A patient with high serum LDL cholesterol levels tells you that he usually eats a granola bar and a cup of coffee on the way to work;eats a grilled cheese sandwich and chips for lunch;eats a home-cooked meal for dinner,which is usually a chicken dish with potatoes or pasta and frozen vegetables;and snacks on popcorn and pretzels.The most beneficial change for him to make to lower his LDL cholesterol levels would be to

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Cheese has high levels of saturated fat,and grilled cheese sandwiches are often made with butter (which also has high levels of saturated fat)or margarine (which may have high levels of saturated fat),and so switching to a turkey sandwich would help decrease saturated fat intake and lower LDL cholesterol levels.Using fresh instead of frozen vegetables makes no difference other than taste.Drinking decaffeinated instead of regular coffee will not affect serum lipid levels.Eating unsalted pretzels and popcorn would help decrease blood pressure but not blood lipids.

A Patient with High Serum LDL Cholesterol Levels Tells You