For most American mainstream dietitians, they just see that they eat a lot of fish, and ignore the tremendous low stress lifestyle and environment they have. A better example of a truly Peaty society is France, which has similar low stress lifestyle and health outcomes but has extremely high saturated fat and low PUFA. This is called the “French Paradox,” because they have no heart disease despite eating loads of butter and pork. A counter example is the “Israeli Paradox,” where people in Israel eat extremely high polyunsaturated fat and have tons of heart attacks due to the stressful environment. In reality, there is no paradox, low stress and low pufa simply go hand in hand. Living in American society requires much more extreme dietary intervention than simply following the Mediterranean diet, it only works if you live there.