Core Viewpoint - The study highlights the relationship between high-fat diets, gut microbiota, and cardiovascular disease (CVD), suggesting that palmitic acid levels in circulation, influenced by gut bacteria, may exacerbate thrombosis risk [2][3][12]. Group 1: Research Findings - High-fat diets increase circulating palmitic acid levels through the promotion of the gut bacterium Bacteroides thetaiotaomicron, leading to enhanced thrombosis [3][10]. - Palmitic acid has a direct pro-coagulation effect by inhibiting the endogenous anticoagulant activated protein C (APC) and enhancing platelet activation [8][10]. - The abundance of Bacteroides thetaiotaomicron is associated with elevated palmitic acid levels and a hypercoagulation state in patients with coronary artery disease [7][10]. Group 2: Dietary Implications - The composition and function of gut microbiota are directly influenced by dietary intake, particularly macronutrients like lipids, which play a crucial role in shaping host-microbe interactions [5]. - The study indicates that controlling palmitic acid and Bacteroides thetaiotaomicron could be a preventive strategy against cardiovascular diseases [12]. Group 3: Preventive Measures - Hesperidin, a dietary flavonoid, can inhibit the interaction between palmitic acid and APC, thereby preventing thrombosis induced by palmitic acid or Bacteroides thetaiotaomicron transplantation [9][10].