 100 passengers and nine crew aboard France Air Flight 4590. The supersonic planes were grounded but eventually returned to service. Always a money-loser, the Concorde was eventually retired in 2003.

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Kash Patel’s Loyalty to Trump Raises Doubts Over F.B.I.’s Independence

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Kash Patel’s Loyalty to Trump Raises Doubts Over F.B.I.’s Independence

Kash Patel spent years ingratiating himself with Donald J. Trump — regularly popping into the Oval Office in the first term, writing a children’s book starring “King Donald” during the interregnum, trailing him to rallies, banquets and bus tours on the bumpy ride back to power.

Few practitioners of the audience-of-one strategy have been quite so successful at translating loyalty and proximity to Mr. Trump into real influence. Fewer still are poised to be rewarded as significantly as Mr. Patel, 44, Mr. Trump’s pick to run the F.B.I., an agency with vast powers that he has vowed to radically overhaul.

What binds Mr. Trump and Mr. Patel is the shared conviction that the bureau has been weaponized against conservatives, including both of them. They argue it is politicized and the only way to fix it is to empower an outsider willing to faithfully execute the Trump agenda — a sharp divergence from the bureau’s historical norms and the decades-long practice of directors’ limiting contact with presidents.

The issue of Mr. Patel’s independence, or lack thereof, will be a flashpoint at a confirmation hearing scheduled for Thursday.

Mr. Patel’s embrace of Jan. 6 conspiracy theories and unflinching fealty are the coin of the realm in Mr. Trump’s orbit. But in the view of his many critics (and even some who publicly sing his praises), Mr. Patel’s oft-stated loyalty to the president poses one of the most significant challenges to the independence of the F.B.I. in the century since J. Edgar Hoover, its founding director, built an investigative citadel whose autonomy created leverage, and abuses of power.

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Nominating Mr. Patel as F.B.I. chief is, above all, a defining example of Mr. Trump’s approach to exerting power in his second term. Not content to simply install subordinates to help enact an ideological agenda, the president is pushing hard to expand the post-Watergate limits on presidential authority. During his first term, demanding personal loyalty from appointees did not always work; making sure the top jobs are stocked with loyalists is the strategy now.

At the F.B.I., this entails bucking the bureau’s long institutional history, starting with Mr. Hoover and extending through James B. Comey’s rejection of Mr. Trump’s first-term demands for obeisance, a stance that prevented it from becoming the instrument of presidential whim.

Critics say Mr. Trump’s and Mr. Patel’s grievance that the bureau has been “politicized” against Republicans is an excuse to turn the F.B.I., whose agents have often tilted right, into a political weapon for Mr. Trump.

“Hoover would have been appalled at Patel’s sycophancy of Donald Trump,” said Beverly Gage, a professor at Yale and the author of a biography of Mr. Hoover.

“What’s new and alarming about Patel?” she added. “He’s so close to Donald Trump and is making no secret that he will use the bureau to punish Mr. Trump’s enemies. He’s coming in openly hostile to the institution. At the F.B.I., this is potentially earth-shattering.”

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The president and Mr. Patel share not only a worldview, but also an enemies list. In 2022, Mr. Patel published a roster of 60 people he suggested should be investigated, prosecuted or otherwise reviled. It includes Christopher A. Wray, who stepped down this month as F.B.I. director before Mr. Trump could fire him, former Attorney General Merrick B. Garland, former Attorney General William P. Barr and a host of other federal officials and politicians he does not like.

Mr. Patel’s spokesman did not respond to questions.

But his defenders downplay his promises to rain hell as campaign-season fireworks, and say the list he published in his book “Government Gangsters” was just a litany of people he did not like, respect or trust. Behind closed doors, he has sought to reassure senators he intended only to underscore the need to reform the bureau and will run it responsibly if confirmed, according to people briefed on the interactions.

In at least one conversation, he has acknowledged that he amped up the verbiage in his polemical memoir for dramatic effect. In another, he apologized for the book, which served as a pugilistic takedown of government officials at the very institution he is eager to run.

“Like me, Kash Patel uses fiery rhetoric and hyperbole to break through,” said Mike Davis, a former Senate Republican staff member who is close to Mr. Patel. “But don’t let that fool anyone. Kash is a very serious, skilled and effective national security operator.”

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The team overseeing Mr. Patel’s confirmation has emphasized his unique experience, particularly his work as a public defender, and varied assignments in national security posts.

Yet some Republicans in the Senate have quietly made it clear they want Mr. Trump to surround Mr. Patel with more conventional officials to offset his shortcomings.

Mr. Patel has given private assurances that his deputy director will be a special agent, with deep experience at the bureau, and not a political appointee, according to a person familiar with the matter.

At least two former F.B.I. veterans have been tapped to advise Mr. Patel, including one who recently served as a staff aide to Representative Jim Jordan. While he is seen as a stabilizing force, his past work for Mr. Jordan’s committee uncovering the so-called weaponization of government is in line with Mr. Patel’s worldview.

Mr. Trump is not likely to abide by norms adopted over the past half-century intended to prevent direct interference into federal law enforcement, regardless of who is on staff.

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Case in point: The director Mr. Trump signaled he would replace, Mr. Wray, never met alone with Mr. Trump, according to people familiar with the situation. That did not stop Mr. Trump from trying to contact him anyway, at the exact moment the bureau was embarking on its investigation into his retention of national security documents.

In a handwritten note dated March 26, 2022, Mr. Trump congratulated Mr. Wray, whom he appointed in 2017, for an appearance on “60 Minutes,” according to a copy viewed by The New York Times.

“CHRIS – GREAT JOB ON 60 MINUTES LAST NIGHT. YOU ARE 100 % CORRECT ON CHINA (RUSSIA IS NOT SO WONDERFUL EITHER!).”

Mr. Trump does not need to use stationery to reach Mr. Patel.

As a senior director at the National Security Council during Mr. Trump’s first term, Mr. Patel seemed to always find himself invited to the Oval Office for meetings. He also had a knack for trolling Mr. Trump’s enemies — threatening, among other things, to sue the news media for unflattering stories. The president, over time, began to reach out to him for advice.

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One former Trump administration official recalled that during the first term, Mr. Patel would head to lunch only to be interrupted by calls from the president to kibitz.

Mr. Patel loved it, the person recalled.

The F.B.I. has had a checkered relationship with politics that precedes Mr. Patel by 101 years.

The official origins of the F.B.I. date back to 1908, but its true inception came in 1924 when Mr. Hoover, then in his late 20s, was appointed director. From the start, its mission placed it at the hazardous intersection of politics and law enforcement: investigating, prosecuting and deporting left-wing radicals and anarchists after World War I.

Over the decades, Mr. Hoover leveraged his cache of investigative files into raw power. Toward the end of his 48-year tenure, he greenlit dozens of investigations of key figures in the civil rights movement — most infamously Martin Luther King Jr. — and offered political intelligence to presidents and their political adversaries.

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Even while presiding over the bureau’s worst excesses, however, Mr. Hoover ensured that the agency remained independent from direct White House control. Directors who served after him sought to maintain that independence by keeping presidents at arm’s length, with the exception of his immediate successor, L. Patrick Gray.

“Integrity and independence make or break an F.B.I. director,” Louis J. Freeh, the bureau director whose relationship with President Bill Clinton turned rancid as he investigated the president and his associates, said in his memoir.

Mr. Clinton groused but did not seek to remove Mr. Freeh. Mr. Trump did both. In private meetings at the White House, Mr. Trump demanded the loyalty of Mr. Comey, a Republican, and suggested he end an investigation into the president’s former national security adviser. Mr. Comey stayed in office for nearly four months without giving it.

Mr. Comey was confident he could undertake investigations into top public figures, including Mr. Trump and Hillary Clinton, while defending the bureau’s integrity. That miscalculation led to a disastrous news conference in July 2016 at which he announced that although Mrs. Clinton had been “extremely careless” in handling classified information, she would not be prosecuted. Many Democrats believe the assertion ultimately contributed to her defeat.

His approach left the F.B.I. reeling, and Mr. Patel and many other Republicans cite Mr. Comey as one of the main reasons the bureau needs to be reshaped and more agents from its headquarters in Washington farmed out to field offices around the country.

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Mr. Wray, who was appointed by Mr. Trump in mid-2017 for a 10-year term, took a much more cautious, conventional approach to Mr. Trump. Nonetheless, their relationship soured almost immediately.

Mr. Trump came close to firing Mr. Wray after he refused, among other things, to embrace the president’s lies about the 2020 election being stolen.

Agents who worked for Mr. Wray described him as fundamentally apolitical, focused on the threat posed by China and other foreign adversaries, and fixated on the minutiae of law enforcement — spending time in briefings on firearms testing, audits of secret surveillance warrants and information technology systems. One former F.B.I. official likened the meetings to watching paint dry, yet the director loved them.

But he could not escape politics. And his commitment to investigating Mr. Trump, including the execution of a search warrant at Mar-a-Lago, effectively doomed his directorship.

On a gray, snow-flecked day at the F.B.I.’s headquarters this month, national security leaders from the United States and Britain gathered to thank Mr. Wray, and to issue barely veiled warnings about what the future might hold if Mr. Trump succeeds in asserting control.

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Former top F.B.I. officials were in attendance, including William H. Webster, who was appointed by President Jimmy Carter.

So was William J. Burns, the C.I.A. director, who said Mr. Wray’s greatest achievement was fulfilling a promise he made at his 2017 confirmation hearing to adhere to the “impartial pursuit of justice.”

When it came time for Mr. Wray to speak, he exhorted agents to stay and conduct their investigations with impartiality.

“That means following the facts wherever they lead, no matter who likes it, or doesn’t,” Mr. Wray said. “Because there’s always someone who doesn’t like it.”

Mr. Patel’s swift ascent in Mr. Trump’s orbit began in 2018. Then a little-known House Republican aide, Mr. Patel investigated the Justice Department’s efforts to obtain a secret surveillance warrant for a Trump adviser believed to be conspiring with the Russians during the 2016 campaign.

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From there, he landed a succession of national security posts in rapid succession, serving his longest stint on the National Security Council (20 months) and the shortest as a top aide at the Pentagon (three months). He often communicated with the president directly, to the chagrin of his nominal superiors.

By the spring of 2020, Mr. Trump was eager to dismiss Mr. Wray, replace him with a senior intelligence official and install Mr. Patel as his top deputy in charge, a post typically reserved for a senior agent in a work force of 38,000.

Mr. Barr, then the attorney general, talked Mr. Trump down during a contentious meeting in the Oval Office. Mr. Barr would later write in his memoir that Mr. Patel was deeply unqualified and that the president “showed a shocking detachment from reality.”

People close to Mr. Barr said he was also concerned that Mr. Patel would have been too compliant to challenge Mr. Trump.

Early on, Mr. Wray concluded that limiting contact with the White House, or communicating through intermediaries, could ensure independence, a policy he maintained with Mr. Trump and President Joseph R. Biden Jr.

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After Mr. Trump left office, he tapped Mr. Patel as one of his emissaries to the National Archives, thrusting Mr. Patel into the Trump classified documents investigation.

In August 2022, F.B.I. agents and federal prosecutors obtained a court-authorized warrant to search Mr. Trump’s Florida club and residence, including his bedroom. In his book, Mr. Patel said that the “Mar-a-Lago raid will go down in history as a sign of the destruction of our once great institutions of equal justice and fairness.”

During Mr. Trump’s time out of office, Mr. Patel cultivated relationships with the president’s sons, particularly Donald Trump Jr., and embraced online retail (under the brand “K$H”). He also hawked anti-vaccine diet supplements, pro-Trump T-shirts and a line of children’s books in which he portrayed himself as a wizard, wearing a midnight blue robe. Mr. Trump was depicted with a crown.

Mr. Patel, who is single, likes the nightlife. He was recently spotted posing for poolside photos with bikini-clad conservatives, and his Senate disclosure form revealed that he recently joined the Poodle Room, a members-only club near his residence in Las Vegas that has a $20,000 entry fee.

More than anything, he worked relentlessly to raise his profile in Trump circles, doing nearly 1,000 interviews and podcasts. On his Senate disclosure form, he said he “served as a surrogate” for Mr. Trump’s campaign from November 2022 to November 2024.

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Mr. Trump has always been leery of subordinates who market themselves off their association with him. And his support of Mr. Patel has been somewhat tempered by doubts about his gravitas and experience. Mr. Trump’s 2024 campaign manager and the new White House chief of staff, Susie Wiles, told him the selection was too risky, associates of both men said.

But the only serious alternative to Mr. Patel that emerged, Missouri’s Republican attorney general, Andrew Bailey, seemed too laid-back and lackluster in face-to-face meetings.

Mr. Patel, always loyal — and always around — lobbied furiously for the job, and prevailed.

After his selection, Mr. Patel appeared to become more cognizant of his attack-dog reputation. Off camera he was more muted, self-effacing, funny and willing to compromise, which allayed the concerns of Ms. Wiles and other skeptics.

Moreover — despite Mr. Patel’s inflammatory public statements — his vetting did not reveal a knockout scandal comparable to the one that forced out Matt Gaetz, Mr. Trump’s initial pick for attorney general.

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Mr. Trump did not consult with senators in his own party before nominating Mr. Patel, according to one senator and several aides. Nor did he apparently seek approval from Pam Bondi, his more conventional second choice for attorney general, according to people in his orbit.

The response to Mr. Patel’s appointment among Senate Republicans has been mixed, with some issuing emphatic endorsements and others taking a wait-and-see tack. To allay some concerns, former Representative Trey Gowdy, a former federal prosecutor from South Carolina who is friendly with Mr. Patel, has been furiously working the phones on his behalf, according to people familiar with the situation.

As he has so often done with top aides, Mr. Trump, a former reality TV star, fretted that Mr. Patel lacked the central-casting look the public had come to expect from an F.B.I. director, without either the imposing G-man appearance of a former director like Robert S. Mueller III or the bulldog mien of the bureau’s founder.

“He’s no J. Edgar Hoover,” Mr. Trump told an adviser.

Devlin Barrett and Jonathan Swan contributed reporting.

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