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Thirty-six participants with moderately elevated cholesterol levels participated in two 32-day phases where the subjects consumed their normal dietary patterns or the experimental diet consistent with the NCEP recommendations. This diet provided 30% calories from fat, 7% calories from saturated fat, and 75 mg cholesterol per 1,000 calories.
The 2021 Canadian Cardiovascular Society Guidelines say "We recommend that for any patient with triglycerides > 1.5 mmol/L, non-HDL-C or ApoB be used instead of LDL-C as the preferred lipid parameter for screening (Strong Recommendation, High-Quality Evidence)". [33] The European Society of Cardiology have noted:
A 2021 study linking strawberries to heart health found eating 2.5 servings of strawberries per day for four weeks improved LDL cholesterol levels in adults with obesity and high cholesterol.
The second report from National Academies of Sciences, entitled "Redesigning the Process for Establishing the Dietary Guidelines for Americans", offers an exhaustive review and provides recommendations for improving the process of revising the Dietary Guidelines so as to best identify, analyze, and present the scientific evidence. [30]
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An important non-pharmacological intervention in dyslipidemia is a diet aimed at reducing blood lipid levels and also weight loss if needed. These dietary changes should always be a part of treatment and the involvement of a dietician is recommended in the initial evaluation and also in follow-up as well.
The Portfolio Diet is a therapeutic plant-based diet created by British researcher David J. Jenkins in 2003 to lower blood cholesterol. [ 1 ] [ 2 ] The diet emphasizes using a portfolio of foods or food components that have been found to associate with cholesterol lowering to enhance this effect.
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