High Cholesterol Nutrition

If your doctor has recently tested your blood and told you that your cholesterol is high, there are changes you can make in your diet to help lower the level of cholesterol in your blood and decrease your risk of developing heart disease and diabetes. Some patients can manage their blood cholesterol with diet alone and many stop taking medications after following these tips.


Cholesterol is a type of fat found in foods and made by our bodies for many cell functions.  This means sometimes the cholesterol in our blood is high because of the food we eat and other times our cholesterol is high because our body makes too much.

Cholesterol and other forms of fat are carried through our blood stream by transporters called LIPOPROTEINS, or LDL & HDL cholesterol. LDL & HDL are made by the body and labeled as “good” or “bad” to help measure heart attack risk.

LDL refers to unhealthy blood cholesterol, which builds up if our diet is too high in certain fats. This can cause damage to arteries and build up inside blood vessels leading to blockages.

HDL refers to healthy blood cholesterol, which transports fat out of the blood stream to be broken down for energy or other cellular functions. Exercise is the best way to increase you HDL levels

There are several types of fat in our diet that contribute to raising LDL levels. The most important are SATURATED AND TRANS FATS.

Saturated and Trans fats are easy to identify because they are solid at room temperature and are found in products such as butter, lard, hydrogenated oils, cheese, meat, processed sweets, baked goods, and fried foods.

Attention!  Notice coconut oil stays solid when left out? That’s because it is high in saturated fat. While it may be a better alternative to butter or lard, it should be used sparingly.


  • Achieve and maintain a healthy weight. Speak with your doctor, or dietitian, about your specific weight loss goals
  • Eat a balanced diet including whole grains, fruits and vegetables, and lean protein sources
  • Eat more polyunsaturated fats (PUFA) like olive oil, walnuts, soybean oil, flax seeds, and fish.
  • Incorporate more plant-based proteins into your diet such as beans, seeds, and nuts
  • Eat foods high in soluble fiber such as oatmeal, bananas, apples, and beans
  • READ food labels and avoid any with hydrogenated or partially-hydrogenated oil on the ingredient list
  • Eggs are OK! Limit to 1-2 per day and avoid high cholesterol foods such as organ meats
  • Limited refined carbohydrates and added sugar
  • Limit alcohol intake to less than 1 drink per day for women and 2 drinks per day for men (one drink = 12 oz beer, 5 oz wine, or 1.5 oz liquor)
boiled egg on top on bread beside salt shaker
MYTH BUSTED! EGGS ARE OK TO EAT! EVEN THE YOLK!  (Photo by Pixabay on Pexels.com)

Foods to Avoid

Replace with

Whole milk, cheese, regular yogurt, and ice cream 1% or skim milk, low-fat cheese and yogurt
Fatty, marbled beef or pork Lean beef, pork, or venison
Dark-meat or poultry with skin White meat poultry without skin, fish
Butter, Margarine or Lard Vegetable oils
Chips, cracker, snack foods Unsalted nuts and seeds, hummus and vegetables
Soda and sugar-sweetened beverages Water, zero-calorie seltzer
White bread, white rice, pasta Whole grain bread, brown rice, quinoa, whole wheat pasta
Fruits and Vegetables cooked in butter, oil, or sugar Fresh or frozen fruits and vegetables without added fat or sugar

Sample Day Meal Plan

Meal Menu
Breakfast: Blueberry, Vanilla Almond Oats
  • 1 oz unsalted almonds, sliced
  • 1 cup cooked oatmeal with skim/low-fat milk or soymilk
  • 1 cup blueberries
  • ¼ tsp vanilla
  • 1-2 tsp brown sugar
  • 1 cup coffee or tea *optional 1-2 Tbsp cream & 1 tsp sugar
Snack 1
  • 1 cup low-fat yogurt
Lunch: Bean Burrito
  • 12” whole wheat tortilla
  • 2 tbsp black beans 
  • 1-2 tbsp shredded low-fat cheese 
  • 2 tbsp pico de gallo 
  • 1 tbsp brown rice or quinoa 
  • *optional sautéed onions and peppers 
Snack 2
  • ¼ cup of trail mix (unsalted nuts, seeds, and dried fruit)
  • Medium Peach, Plum, or Pear 
Dinner: Salmon, Broccoli, & Rice
  • 3-4 oz broiled salmon marinated with salt-free seasoning & 1 tsp of vegetable oil
  • 1 cup brown rice 
  • 1 cup steamed broccoli 
  • Small side salad with 1-2 tbsp of oil & vinegar dressing 
Snack 3
  • Apple with 1-2 tbsp peanut butter



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