Replace butter with plant oils in 10g daily increments
The substitution analysis from the study isolates the effect of replacing butter fat with plant oil fat while holding total fat intake constant. By looking at 10-gram exchanges, the researchers mimicked realistic dietary swaps. The protective association persisted across multiple confounders including physical activity, BMI, smoking, alcohol, and diet quality. Norton emphasizes that this is not an argument to guzzle oil or add it to an already hypercaloric diet; rather, it's about what you replace when choosing between butter and plant-based fats. He notes that the cumulative evidence from replacement trials and cohort studies consistently indicates neutral or beneficial effects of polyunsaturated fats over saturated fats on insulin sensitivity, liver fat, metabolic health, CVD, and cancer. The substitution approach directly addresses the criticism that prior research compared isolated fatty acids, not real foods.
Replacing saturated fat (butter) with polyunsaturated fat (plant oils) improves blood lipid profiles (reducing LDL cholesterol) and reduces hepatic fat accumulation, which can improve insulin sensitivity and lower systemic inflammation. Norton cites consistent findings that when saturated fat is replaced in a 1:1 ratio with polyunsaturated fats, markers of metabolic health improve or remain neutral, whereas butter, rich in saturated fat, tends to worsen these markers in controlled settings.
They did a substitution analysis where they looked at substituting 10 gram increments of butter intake with plant oil. And they found a 17% decreased risk of total mortality, 17% decreased risk of cancer mortality, and about a 6% decrease in cardiovascular disease mortality.

