F
FAT- & CHOLESTEROL-RESTRICTED DIET
BASIC INFORMATION:
Therapeutic Lifestyle Changes Diet (TLC)
| Nutrient | Recommended Intake |
|---|---|
FOOD LISTS—TLC DIET:
Milk/Dairy (Limit to 2 to 3 servings a day)
• Allowed: Fat-free or 1% fat milk (liquid, powdered, or evaporated), fat-free or low-fat yogurt, fat-free or low-fat cottage cheese, fat-free or low-fat cheese, fat-free sour cream, and fat-free cream cheese.
• Avoid: Whole milk (over 3% fat) (liquid, evaporated, or condensed), 2% milk, cream; half-and-half, imitation milk products, most nondairy creamers, whipped toppings, whole milk yogurt, regular cottage cheese (4% fat), natural cheeses made from whole milk (cheddar, Swiss, blue, Camembert, etc.), low-fat or regular cream cheese, low-fat or regular sour cream, low-fat sour cream.
Meat/Meat Substitute (Limit to 6 oz a day from animal products, limit 4 egg yolks a week)
• Allowed: Cooked dried beans, split peas, lentils, pinto beans, poultry without the skin, fish, tuna packed in water, lean beef (extra lean ground beef, eye of round, sirloin, round tip, round, top round, tenderloin, top loin), lean pork (tenderloin, leg, shoulder), lamb (arm, leg, loin, rib), luncheon meats (1 gram of fat or less per ounce), egg whites (2 egg whites will equal 1 whole egg), low-cholesterol egg substitutes.
• Avoid: Fried meats or meat substitutes; fatty cuts of beef, pork, or lamb; goose; duck; liver, kidney, brains, or other organ meats; sausages; bacon; regular luncheon meats; peanut butter (except as allowed under Miscellaneous); or egg yolks beyond allotment.
Breads and Grains (6 to 11 servings a day)
• Allowed: Whole-grain breads (oatmeal, whole wheat, rye, bran, multigrain, etc.), English muffins, bagels, pita bread, rice, pasta, homemade baked goods low in fat, low-fat crackers (rice cakes, popcorn cakes, Rye Krisp, Melba toast, pretzels, breadsticks), or hot or cold cereals (with 1 to 2 grams of fat or less per serving).
• Avoid: High-fat baked goods (pies, cakes, doughnuts, croissants, pastries, muffins, biscuits); fry bread; high-fat crackers; egg noodles; granola type cereals; cereals with more than 2 grams of fat per serving; pasta and rice prepared with cream, butter, and cheese sauces.
Vegetables (3 to 5 servings per day or more)
Fruits (2 to 4 servings per day or more)
Desserts and Sweets (Limit to control calories)
• Allowed: Sugar, jelly, jam, honey, molasses, low-fat or fat-free frozen desserts (such as sherbet, sorbet, ices, fat-free frozen yogurt, and Popsicles), angel food cake, low-fat or fat-free cakes and cookies (such as vanilla wafers, graham crackers, ginger snaps [and others with less than 2 grams of fat per serving]), baking cocoa, low-fat or fat-free candy (such as jelly beans or hard candy), low-fat or fat-free puddings, gelatin desserts.
• Avoid: Ice cream; high-fat cakes, pies, and cookies (most commercially made); chocolate; puddings made with whole milk; and nut candies.
Beverages
• Allowed: Juices, tea, coffee, decaffeinated coffee, carbonated drinks, and most alcoholic beverages.
Miscellaneous
• Allowed: Limit fat based on total number of calories consumed. Generally no more than 6 to 8 servings/day of added fat such as margarine and salad dressing should be eaten; overweight, sedentary, or elderly individuals may need less.
No Limit: Vegetable oil sprays; fat-free mayonnaise and salad dressings; fat-free sour cream; herbs, spices, pepper, and salt substitute (with health care provider’s approval); mustard; catsup; vinegar; lemon and lime juice; fat-free sauces; cream sauces made with allowed ingredients.
• Avoid: Butter, coconut oil, palm oil, palm kernel oil, lard, bacon fat, salad dressings made with egg yolk, fried snack foods (potato chips, cheese curls, tortilla chips), regular cream sauces.
| Suggested Meal Plan | Suggested Foods and Beverages |
|---|---|
| BREAKFAST | |
| Citrus Fruit or Juice | Grapefruit Half |
| Cereal | Bran Flakes (1/2 cup) |
| Meat/Meat Substitute | Low-Cholesterol Egg Substitute (1/4 cup) |
| Bread with Margarine | 2 Slices Whole Wheat Toast with Jelly (1 tsp) |
| Milk | 1% Milk (1 cup) |
| Beverage | Coffee |
| DINNER—NOON OR EVENING MEAL | |
| Meat/Meat Substitute | Baked Chicken Breast (3 oz) |
| Potato/Potato Substitute | Sweet Potato (1/2 cup) |
| Vegetable and/or Salad | Fat-Free Green Beans (1/2 cup) |
| Garden Salad (1 cup) with Low-Fat Dressing (2 Tbsp) | |
| Bread with Margarine | Whole Wheat Rolls (2) with Honey (2 tsp) |
| Dessert | Strawberries (1 cup) |
| Beverage | Iced Tea |
| SUPPER—EVENING OR NOON MEAL | |
| Soup or Juice | Vegetable Juice (1/2 cup) |
| Meat/Meat Substitute | Fat-Free Meatballs (3 oz) in Spaghetti Sauce (1/2 cup) |
| Potato/Substitute | Spaghetti (1/2 cup) |
| Vegetable and/or Salad | Fat-Free Broccoli (1/2 cup) |
| Spinach Salad (1 cup) with Low-Fat Dressing (2 Tbsp) | |
| Bread with Margarine | Slice Italian Bread with Margarine (1 tsp) |
| Dessert | Fruit Sorbet (1/2 cup) |
| Milk | 1% Milk (1 cup) |
| Beverage | Coffee or Tea |
Nutrient Analysis
| Calories | 1864 Kcal |
| Protein | 99 gm |
| Carbohydrate | 285 gm |
| Fat | 46 gm |
| Saturated Fat | 13 gm |
| Monounsaturated Fat | 15 gm |
| Polyunsaturated Fat | 12 gm |
| Cholesterol | 226 mg |
| Dietary Fiber | 45 gm |
| Vitamin A | 3781 IU |
| Vitamin C | 341 mg |
| Niacin Equivalents | 14 mg |
| Riboflavin | 3.1 mg |
| Thiamin | 2.0 mg |
| Folate | 546 mcg |
| Vitamin B6 | 2.7 mg |
| Vitamin B12 | 5.7 mcg |
| Calcium | 1227 mg |
| Phosphorus | 1879 mg |
| Zinc | 16 mg |
| Iron | 22 mg |
| Sodium | 3675 mg |
| Potassium | 4494 mg |
