3 Summer Treats Perfect in this Heat

While not all may side with iHob’s decision to enter the burger industry, we can agree on this:

This summer is HOT!

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With temperatures approaching triple digits, you may be reaching for popsicles, ice cream sandwiches and snoballs to cool you down. After all, you know what they say: “if you can’t take the heat, get out of the kitchen!” But before you overload on sugar and throw in the towel, consider a set of treats that are cool, healthy, and perfect for beating the heat.

Here are three healthy, dessert-style recipes you need to try this summer:

Stacked Fruit Salad

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Ingredients

  • 2 tablespoons fat-free vanilla yogurt
  • 2 tablespoons fat-free ricotta cheese
  • 1/4 cup crushed pineapple, drained
  • 1/4 cup blueberries
  • 1/4 cup mandarin oranges
  • 1/2 small kiwi, peeled and sliced
  • 1 ring spiced apple

Directions

Mix the yogurt and ricotta cheese in a small bowl. Use a small spatula to smooth each layer as you add it to a parfait glass or a ring mold (place the mold on a plate). Spread 1/4 cup drained pineapple in the bottom. Spread half the yogurt-ricotta mixture over the pineapple. Top with a layer of blueberries. Mandarin orange segments come next, then another yogurt-ricotta layer. Arrange slices of peeled kiwi. Top with the spiced apple ring. Cover loosely and refrigerate, unless you’re ready to eat it at once. If you use the ring mold, some juice may leak out during refrigeration. Use a paper towel to dry the plate just before serving.

Serves: 1

The serving contains about 175 calories, 7 g protein, 0 g fat, 0 mg cholesterol, 38 g carbohydrates, 3 g fiber, and 56 mg sodium.

This dish is gluten-free.

Cherry Swirl Pudding

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Ingredients

  • 2 cups fat-free plain yogurt
  • 2 cups sweet black cherries, pitted
  • 1 teaspoon pure vanilla extract
  • 1/4 cup dried, unsweetened coconut

Directions

Increase the yogurt’s density by putting it in a strainer lined with cheesecloth or a coffee filter over a bowl. Refrigerate. After 2 hours, you’ll see about 1/2 cup liquid to discard. Halve the cherries. Mix the cherries, vanilla extract, and coconut into the yogurt. Refrigerate until ready to serve in stemmed cocktail glasses (just spoon it in).

Serves: 4

Each serving contains about 145 calories, 8 g protein, 9 g fat, 0 mg cholesterol, 24 g carbohydrates, 4 g fiber, and 100 mg sodium.

This dish is gluten-free.

Pineapple Smoothies

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Ingredients

  • 1 cup fresh pineapple chunks
  • 1 cup light vanilla yogurt
  • 1 cup crushed ice

Directions

Put ingredients in a blender. Puree and pour.

Serves: 2

Each serving contains about 110 calories, 5 g protein, 1 g fat, 23 g carbohydrates, 1 g fiber, and 66 mg sodium.

This dish is gluten-free and gout friendly.

Click here for more healthy recipes!

 

The Benefits of Breakfast

Author: Rosetta Danigole, Lead Nutritionist at UMC

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Are You a Breakfast Eater?

Studies show that there are many benefits to choosing a healthy breakfast every morning.

First, there’s the energy factor. Your brain needs glucose from food – especially good carbohydrates such as whole grains, fresh fruits and low-fat dairy products – in order to work well.

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What Happens When You Skip Breakfast

When you skip breakfast you may end up with a brain-energy slump by mid-morning.

Skipping the benefits of breakfast can lead to an increase in LDL (“bad” cholesterol) levels, according to researchers.

Going without breakfast means you likely will eat more throughout the day. People who eat breakfast, on the other hand, get their metabolism humming and tend not to consume as many calories during the entire day, so they wind up weighing less than those who don’t get the benefits of eating breakfast.

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You may be jeopardizing your long-term health. One study found that those who skipped breakfast were more resistant to insulin. Insulin resistance increases the risk of developing diabetes.

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If you are not a breakfast eater and have a hard time eating in the morning you may just have a bad habit.  To start breaking that habit try a light breakfast such as a banana and a glass of milk or even a cup of low fat low-sugar yogurt and fruit.  You may just need to re-train your system to accepting food in the morning.

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Lastly, what are the good and bad breakfast choices?

  • Try not to load up on caffeine — one cup is a good limit, but if you need two cups maybe try a cup of hot tea as it is higher in antioxidants.
  • Avoid muffins, large bagels, sweet pastries, sweetened cereal, & high-fat meats such as bacon.
  • Eggs are good choices (high in protein and not the cholesterol offender as once thought). Studies say to it is good to include eggs 3 to 4 times per week; preferably organic and high in omega 3 fatty acids.
  • Try whole grains coupled with high quality protein such as eggs and oatmeal or yogurt and fruit.
  • Don’t forget the healthy fats such as almonds/walnuts/or flax seeds.

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…But What About Grits?

Here in New Orleans we love grits and a lot of folks ask dietitians about that. Grits are made from corn and is not that bad in and of itself but it is a refined food. Include it occasionally for breakfast but not daily as other options offer more nutrients.

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About the Author

Rosetta

As the lead dietitian at University Medical Center New Orleans, Rosetta Danigole manages clinical dietetic operations. She is a member of the Academy of Dietetics and Nutrition and belongs to the clinical dietitian practice group. She has been a dietitian for 35 years.

 

The Link Between Diet, Obesity and Cancer

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A diet that includes plenty of fruits, vegetables and good sources of protein are important for good health, but did you know that what you eat can also affect your risk for cancer?

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The good news is that diet and obesity are things that can be controlled through healthful choices and a greater understanding of how our bodies process certain foods.

The link between cancer and diet is the topic of the UMC Cancer Center’s next Breast Health Lunch Lecture, presented by Adam Riker, MD., F.A.C.S. Dr. Riker is an LSU Health New Orleans surgical oncologist and Oncology Service Line Director at UMC.

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The free lecture takes place from 12 – 1 p.m. in the UMC Conference Center, on the first floor of UMC, 2000 Canal Street. Lunch will be provided, and a Q&A will follow.

During the lecture Dr. Riker will share a wealth of information, including the basics of cancer, how many people develop cancer, and most importantly, why people develop cancer.

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According to the World Cancer Research Fund, one of the biggest risk factors for cancer is being overweight or obese. Eating food that is high in fat or sugar can lead to weight gain, and there is strong evidence that being overweight or obese increases the risk of 11 cancers.

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Dr. Riker’s lecture will explore why having too much sugar in our diets is not only dangerous, but potentially deadly, the effects of wheat, flour, gluten and process foods (most of which contain flour and wheat) on our overall health, the effects of dairy consumption and the most common pesticide/herbicide in the U.S. food chain and its impact on the vast majority of food consumed in the U.S.

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In the second half of his lecture, Dr. Riker will drill down on how our body processes food, especially sugar and wheat. Sugar is linked to insulin resistance, weight gain, high blood pressure, heart disease, diabetes and cancer. Gluten, a protein in wheat, has been linked to a number of ailments, including inflammation, intestinal disorders and autoimmune disorders.

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He will discuss the dietary guidelines in the food pyramid and affect on childhood and adult obesity.

The Standard American Diet

1970: 2,077 calories

1990: 2,343 calories

2010: 2,590 calories

Additionally, “I’ll focus upon the striking increase in obesity and diabetes (and other health problems) as a result of the U.S diet and then discuss what we can do about it, in order to live a healthy, happy, fulfilled and cancer-free lifestyle,” Dr. Riker said.

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Show Us Your Green!

Author: Rosetta Danigole, UMC Lead Clinical Dietitian, Nutritional Services

Green is everyone’s favorite color on St. Patrick’s Day. If you’re looking to liven up your party or dinner table, you’re in luck.  Nature has a bounty of options that don’t require food coloring.

Here are a few St. Paddy’s favorites from the UMC Nutrition team:

Brussels sprouts – These are packed with vitamins A and C as well as birth-defect fighting folate and blood pressure-balancing potassium. Not into Brussels sprouts or kale? Consider such other cruciferous veggies as broccoli, arugula, and bok choy.

Kale – A member of the powerhouse family of greens known as cruciferous veggies (a fancy word for the cabbage family), kale has bone-boosting vitamin K, vision- and immune-boosting vitamin A, and even anti-inflammatory omega-3 fatty acids.

Asparagus – This springtime vegetable is rich in vitamins K, C, A, and folate. It also has a number of anti-inflammatory nutrients. Asparagus is also famous for a healthy dose of inulin — a “prebiotic” that promotes digestive health.

Edamame – These soybeans are a longtime Japanese diet staple. A complete plant-based protein, edamame is a good protein source for vegetarian and vegan diets. When eaten in place of fatty meat, soy may lower cholesterol by reducing saturated fat intake

Green Beans – Also called string beans, green beans are a common side dish in Southern cooking. They’re loaded with fiber, which can help lower cholesterol and stabilize blood sugar, making them an excellent choice for people with diabetes.

Try these healthful green recipes:

Luck of the Irish Green Smoothie

This smoothie is full of iron, potassium and vitamins and taste like a yummy treat.

Ingredients:

1 cup fresh spinach

1 cup almond milk/coconut milk- low sugar

½ cup pineapple

½ cup mango- optional

1 banana

 

Instructions:

  1. Tightly pack spinach in a measuring cup.
  2. Add spinach to blender with milk alternative.  Blend together until all chunks are gone.
  3. Add pineapple, mango and banana.
  4. Blend all ingredients together until smooth and creamy.
  5. Serve cold with ice if desired.

 

Calories: 202

Sodium: 30 milligrams (very low)

Carbohydrate: 51 grams—all from natural sources—fruits and vegetables

Fiber: 6 grams

Protein: 3 grams

 

Collard Greens  

Collard greens not only taste good, they supply a good dose of fiber, calcium, protein and iron. To keep this Southern staple healthy, keep the sodium low and skip the meat.

Number of Servings: 8
Serving Size:  1 cup

 

Ingredients:

4 lb collard greens

3 cups low fat, low sodium chicken broth

2 chopped onions

3 garlic cloves, crushed

1 tsp crushed red pepper flakes

1 tsp pepper

 

Instructions:

  1. Wash and cut the collard greens and place them in a large stockpot. Add the remaining ingredients and enough water to cover.
  2. Cook until tender, stirring occasionally, about 3 1/2 hours. The flavors will blend even more if you let the greens sit for a bit after cooking.

Beware and Be Aware of Carnival Cravings!

Author: Amanda Mitzel, RN, University Medical Center New Orleans

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Carnival season (and let’s be honest, living in New Orleans) can often make mindful eating a hard practice with which to stick. Between king cake, jambalaya and Popeye’s chicken, it seems everyone has food on the brain, but especially between King’s Day and Fat Tuesday.

Although the spirit of Mardi Gras has the power to get people thinking about eating, it does not always promote thinking about what they’re eating.

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If you’ve never heard of the term until now, mindful eating is the art of being aware of what you consume. It’s important because eating mindfully brings a steady awareness of our decision-making when it comes to food, encouraging healthy options and habits (while also making sure we aren’t unkind to ourselves if we have the occasional treat).

Mindful eating is not about restricting food. It’s not a diet.

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It’s about immersing ourselves in the experience, and it’s easy — not to mention, beneficial. Here’s how:

  • It increases your awareness of being full: Being mindful helps us notice when we’ve had enough, so we’re less likely to eat beyond the point of feeling satisfied.
  • It helps with identifying triggers: Our tendencies to eat for reasons other than nourishment are brought to light, such as stress eating or eating to comfort an emotion (sadness, anger, grief).
  • It aids in identifying habits: We can better see our habits, such as eating out of boredom or always having a certain snack during a particular activity. This awareness can help us challenge our need to always do something a certain way, especially if it’s unhealthy.
  • It promotes understanding the need for better coping mechanisms: As we uncover our triggers, we start to clearly see the need to deal with these emotions in a different way. Mindfulness helps give ourselves the space we need to process our feelings in a healthier way, such as breathing exercises, going for a walk, or talking with a friend.
  • It inspires you to make smarter food choices: This inspiration comes from a better awareness of how what you choose to fuel yourself affects how you feel. We start to notice the difference in how we feel when we eat a healthy meal versus post-junk food lethargy and anxiety.

So, now you may ask: How can I begin to integrate mindful eating into my everyday life?

Listed below are some tips to consider the next time you eat, whether it’s a healthy snack or that single slice of king cake you’re determined to savor mindfully:

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Cut out Distractions

Turn off your TV, your cell phone – anything that will distract you from the food in front of you. Focus fully on the meal if you are alone. If you are with loved ones, minimize distractions to the extent that you can. Immerse yourself in the conversation rather than checking your email or going over the day’s events in your mind.

Savor the Flavors

Enjoy your food! Use all five senses to heighten the experience.

Notice Reactions

Be aware of any emotions that come up. Do certain foods make you feel upset with yourself? Or do certain emotions cause you to reach for food as a nervous habit? Noticing these tendencies will help you highlight the need to work on managing your stress in other ways, decreasing that knee-jerk reaction to grab for food.

Don’t Judge

Try your best to keep that feeling of equanimity, no matter what emotions come up. Let those feelings come and go like clouds passing in the sky.

Pause

Make sure to slow down and give yourself enough time to notice when you’re feeling full. We often eat past the point of satiety simply because we’re distracted.

Be Kind to Yourself

Remember that this is not restricting yourself. It’s about paying attention and allowing this process to build the presence of mind to make choices that help us feel good about ourselves.

Making healthy choices becomes easier when we quiet down all the distractions around us and within our minds, and starting a mindful eating practice is as simple as giving your full attention to the plate in front of you.

Join me in trying to stay mindful this Carnival season, which will heighten the experience…and it might just keep us from eating the whole cake, too!

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A Resolution for a Revolution: How to Stay True to Your New Year’s Goals

 

Author: Alan Gatz, MD, UMC Primary Care Physician

Most people have good intentions when making a resolution, but oftentimes, they set themselves up for failure by setting unrealistic goals or not being fully invested in the proposition.

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For example:  “I resolve to transform this overweight, middle-aged couch potato into the new and improved Adonis 2.0.” Okay, you caught me. This has been my standard resolution for the past two decades. After 20+  years, I have yet to achieve this unrealistic, yet admirable result. If I had to guess, I would say that most who read this post have made similar nebulous resolutions.

Well, what’s past is past: I’m vowing to make 2018 different.

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Rather than talking the talk, I’m endeavoring to walk the walk — and you should, too! The days of written vows that never live to see the light of day should be rendered passé. Instead, we should take oaths that describe defined, attainable goals supported by specific actions to reach those goals.

Only in doing that can we measure our success — because we’ll actually have metrics. This tangible action will improve our success significantly by serving as a physical reminder and reinforcement of our commitment.

With that in mind, I present to you my personal oath for 2018.

I vow to take charge of my health and well-being by:

  • Establishing a relationship with a primary care physician
  • Exercising at least 3 times per week for 45 to 60 minutes
  • Developing healthy eating habits and limiting consumption of fast food
  • Working with my physician, dietitian, and exercise physiologist to attain and maintain a weight that reduces my risk for developing diabetes mellitus, cardiovascular disease and degenerative arthritis

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Each of these actions can be observed/measured and the results, documented. There exists no excuses.

Now that I have not only spoken — but transcribed — the vow for all to see, I guess I better follow through! Just don’t expect Adonis as the end result. Record of my progress will be kept and updated via this HealthyU Blog, so check back often!  I will report the results of my efforts and, hopefully, demonstrate the positive benefits of committing to a healthy lifestyle.

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UMC remains committed to the well-being of its staff and all who present themselves for care. To this end, the Primary Care Clinic, located at 2003 Tulane Avenue, opened on December 20th for all who wish to establish ongoing care with a primary care specialist.

If you desire to make the commitment to improve your health by losing weight and reducing your risk for developing serious medical conditions, please contact the office for an appointment. Dr. Rogers and I look forward to partnering with you in your quest for better health. Call the clinic directly at 504-962-6120.

A belated Happy New Year to all!

Give It Your Heart and Sole

Experts have known for a while that certain healthy habits are essential to good heart health. Even simple changes can reduce your risk for heart disease – and lifestyle changes have even been shown to help reverse damage in people already diagnosed with a heart condition.

Heart disease is this country’s No.1 killer, but according to the American Heart Association New Orleans, many deaths from heart disease can be prevented each year by adopting a heart-healthy lifestyle.

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Find time to exercise

Doing some form of exercise – whether it’s working out at the gym, taking the stairs instead of the elevator, or starting a walking program – can improve heart health, according to the AHA. Walking at least 30 minutes of day can help lower your blood pressure, improve your cholesterol profile and help you reduce your risk of coronary heart disease. A recent eight-year study of 13,000 people found that those who walked 30 minutes a day had a significantly lower risk of premature death than those who rarely exercised

Thousands of people will be taking this critical message to heart, and making a commitment to leading a heart healthy life at Saturday’s AHA New Orleans Walk in Champion’s Square.

At this annual event, participants join with others and generate a renewed commitment to heart-healthy living through walking.

In addition to a commitment to daily exercise, other lifestyle changes can reduce the risk factors for heart disease, heart attack and stroke.

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Eat a healthy diet

A healthy diet is one of the best weapons to fight heart disease, according the AHA. Foods consumed can affect risk factors such as high cholesterol and high blood pressure. Eating fatty foods plays a part in the buildup of fat in your arteries, which can lead to blocked arteries of your heart and to the risk of a heart attack. A healthy diet consisting of lean proteins, vegetables, fruit and whole grains can help improve heart health. If you’re overweight, set weight-loss goals. Even losing a small percentage of your body weight reduces your risk for heart disease.

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If you smoke, stop.

The American Heart Association (AHA) says diseases caused by smoking kill more than 440,000 people in the U.S. each year. One out of every five smoking-related deaths is caused by heart disease.

Smoking causes an instant and long-term rise in blood pressure, increases heart rate, reduces blood flow from the heart, damages blood vessels and doubles the risk of stroke.

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Top 3 Recommendations for a Healthier Heart

  • Find time to exercise: Brisk walking for as little as 30 minutes a day has proven health benefits, such as providing increased energy and circulation, as well as reduced risk of heart disease.
  • Eat a healthy diet: Eat more fruits and vegetables, whole grains, low-fat dairy, fish, poultry, and nuts. Cut back on sugary foods like soda and on red meat. In general, stay away from foods high in salt, cholesterol, saturated fat, and trans-fat.
  • If you smoke, stop: Smoking can seriously damage blood vessels and increase your risk for heart disease.

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Tips for sticking with your heart healthy lifestyle changes:

  • Start small. Make promises that you can keep. Rather than trying to go the gym every day, aim go three times a week and add more walking each day. Instead of overhauling your entire diet, try replacing sugary treats with healthier options, like fruit.
  • Take a gradual approach. Making lifestyle changes may take time. Don’t expect miracles overnight. Try replacing one unhealthy behavior at a time.
  • Don’t go it alone. Talking about your resolutions and finding support can help you reach your goals. Try forming a group or take a class with others who have common goals. Having support and being able to talk about your struggles can make sticking to your plan less overwhelming.

You Are What You Eat: Lifestyle Tips for Managing Your Cholesterol

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Author: Rosetta Danigole, Lead Dietitian at University Medical Center New Orleans

September is National Cholesterol Education Month, a good time to consider food and lifestyle choices that benefit your health and prevent illness like heart disease.

For a long time, dietary cholesterol was considered a risk factor for heart disease. More recent recommendations suggest foods high in dietary cholesterol and low in saturated fats – foods like eggs, shellfish and liver – are acceptable and not of as great a concern as once thought in increasing cholesterol levels for most of the population. Keep in mind, however, that saturated fats – those fats found in animal products and solid fats, such as red meat and butter – are still considered to raise cholesterol levels.

Nutrition is an emerging science and dietary recommendations may change, but there are some tried and true guidelines:

A healthy dietary pattern is higher in vegetables, fruits and whole grains, low or nonfat dairy, seafood, legumes and nuts.

It is moderate in alcohol and lower in red and processed meat and low in sugar-sweetened foods and drinks and refined grains.

More studies show it is not only about the cholesterol numbers.  It’s about the inflammatory process associated with disease.

In order to reduce inflammation and reduce the damage caused by oxidative stress and the negative effects of so-called “bad cholesterol,” here are some dietary tips:

  • Fruits and vegetables: At least 4 to 5 cups a day.
    • Nutrition Staff Tip: Try to make it 3 cups of vegetables and 2 cups of fruit for reduced sugar and calories.
  • Fish (preferably oily fish, like salmon): At least two 3.5-ounce servings a week.
    • Nutrition Staff Tip: While eating tilapia, for instance, is a good choice, the oily fish has more benefits — try it twice per week.
  • Fiber-rich whole grains: At least three 1-ounce servings a day.
    • Nutrition Staff Tip: Breakfast is a great time to get this one in. Try oatmeal instead of grits this month — but go easy on the brown sugar.
  • Nuts, legumes and seeds: At least 4 servings a week, opting for unsalted varieties whenever possible
    • Nutrition Staff Tip: Keep this as your snack daily — you only need a small handful. Portion it out when you get home and make 4-5 small bags per week so you won’t forget!

Other dietary measures:

  • Sodium: Less than 1,500 mg a day.
    • Remember: One teaspoon of salt contains 2,400 mg if sodium per day. Processed food is packed with sodium, so avoid processed foods and the salt shaker. Read labels!
  • Sugar-sweetened beverages: Excessive sugar is very inflammatory.  Avoid if at all possible. Drink water and herbal tea instead. Natural sweeteners such as Stevia seem to be a good choice.
  • Processed meats: Most people should try to avoid this altogether.  We suggest peanut butter, fresh tuna and chicken salad sandwiches with olive oil mayonnaise, and grilled chicken sandwiches to name some options. Also, there are other options such as bean burgers and hummus burgers if you want to try something new and vegetarian.
  • Saturated fat: The American Heart Association continues to recommend no more than 7% of your fat intake come from saturated fats. Trans fats have been of special concern over the last few years. Read your labels and be aware that anything that is a commercially baked good has the potential of some trans fats.

NOTE: Having a cholesterol level that is very low also has potential negative effects and may increase risk of dementia, autoimmune disorders and infections.

Try not to focus on the numbers. Focus on healthy lifestyles, healthy diet and exercise. Epidemiological data reveals that cardiovascular disease occurs within people who have low, normal and high cholesterol.  The implication from this is that total cholesterol is not the only marker for the assessment of cardiovascular risk.