Question: My blood test results aren’t good—my LDL cholesterol level is 3.4 mmol/L. Can you recommend a specific diet to lower it and provide a 3-day meal plan?
Reply: To lower your LDL cholesterol, focusing on a heart-healthy diet is important. High LDL cholesterol levels are a risk factor for cardiovascular disease, but dietary changes can significantly impact your cholesterol levels and overall heart health.
Key dietary recommendations for managing high cholesterol:
- Increase Soluble Fibre Intake: Soluble fibre, found in foods like oats, beans, lentils, fruits, and vegetables, can reduce the absorption of cholesterol into your bloodstream. Aim for at least 5-10 grams of soluble fibre daily.
- Choose Healthy Fats: Swap out saturated fats and trans fats for healthier unsaturated fats. Saturated fats, found in red meat, full-fat dairy, and processed foods, can raise your LDL cholesterol. Instead, incorporate sources of monounsaturated and polyunsaturated fats, such as olive oil, avocado, nuts, seeds, and fatty fish like salmon, sardines, or mackerel.
- Opt for Plant-Based Proteins: Include more plant-based proteins like beans, lentils, tofu, and legumes. These options are low in saturated fat and cholesterol, making them excellent substitutes for red or processed meats.
- Include Omega-3 Fatty Acids: Fatty fish like salmon and sardines are rich in omega-3 fatty acids, which can help lower triglyceride levels and reduce inflammation. Try to include fish in your diet at least twice a week.
- Limit Cholesterol-Rich Foods: While dietary cholesterol has less impact on blood cholesterol than once thought, it’s still beneficial to limit foods high in cholesterol, like organ meats and shellfish, especially if your LDL levels are elevated.
- Reduce Sodium and Added Sugars: High sodium intake can increase blood pressure, which is often associated with high cholesterol levels. Similarly, excessive sugar consumption can contribute to weight gain and negatively affect lipid profiles.
- Eat More Antioxidant-Rich Foods: Berries, leafy greens, and nuts are rich in antioxidants that can support cardiovascular health by reducing oxidative stress and inflammation.
- Stay Hydrated and Be Physically Active: Drink plenty of water and stay physically active to support your cardiovascular health. Aim for at least 30 minutes of moderate exercise most days of the week.
Here’s a 3-day meal plan designed to help you lower your LDL cholesterol levels:
Day 1:
- Breakfast: Oatmeal topped with fresh berries, a handful of walnuts, and a sprinkle of cinnamon. Serve with a side of unsweetened green tea.
- Lunch: Grilled salmon salad with mixed greens, cherry tomatoes, cucumbers, and sliced avocado, topped with a drizzle of extra virgin olive oil and a squeeze of lemon.
- Snack: A small apple paired with 1-2 tablespoons of almond butter.
- Dinner: Quinoa-stuffed bell peppers filled with a mix of black beans, corn, diced tomatoes, and onions. Serve with a side of steamed broccoli seasoned with lemon zest.
- Snack (optional): A few slices of cantaloupe or watermelon.
Day 2:

- Breakfast: Whole-grain toast topped with mashed avocado, a poached egg, and a sprinkle of chia seeds. Enjoy with a glass of unsweetened almond milk.
- Lunch: Hearty lentil soup made with carrots, celery, onions, and a touch of garlic, served with a side salad of mixed greens and a vinaigrette dressing.
- Snack: Carrot sticks and cucumber slices with a side of hummus.
- Dinner: Baked chicken breast seasoned with herbs and lemon, served with roasted sweet potatoes and sautéed spinach.
- Snack (optional): A small handful of mixed nuts.
Day 3:
- Breakfast: Greek yoghurt (low-fat or non-fat) topped with chia seeds, sliced almonds, and a sprinkle of ground flaxseed. Add a few slices of banana or mixed berries.
- Lunch: Whole-grain wrap with sliced turkey breast, avocado, shredded lettuce, and a spread of Greek yoghurt dressing, with a side of cherry tomatoes.
- Snack: A small orange or a few slices of grapefruit paired with a handful of unsalted mixed nuts.
- Dinner: Grilled tofu marinated in a mix of soy sauce, ginger, and garlic, served with brown rice and steamed asparagus. Garnish with sesame seeds and chopped green onions.
- Snack (optional): A piece of dark chocolate (70% or higher cocoa content) with a cup of herbal tea.
This meal plan focuses on whole foods, promoting heart health and lowering cholesterol. Remember to keep portion sizes in check and drink plenty of water throughout the day. Consistency is key, so try to incorporate these meals into your diet regularly. Also, staying active, consulting with your healthcare provider for personalised advice, and monitoring your progress are advisable.