San Diego, CA
Opinion: As a cardiologist, I know the dietary guidelines are failing our hearts
Heart disease — affecting almost half of American adults — is the leading cause of death in the United States, claiming 700,000 lives each year.

As a practicing cardiologist for more than 20 years, I’ve watched patients do everything “by the book.” They eat according to the Dietary Guidelines for Americans — the federal government’s blueprint for nutrition policy — and still see their weight climb, blood pressure rise, and heart health deteriorate.
The problem isn’t their effort. It’s the guidance itself, which promotes high-carbohydrate, low-fat diets that can actually worsen metabolic health, which can in turn worsen heart disease. Many assume that by following the government’s recommendations they can improve their health — but, too often, the opposite is true.
With the next edition of the Dietary Guidelines scheduled for release this month, we have a critical opportunity to move beyond outdated orthodoxy and align federal nutrition policy with modern science and clinical experience. Done right, this update can turn back the tide of chronic illness and save lives.
Since 1980, the Departments of Agriculture and Health and Human Services have issued the Dietary Guidelines every five years. These recommendations shape not only personal choices but also the food in school cafeterias, military mess halls, hospitals and nursing homes. They inform SNAP and WIC benefits, nutrition education, and even the labels on grocery store shelves.
From the start, however, the guidelines steered Americans in the wrong direction. They marked a sharp departure from prior eating patterns by encouraging Americans to cut back on natural dietary fats and rely more heavily on refined high-carbohydrate foods. Saturated fat — and cholesterol by extension — were unjustly stigmatized, while bread, pasta and cereal became staples of the American diet.
The recommendations were not made with a metabolically vulnerable population in mind. For people already struggling with insulin resistance, obesity or diabetes, a high-carbohydrate diet frequently only compounds the problem by driving up insulin, promoting visceral fat storage around vital organs, and fueling a cycle of weight gain and chronic disease.
Four decades later, the guidelines remain out of step with science and with the health needs of the majority of Americans. They impose arbitrary caps on saturated fat, despite evidence showing no consistent link to higher rates of heart disease or mortality. They recommend dietary protein well below optimal levels for most populations. And they direct Americans to get 45-65% of their calories from carbohydrates — sidelining low-carb or ketogenic diet options proven to support weight loss, stabilize blood sugar, and reduce the risk factors that drive heart disease.
Americans are being pushed toward metabolically damaging eating patterns.
Today, 93% of Americans live with metabolic dysfunction — meaning their bodies struggle to convert food into energy efficiently. This breakdown in basic metabolic processes fuels the country’s epidemic of chronic disease. More than 75% of Americans are now overweight or obese. Heart disease mortality rates have increased from the 2010s to the 2020s, even as cholesterol levels have steadily fallen.
Put plainly: Federal nutrition policy has fallen far short of making Americans healthier. I know this to be true not only from statistics but from my own patients’ journeys. Many of them ate exactly as federal guidance prescribed and still found themselves gaining weight and developing hypertension, diabetes and heart disease. For years, I resisted the idea that fault could lie with the guidelines.
Like most physicians, I was trained to be wary of fat and to consider carbohydrates as the foundation of a healthy diet. I dismissed suggestions that a low-carb or ketogenic diet could improve cardiovascular outcomes.
But then I tried it myself — and my own weight, cardiovascular markers, and energy improved. When I cautiously introduced the approach to my patients, I saw transformations I couldn’t ignore: their insulin sensitivity, blood sugar levels and blood pressure began to improve. These changes struck at the true drivers of coronary heart disease — metabolic dysfunction, obesity and type 2 diabetes — all stronger predictors than cholesterol levels.
Their lives changed without a scalpel or a prescription. And their experiences mirrored what the science was increasingly showing: that the old low-fat, high-starch model had it backwards.
A review of randomized trials found that low-carbohydrate diets significantly improved weight, blood sugar and blood pressure — the very risk factors that drive heart disease.
Another analysis comparing different levels of carbohydrate restriction showed consistent benefits across degrees of reduction. And, in patients with type 2 diabetes, ketogenic approaches have dramatically lowered average blood sugar as measured by HbA1c — a long-term measure of glucose control — while delivering substantial weight loss, all changes known to reduce cardiovascular complications.
Yet our national guidelines remain stuck in an outdated paradigm.
The upcoming 2025-2030 Dietary Guidelines offers a chance to finally get it right — to align federal recommendations with the latest, most rigorous evidence. That means prioritizing whole foods, removing limits on saturated fats, optimizing protein intake, and including low-carbohydrate and ketogenic options for the metabolically vulnerable.
The nation’s leading killer isn’t inevitable. If the Dietary Guidelines are updated to reflect modern science, millions of Americans could soon be on the path to reclaiming their heart health.
Bret Scher, MD, is a board-certified cardiologist and lipidologist, and the founding medical director of the Coalition for Metabolic Health.
San Diego, CA
Tom Krasovic: Catarina Macario signing shows brighter days ahead for Wave
The San Diego Wave and their fans deserved every second of the festive Friday morning that played out at Snapdragon Stadium.
Wave personnel and fans erupted in cheers as Catarina Macario, a star striker with San Diego roots who agreed to a record-setting contract, displayed a Wave No. 20 jersey at an introductory news conference.
Macario, 26, has taken injury detours, but stands indisputably as one of the world’s better goal-scorers among women.
The Torrey Pines High School and San Diego Surf alum’s local pedigree may also boost the fifth-year Wave, who through no fault of the club’s current leaders, lost considerable star power in recent years, contributing to an attendance decline.
At a reported $8 million, the five-year deal is reportedly the most for a women’s soccer player.
Macario, smiling often, labeled her new reality “unreal,” while seated next to Wave sporting director Camille Ashton.
She was 12 when family members, seeking better opportunities, brought her from Brazil to live in San Diego after first visiting Dallas.
“I never would have imagined, I guess, that 12-year-old Cat, not knowing how to speak English, being super scared, would one day come back and get to represent her hometown team,” Macario said. “It’s very special. It’s something I’m very proud of. It will just mean that much more, once I step on the field.”
her signing with the San Diego Wave FC March 27, 2026 in San Diego, Calif. (Photo by Denis Poroy)
Ashton called it “a monumental signing.”
Ashton, formerly Camille Levin, won a national championship with Stanford as a player. She said Macario, who came to Stanford after Ashton turned pro, fits well into the possession-driven, uptempo style the Wave have developed in a season-plus under coach Jonas Eidevall.
“Cat is a world-class player of exceptional quality, intelligence and character,” Ashton said. “Her technical ability, vision and goal-scoring instinct make her one of the most exciting talents in the game today. Just as importantly, she brings a professionalism and competitive drive that will both complement and elevate the high standards already established within our squad.”
Turmoil marked the 2024 season, the franchise’s final one under team president Jill Ellis and coach Casey Stoney.
Ellis fired Stoney, the franchise’s coach since its inception, before midseason. The team’s offense was tedious, leading to a ninth-place finish and the franchise missing the playoff cut for the first time. Ellis, amid reports of a harsh work environment, moved on.
In the first full year under Ashton and Eidevall, the Wave’s offense improved and the team made the playoffs, but was bounced in one game.
Macario will give the Wave a better chance to rebound at the gate and on the pitch from the exodus of popular stars Alex Morgan (retirement in 2024), midfielder Jaedyn Shaw (traded at her request in January 2025) and defender Naomi Girma (who was transferred to Chelsea later that month for $1.1 million).
The Macario signing comes 16 months after Lauren Leichtman and Arthur Levine, founders of a private equity firm in Los Angeles, completed a $120-million purchase of the Wave.
The record contract “just shows how serious they are about me, and getting the club to succeed even more,” Macario said.
NWSL leaders facilitated the deal as well. Ashton said the league’s adoption four months ago of the High Impact Player Rule, allowing an exception to the salary cap, “came at an incredibly good time.”
Macario said she knows several Wave players and played with versatile fullback Perle Morroni on France’s top club team, Lyon.
Given that Macario has scored goals at an extraordinary pace throughout her career — with the Surf, Torrey Pines, Stanford, Lyon and Chelsea — there’s only one major concern about how her Wave career will play out:
Health.
A left ACL injury suffered in the final game of her season with Lyon four years ago cost her a full season.
An irritation in her right knee cost her a spot on the U.S. team that won gold at the 2024 Olympics in France.
She was sidelined in recent months at Chelsea, creating uncertainty about her Wave debut.
“We’re confident her best years are ahead,” Ashton said.
Macario offered no details Friday about when she’ll be ready to play for the Wave, who’ll face Chicago in a home game today.
Smiling, she suggested being in San Diego will improve her health.
“Maybe the skies were a little too gray for me,” she quipped about health setbacks in England and France. “The sunshine will help me heal a little bit quicker.”
For a franchise that was enveloped by clouds in 2024, the forecast grew much brighter Friday.
San Diego, CA
New Venues in San Diego for Spring 2026 Meetings and Events
Here’s a closer look at San Diego’s newest eateries, drinking spots, hotels, conference areas, private rooms, and other spaces available for events this spring. The new and renovated San Diego venues are available for corporate parties, weddings, fundraisers, outdoor functions, business dinners, team-building activities, conferences, meetings, and more.
Roppongi Restaurant & Lounge
Photo: James Tran
Roppongi Restaurant & Lounge has debuted a redesigned dining and lounge space in the heart of La Jolla, blending modern elegance with globally inspired design. Led by restaurateur Sami Ladeki, the venue features standout elements like a gold-brushed statement wall, sculptural ceiling installations by Milan-based artist Mirei Monticello, a dramatic fireplace framed by Buddha statues, and a leathered quartzite bar that anchors the space. The 5,700-square-foot restaurant accommodates up to 230 guests seated or 300 reception-style, with full buyouts available, plus a covered patio with heaters that extends the footprint for year-round events. Additional options include a 12-seat private dining room and two semiprivate spaces for 18 and 34 guests. Executive chef Alfie Szeprethy leads a globally inspired, shareable menu—from sushi and dumplings to wok-fired dishes and signature plates like Polynesian Crab Stack and Japanese hot rock steak—paired with a beverage program featuring premium sake, wine, and craft cocktails.
Bonne Vie Brasserie & Bar
Photo: Courtesy of Bonne Vie Brasserie & Bar
Bonne Vie Brasserie & Bar debuted in November 2025 at The Westgate Hotel in San Diego’s Gaslamp Quarter, offering a design-forward dining destination that blends French culinary tradition with a relaxed California sensibility. Designed by Jacoi Mann, the space features deep blue and gold tones, velvet seating, and softly lit chandeliers, creating a setting that feels both polished and inviting for group dining and social gatherings. The all-day concept is led by executive chef Fabrice Hardel, whose menu reimagines classic French dishes with locally sourced ingredients, from Burgundy escargot and French onion soup to seafood specialties and modern American-inspired plates. Overall, the 222-room Westgate Hotel has 12 meeting and event spaces and four culinary concepts.
Diamond Room
Photo: Eric Scire/Finest Collective
Diamond Room opened in January inside the historic Simon Levi Building at Gallagher Square in San Diego’s Petco Park, bringing an intimate, retro-chic cocktail experience to the Ballpark District. Developed by Patina Group and Finest Collective—the newly rebranded events and hospitality division of the San Diego Padres—the 50-seat lounge channels a late-1970s aesthetic with velvet, leather, mirrors, and a disco ball, creating a moody, design-forward setting for small gatherings and VIP events. The cocktail program focuses on elevated classics with a local twist—like a clarified margarita and a nitro-infused Garibaldi—while a menu of shareable bites complements the experience. The venue also offers interactive “Shaken & Stirred” mixology classes for small groups. Located steps from the Gaslamp Quarter, the space is available for buyouts and group bookings.
Dora Ristorante
Photo: Kimberly Motos
Dora Ristorante opened near the La Jolla Playhouse at UC San Diego, bringing a coastal Italian dining concept from the team behind Cori Trattoria to the city’s theater district. Led by chef Accursio Lota, the restaurant draws inspiration from southern Italy with a California twist, featuring handmade pastas, Mediterranean seafood, and a house gelato program designed for sharing. Located steps from the theater, Dora offers a pre-theater dining experience with a rotating three-course menu inspired by current productions, as well as options for full-service dinners and wine pairings. The venue includes multiple event spaces, from a 14- to 16-seat private dining room to a main dining room, bar lounge, and patio, with full buyouts accommodating up to 130 seated or 180 guests for receptions.
Paradise Point Resort & Spa
Photo: Courtesy of Paradise Point Resort & Spa
Paradise Point Resort & Spa has completed a full renovation of its conference center, reimagining more than 60,000 square feet of indoor and outdoor meeting space with a coastal-inspired design and enhanced technology. Located on a 44-acre island in Mission Bay, the refreshed venues—including the Paradise Ballroom, Sunset Ballroom, and Mission Bay Ballroom—feature abundant natural light, flexible layouts, and seamless indoor-outdoor flow, with many spaces opening onto waterfront terraces or lawns. Upgrades include integrated lighting, advanced AV capabilities, and high-speed connectivity to support both in-person and hybrid events, alongside sustainability-focused enhancements like LED lighting and eco-conscious materials. Beyond the meeting rooms, groups can take advantage of on-site amenities such as waterfront dining, a full-service spa, five pools, and beachside activities.
Fox Point Farms
Photo: Courtesy of Fox Point Farms
Fox Point Farms in Encinitas is a newly developed regenerative farm and event destination designed for immersive, multi-moment gatherings. The multi-acre working property blends indoor and outdoor venues with on-site food and beverage programs, live music capabilities, and a strong emphasis on sustainability and seasonality, allowing events to flow between gardens, fields, and dining spaces. The venue has already hosted corporate buyouts, private celebrations, and large-scale gatherings, with programming that integrates food, drink, and environment in a way that feels cohesive and place-driven. A standout feature for planners is the on-site wellness studio, which offers private group classes ranging from yoga and Pilates to sound healing and mindfulness.
Wedgewood Weddings at The Headquarters
Photo: Courtesy of Wedgewood Weddings
Wedgewood Weddings at The Headquarters has debuted in San Diego’s Seaport Village, transforming the city’s historic 1939 police headquarters into a 15,000-square-foot event venue that blends art deco heritage with modern design. The waterfront property features a range of flexible spaces for meetings and social events, including the Velvet Lounge, a speakeasy-inspired cocktail space with a circular bar and jewel-toned finishes, and the Gilded Hall, which accommodates up to 280 guests seated beneath exposed beams and statement chandeliers. Additional highlights include two VIP suites—The Rose Room and The Vault—designed for pre-event gatherings and photo moments. Located minutes from the San Diego Convention Center and airport, the venue offers a turnkey option for corporate events, galas, and celebrations within a landmark setting.
Courtyard by Marriott San Diego Downtown Little Italy
Photo: Courtesy of Courtyard by Marriott San Diego Downtown Little Italy
Courtyard by Marriott San Diego Downtown Little Italy opened in November 2025, bringing a 334-room hotel with design-forward suites and more than 10,000 square feet of event space to one of the city’s most vibrant neighborhoods. Located in the heart of Little Italy, the property offers a range of flexible venues—including the Amici Ballroom and Cardini Boardroom—suited for everything from intimate receptions to conferences. Guest accommodations include spacious, townhouse-style suites with features like lofted layouts, Juliet balconies, and dedicated living areas. On-site amenities include Orexi, a Mediterranean-California restaurant serving shareable plates and cocktails, along with a rooftop Skydeck pool, sunset terrace with a fireplace, and a fitness center with Peloton bikes.
Ox Coffee Roasters
Photo: Courtesy of Ox Coffee Roasters
Ox Coffee Roasters in Mission Valley is now offering its storefront for private events, providing a casual, community-driven setting for small gatherings and interactive experiences. Located near several convention hotels, the venue accommodates up to 40 guests and can host everything from morning mixers to hands-on latte art classes and coffee tastings led by resident expert Chris Dennis, a competitor in national roasting competitions like the U.S. Brewers Cup Championship. In addition to its coffee program, Ox serves tea, including matcha, and a small menu of pastries and light bites, making it a flexible option for low-key networking events, workshops, and group experiences.
Bacari North Park
Photo: Jakob Layman
Bacari North Park opened in February, marking the San Diego debut of the LA-born, family-owned Mediterranean wine bar in one of North Park’s most recognizable two-story buildings. Known for its shareable, seasonally rotating menu, Bacari offers Mediterranean-inspired small plates, wood-fired pizzas, handmade pastas, and an extensive wine list in a setting designed to feel like an elevated dinner party. The new location spans two levels plus an outdoor patio, making it a flexible option for group dining, receptions, and full buyouts.
NÓMADA
Photo: Kimberly Motos
NÓMADA opened in Carlsbad from Grand Restaurant Group, bringing a regionally driven Mexican dining concept inspired by chef Alex Carballo’s Sinaloan roots and travels throughout Mexico’s coastal and agricultural regions. The menu highlights traditional techniques with a focus on coastal seafood, featuring dishes like Birria Chimichanga Bites, Duck Mole Taco Trio, and Cochinita Pibil. Designed for gatherings, the restaurant offers a mix of indoor dining rooms, an open-air patio, and a lively bar with a live music stage, creating a flexible setting for group dining, celebrations, and private events.
Life Time Otay Ranch
Photo: Robert Reyes
Life Time Otay Ranch opened in December 2025 in Chula Vista as the brand’s first San Diego-area destination built from the ground up, bringing a 150,000-square-foot athletic country club and wellness-focused gathering space to South County. Designed as a two-level, all-in-one lifestyle hub, the property features a 26,000-square-foot workout floor, dedicated group training studios, indoor and outdoor pickleball courts, and a more than 50,000-square-foot outdoor beach club with pools, dining, and lounge areas. In addition to fitness and recreation, the venue includes a Kids Academy, LifeSpa, and LifeCafe, making it a versatile option for wellness-driven corporate events, team-building experiences, and community-focused gatherings.
San Diego, CA
Sir Mohamed Mansour brought a global movement to San Diego, and nearly won MLS Cup in Year 1
As Sir Mohamed Mansour was finalizing a deal with the Sycuan Band of the Kumeyaay Nation to invest in San Diego FC in 2022, he reflected on their combined history. The Sycuan said they’d lived in the San Diego region for 12,000 years. Mansour looked to his own Egyptian culture’s 7,000-year existence.
“If we have 19,000 years of history we can’t lose,” said the 78-year-old.
When San Diego FC finally lost in the 2025 MLS Cup playoffs, it was in the Western Conference finals, capping the best debut season in the league’s history. Mansour spoke about the experience Thursday morning during the Business of Soccer conference at Mercedes-Benz Stadium in Atlanta.
“The first game, to me, meant everything. That night was a sleepless night because I’m very passionate about soccer,” he said.
Mansour would have settled for a respectable loss; they were playing defending MLS Cup champs L.A. Galaxy. But San Diego FC scored twice unanswered, winning the opener. And another sleepless night ensued.
Mansour discussed early life health issues, including being hit by a car when he was 10 years old, which left him bed-ridden for three years. He read American comic books and studied. His family’s wealth was confiscated by the Egyptian government during a 1965 revolution, and he later beat cancer as a 20-year-old while studying in the U.S.
Now the billionaire chairman of Mansour Group, an Egyptian conglomerate owned by his family, Mansour is also chairman of the Right To Dream Academy, which has made San Diego its fifth outpost. San Diego FC’s $150M Sharp HealthCare Performance Center includes residences and a school for Right To Dream participants in the club’s academy system. Mansour mentioned his plans to construct 100 pitches for underprivileged kids in San Diego.
“We are more than a football academy. We’re a global movement, built upon the belief that everyone has the right to dream,” said Mansour. “We’ve been rewriting the rules of talent development for over 20 years, guided by our core belief that excellence can be found anywhere.”
While creating hundreds of opportunities for children in underdeveloped countries, Right to Dream has generated tens of millions of euros in transfer fees for clubs within the network.
Mansour, who graduated from N.C. State in 1968 with an engineering degree and then earned a Masters’ from Auburn, differs from many MLS owners because he is a native soccer fan, he had extensive soccer business experience, and even an idea of how he’d like his team to play (possession-based).
Asked which he’d prefer — for Egypt to win the World Cup or San Diego FC to win MLS Cup — Mansour answered the United States (to win the World Cup) and San Diego FC to win MLS Cup.
“I tell you why. I’m a businessman too,” he said, grinning. “And if the US does well in this World Cup, soccer is going to grow.”
Rapid fire with Sir Mohamed Mansour
Comic book hero: Superman
Kryptonite: Worrying
Favorite athlete: Michael Jordan
Favorite soccer player: Mohamed Salah
Childhood hero: His father
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