TLC Diet for High Cholesterol provided by Healthcastle.com Nutrition The American Heart Association no longer uses the terms "Step 1" and "Step 2" in reference to heart-healthy diets. The Step 1 Diet was created and recommended by the National Cholesterol Education Program NCEP as an inital diet for most patients with high cholesterol. This Step 1 Diet was usually recommended for a period of 3 months. If blood cholesterol does not improve, Step 2 Diet was then recommended. In May 2001 the NCEP released new guidelines for cholesterol management. These new guidelines are in the Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III [ATP III]). The American Heart Association accepted and endorsed this report and began incorporating these recommendations into its materials on dietary and lifestyle change for people with high blood cholesterol. For people at high risk or who have known cardiovascular disease, NCEP and AHA have adopted and now recommend the new Therapeutic Lifestyle Changes (TLC) diet. Summary of the TLC Diet Total Fat Saturated fat Polyunsaturated fat Monounsaturated fat Carbohydrates Protein Cholesterol Plant Sterols Soluble Fiber such as psyllium 25% - 25% total calories < 7% total calories up to 10% total calories up to 20% total calories 50% - 60% total calories ~15% total calories <200 mg/dL 2g/day 10g - 25g Examples of food in the TLC Diet Lean Meat/Fish/alternatives Eggs Low Fat Dairy Fats/Oils Breads/Grains/Rice/Pasta Vegetables Fruits < 5 oz/day < 2 yolks/wk (whites unlimited) 2 - 3 servings/d <1% fat < 6 - 8 tsp/day >6 servings 3 - 5 servings/day 2 - 4 servings/day Click here for more information on NCEP TLC diet. For a detailed customized plan, please consult with your Registered Dietitian. [Read other related High Cholesterol Diets articles]

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