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Heart Health
Heart Health

Printable List Of Foods To Avoid With High Cholesterol: Heart-Healthy Alternatives

John Markell, RDN, LDN, CDN, CPT
Author: 
Medical Reviewer: 
John Markell, RDN, LDN, CDN, CPT
|
Author: 
Julia Zakrzewski, RD
Published:
August 13, 2024
Updated on
#
min read
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Table of Contents

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Heart Health

Key Takeaways

  • Reducing your intake of saturated and trans fats may help lower high cholesterol levels. 
  • Specifically, you may want to avoid ultra-processed foods, fatty cuts of meat, and full-fat dairy products. 
  • Your dietitian can recommend alternatives, such as plant-based proteins, whole grains, nuts, seeds, omega-3-rich fish, and more. 

Your primary healthcare provider analyzes your cholesterol levels as one way to gauge your overall heart health. 

If your numbers are above the target range, health authorities often first recommend trying to improve your numbers through lifestyle and diet changes. 

To help you feel more confident about managing your heart health, we’ve created a printable list of foods you may want to avoid if you have high cholesterol.

There’s also an abundance of delicious, heart-healthy alternatives you can enjoy instead.

Keep reading to get started. 

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How Can Diet Help with Cholesterol?

Several factors, including genetics, physical activity, and food and beverage choices, can affect your cholesterol levels. 
To lower your cholesterol levels, health authorities recommend making the following dietary changes: 

  • Limit your intake of saturated fats (fatty cuts of meat, high-fat dairy products, and desserts). 
  • Eat more whole grains, vegetables, fruits, nuts, seeds, and beans to increase your fiber intake. 
  • Decrease your intake of refined and ultra-processed products, such as sodas, fried items, frozen meals, etc. 
  • Use fresh herbs and ground spices when cooking, and be conscious of the amount and type of cooking fat and oil you add when preparing your meals. 

Printable List of Foods to Avoid With High Cholesterol

Below are foods that you may want to avoid if you have high cholesterol.

Many of these items contain high amounts of saturated and trans fats, salt, and sugar.

This list is generalized, and a dietitian can suggest more personalized and culturally relevant recommendations.

Organ Meats (Liver, Kidneys)

Organ meats are high in saturated fats and cholesterol (which may raise blood cholesterol in some people) and should be limited in a heart-healthy diet. 

Many people eat organ meats, such as liver and kidneys, for protein.

These cuts of meat can also be rich in nutrients (liver has high iron) and are usually inexpensive compared to other types of animal proteins. 

Fatty Cuts of Meat  

Fatty cuts of meat have visible white streaks or marbling through them, and sometimes pieces attached to the cut itself.

When cooked, these fatty pieces are sometimes called the “gristle.” 

These types of meats are high in saturated fat and should be limited when following a heart-healthy diet.

Examples of fatty cuts include: 

  • Pork belly. 
  • Ribeye, T-bone, and New York strip steaks. 
  • Full-fat ground beef, pork, lamb. 
  • Poultry with skin fried on. 

Battered and deep-fried meats or fish (like chicken tenders and fish sticks) will be high in saturated and trans fats and should also be limited. 

Processed Meats 

Processed meats are smoked, cured, or have additional preservatives to make them last longer.

The current USDA nutrition guidelines recommend limiting your intake of these foods for overall health and cholesterol management. 

These are examples of some processed and ultra-processed meats:  

  • Bacon (including turkey bacon). 
  • Hot dogs. 
  • Sausages.
  • Deli meat with clear marbling (salami, pastrami, bologna, etc.) 
  • Jerky. 
  • Corned beef. 

Full-Fat Dairy Products

Whole-fat dairy products are naturally high in saturated fats, and choosing lower-fat options may be better for your cholesterol levels. 

Try to limit your intake of these foods: 

  • Full-fat cheeses. 
  • Butter and ghee. 
  • Ice-cream. 
  • Whole milk. 
  • Heavy cream. 
  • Full-fat sour cream. 
  • Whole milk yogurt. 

Foods High in Sodium

Sodium (salt) intake isn’t directly linked to cholesterol levels, but you should moderate your consumption to improve overall heart health.

Your primary health care provider can tell you how much salt you should consume daily, but federal guidelines suggest staying under 2300 mg. 

The Centers for Disease Control and Prevention (CDC) state that these foods are the top sources of salt intake for Americans: 

  • Sandwiches. 
  • Seasoned grain-based dishes. 
  • Meat, poultry, and fish dishes. 
  • Pizza. 
  • Soups. 
  • Chips, crackers, and savory snacks. 
  • Desserts and sweet snacks. 
  • Condiments and gravies. 
  • Cold cuts and cured meats. 
  • Breads and tortillas. 

Heart-Healthy Alternatives for Lowering Cholesterol

There are plenty of heart-healthy alternatives that can support your cholesterol goals.

Foods that fit the bill for heart health have at least one of these properties: 

  • They have soluble fiber, which is proven to lower cholesterol levels and have other health benefits. 
  • They have poly or monounsaturated fats—the healthy cousin to saturated and trans fats.  
  • They are whole, minimally processed items with little to no added sugars, salts, fats, or preservatives. 

Plant-Based Protein Sources

Replacing meats that are high in saturated fats with lean, plant-based proteins may help your heart health.

Examples of these foods include: 

  • Kidney beans. 
  • Chickpeas (garbanzo beans). 
  • Black beans. 
  • Lentils. 
  • Navy beans. 
  • Pinto bans. 
  • Edamame (whole soybeans). 
  • Tofu (made from soybeans). 

Nuts and seeds contain heart-healthy fats and small amounts of protein, but this may not be enough to satisfy your daily protein requirements.

Combine them with other protein-rich foods to ensure you get enough at meals. 

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Lean Cuts of Meat

Lean cuts of meat have lower levels of saturated fats and can be included in a heart-healthy diet.

You can season them with low-salt spice blends and fresh herbs to add more flavor. 

Examples of lean meats include: 

  • Skinless chicken breast and turkey breast. 
  • Extra-lean ground beef. 
  • Sirloin. 
  • Pork loin. 

Omega-3 Rich Fish 

Omega-3 fatty acids are found in some fish and can reduce your heart disease and stroke risk.

The American Heart Association recommends eating omega-3-rich fish twice weekly to get enough omega-3. 

Examples of omega-3-rich fish are: 

  • Salmon. 
  • Trout. 
  • Mackerel. 
  • Herring. 

Plant-based sources of omega-3 include walnuts, chia seeds, and flax seed or flax seed oil.

Some research suggests flax seed oil may help lower cholesterol in some people, but more research is needed. 

Low-fat Dairy and Dairy Alternatives

Low-fat dairy products contain less saturated fat than whole-fat varieties and may be a better option for lowering cholesterol in some people.  

Plant-based dairy alternatives often don’t have saturated fat or as much protein, but fortified varieties have essential nutrients to help you meet your daily intake goals.

Examples include:

  • Low-fat or zero-fat skim milk. 
  • Reduced-fat cheeses. 
  • Low-fat or zero-fat yogurt. 
  • Unsweetened soy milk. 
  • Unsweetened cashew milk. 
  • Unsweetened rice milk. 
  • Unsweetened almond milk. 

Whole Grains

Whole grains contain fiber and are a good source of energy.

For optimal health, the current USDA nutrition guidelines suggest that at least 50% of your daily carbohydrate intake should be whole grains. 

Here are some whole grains to eat more often:

  • Quinoa. 
  • Teff. 
  • Amaranth. 
  • Bulgur. 
  • Buckwheat. 
  • Brown rice. 
  • Sorghum. 
  • Wheatberries. 

Healthy Fats

Poly and monounsaturated fats are considered “healthy fats.” Include more of these foods in your diet to eat more healthy fats: 

  • Some plant-based oils (olive, sunflower, avocado, canola, etc.) 
  • Nuts and nut butter. 
  • Seeds and seed butter. 
  • Avocados. 
  • Omega-3-rich fish (we listed some examples above!) 

How to Build Heart-Healthy Meals 

The USDA MyPlate tool makes eating a nutritious, filling diet easy.

To use this tool, fill half your plate with vegetables and fruits, a quarter with lean protein, and the final quarter with high-quality carbohydrates. 

Here are a few examples of a heart-healthy meal: 

  • Grilled skinless chicken breast served with lime and cilantro brown rice. Grilled zucchini on the side and a delicious green salad complete the meal. 
  • Baked salmon filet and served with herbed quinoa. Add sautéed asparagus and cauliflower on the side for vegetables. 
  • Stewed five-bean chili with green pepper, tomatoes, carrots, corn, and spices. Serve with a whole-grain bun.  

Try a free 7-day meal plan to lower cholesterol for more heart-healthy meal ideas.

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Takeaway

Your nutrition choices can affect your cholesterol levels, and you may benefit from making some dietary changes. 

For better heart health outcomes, it’s recommended that you decrease your intake of processed meats, reduce your consumption of saturated and trans fats, and limit your sodium intake to 2300mg daily. 

You can use the MyPlate tool to quickly assemble nutritionally balanced meals that support your health goals.

If you want food or recipe ideas, ask your registered dietitian for personalized advice. 

How a Dietitian Can Help

A registered dietitian can teach you how to improve your cholesterol and overall health through dietary changes.

They’ll go above and beyond to ensure you have a sustainable plan in place to help you achieve your health goals. 

Every dietitian appointment at Nourish is done online and covered by insurance.

At every session, you’ll have the full hour to discuss your current diet, review beneficial changes, and learn how to navigate potential roadblocks (like what to order when dining out or how to respond to cravings). 

Find a dietitian covered by insurance through Nourish today. 

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Frequently Asked Questions

What are the worst foods for cholesterol?

Health authorities recommend limiting your intake of foods high in saturated and trans fats to lower cholesterol.

These include fatty meats, high-fat dairy products, commercially prepared desserts, and many fried items.

What are the five super foods that lower cholesterol?

Many “super” foods support a heart-healthy diet.

To lower cholesterol, choose minimally processed items that are rich in fiber and other essential nutrients.

Five examples are: 

  • Nuts. 
  • Seeds. 
  • Vegetables. 
  • Fruits. 
  • Beans. 

‍

What can I drink to flush out my cholesterol?

There’s no evidence that drinking anything can flush out your cholesterol.

Try these evidence-based practices instead: 

  • Eat less processed and ultra-processed foods. 
  • Decrease your intake of saturated and trans fats. 
  • Drink plenty of water (add some flavor by infusing fruits and fresh herbs). 
  • Choose more unsaturated fats (avocado, olive oil, nuts, seeds, omega-3-rich fish, etc.) 
  • Be more physically active. 
  • Reduce or quit smoking.  

References

View all references

What is Blood Cholesterol? | NHLBI, NIH 

‍

Blood Cholesterol - Diagnosis | NHLBI, NIH 

‍

Blood Cholesterol - Causes and Risk Factors | NHLBI, NIH 

‍

Blood Cholesterol - Treatment | NHLBI, NIH 

‍

Fats and oils | Heart and Stroke Foundation 

‍

Iron - Health Professional Fact Sheet 

‍

Dairy Products: Milk, Yogurt and Cheese | American Heart Association 

‍

Schmidt, K. A., Cromer, G., Burhans, M. S., Kuzma, J. N., Hagman, D. K., Fernando, I., Murray, M., Utzschneider, K. M., Holte, S., Kraft, J., & Kratz, M. (2021). Impact of low-fat and full-fat dairy foods on fasting lipid profile and blood pressure: Exploratory endpoints of a randomized controlled trial. The American Journal of Clinical Nutrition, 114(3), 882-892. 

‍

Dietary Guidelines for Americans, 2020-2025 

‍

Polyunsaturated Fats | American Heart Association 

‍

Monounsaturated Fats | American Heart Association 

‍

About Sodium and Health | Salt | CDC 

‍

Health benefits of dietary fibers vary | National Institutes of Health (NIH) 

‍

Fish and Omega-3 Fatty Acids | American Heart Association 

‍

Omega-3 Fatty Acids - Health Professional Fact Sheet 

‍

Pan, A., Yu, D., Demark-Wahnefried, W., Franco, O. H., & Lin, X. (2009). Meta-analysis of the effects of flaxseed interventions on blood lipids. The American Journal of Clinical Nutrition, 90(2), 288-297. 

‍

MyPlate 

‍

Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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33.684566, -117.826508
Chula Vista
, 
CA
California
32.640072, -117.084038
Denton
, 
TX
Texas
33.215530, -97.132446
Aurora
, 
IL
Illinois
41.7571701, -88.3147539
Baton Rouge
, 
LA
Louisiana
30.4494155, -91.1869659
Columbus
, 
OH
Ohio
39.961178, -82.998795
Baltimore
, 
MD
Maryland
39.2908816, -76.610759
Detroit
, 
MI
Michigan
42.331429, -83.045753
Chesapeake
, 
VA
Virginia
36.7183708, -76.2466798
Birmingham
, 
AL
Alabama
33.5206824, -86.8024326
Scottsdale
, 
AZ
Arizona
33.501324, -111.925278
Cincinnati
, 
OH
Ohio
39.103700, -84.513610
North Las Vegas
, 
NV
Nevada
36.201946, -115.120216
Riverside
, 
CA
California
33.980602, -117.375496
Plano
, 
TX
Texas
33.019844, -96.698883
Minneapolis
, 
MN
Minnesota
44.977753, -93.265015
Salinas
, 
CA
California
,
Anaheim
, 
CA
California
33.836594, -117.914299
Springfield
, 
MO
Missouri
37.208958, -93.292297
Fort Wayne
, 
IN
Indiana
41.077469, -85.137489
Phoenix
, 
AZ
Arizona
33.448376, -112.074036
Bakersfield
, 
CA
California
35.3738712, -119.0194639
Garden Grove
, 
CA
California
33.774269, -117.937996
Anchorage
, 
AK
Alaska
61.2163129, -149.894852
Indianapolis
, 
IN
Indiana
39.768402, -86.158066
Nashville
, 
TN
Tennessee
36.162663, -86.781601
Tempe
, 
AZ
Arizona
33.425522, -111.941254
Mobile
, 
AL
Alabama
30.695366, -88.039894
New Orleans
, 
LA
Louisiana
29.951065, -90.071533
Knoxville
, 
TN
Tennessee
35.960636, -83.920738
Grand Rapids
, 
MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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