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Coronary Heart Disease Diet

For high cholesterol with coronary artery disease (CAD), diet becomes a major part of reducing future heart attack and stroke risk alongside your prescribed medicines (such as statins).

The main goals are to lower LDL (“bad”) cholesterol, reduce inflammation, and help prevent further plaque buildup in the arteries. Current guidance strongly supports a Mediterranean-style eating pattern for CAD. 

What to eat more of

These foods have the strongest evidence for helping LDL and heart health:

1) Soluble fiber (very important)

Soluble fiber helps remove cholesterol from the body.

Best choices:

  • oats / oatmeal

  • barley

  • beans, lentils, chickpeas

  • apples, berries, citrus fruits

  • ground flaxseed / chia

  • vegetables like okra and aubergine (eggplant)

Aim for 25–30 g total fiber daily, with plenty coming from these foods. 

2) Healthy fats instead of saturated fats

Replace butter and fatty meats with:

  • olive oil

  • avocado

  • walnuts, almonds, pistachios

  • seeds

  • peanut or almond butter (unsweetened)

This swap helps lower LDL significantly. 

3) Oily fish (2 times weekly)

Especially:

  • salmon

  • sardines

  • mackerel

  • trout

These help triglycerides and inflammation. 

4) Plant proteins

Try replacing some meat meals with:

  • lentils

  • beans

  • tofu

  • soy milk

  • edamame

Soy and legumes are especially helpful for cholesterol. 

What to reduce / avoid

These are the main foods that worsen CAD risk:

  • processed meats → bacon, sausage, salami

  • fatty red meat

  • butter, cream, ghee

  • cheese in large amounts

  • fried fast food

  • pastries, doughnuts, cakes

  • coconut oil / palm oil

  • crisps and packaged snacks

  • high-salt ready meals

Very practical daily plan

Breakfast: oatmeal + berries + walnuts
Lunch: lentil salad with olive oil + wholegrain bread
Dinner: grilled salmon + brown rice + vegetables
Snack: apple + almonds

Important medical note

If you already have CAD, diet alone is usually not enough to replace medication.

Please continue any statin / ezetimibe / other cholesterol medicines exactly as prescribed, because these directly reduce plaque risk. 

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7 Day Plan

7-Day Meal Plan for Lowering LDL & Supporting CAD

Day 1

Breakfast:
Oatmeal with blueberries, strawberries, and walnuts

Lunch:
Lentil soup + wholegrain toast + side salad with olive oil

Dinner:
Grilled salmon + brown rice + steamed broccoli

Snack:
Apple + 10–15 almonds

Day 2

Breakfast:
Greek yogurt (low-fat, unsweetened) + berries + chia seeds

Lunch:
Wholegrain wrap with hummus, cucumber, tomato, spinach, and grilled chicken

Dinner:
Bean chili with mixed vegetables over brown rice

Snack:
Carrot sticks + hummus

Day 3

Breakfast:
Wholegrain toast + avocado + sliced tomato

Lunch:
Chickpea salad with olive oil, cucumber, peppers, and lemon dressing

Dinner:
Baked trout or sardines + quinoa + roasted vegetables

Snack:
Pear + walnuts

Day 4

Breakfast:
Porridge oats + banana slices + flaxseed

Lunch:
Tuna and white bean salad with mixed greens

Dinner:
Skinless chicken breast + sweet potato + green beans

Snack:
Plain yogurt + berries

Day 5

Breakfast:
Overnight oats with chia, oats, berries, and almond milk

Lunch:
Vegetable and barley soup + wholegrain bread

Dinner:
Wholewheat pasta with tomato sauce, olive oil, spinach, and lentils

Snack:
Orange + pistachios

Day 6

Breakfast:
Vegetable omelette + wholegrain toast

Lunch:
Quinoa salad with chickpeas, avocado, and vegetables

Dinner:
Grilled salmon + asparagus + brown rice

Snack:
Apple slices + peanut butter (unsweetened)

Day 7

Breakfast:
Oatmeal + chopped apple + cinnamon + walnuts

Lunch:
Sardines on wholegrain toast + tomato salad

Dinner:
Chicken and chickpea curry with vegetables + brown rice

Snack:
Fruit + a small handful of nuts

Key cholesterol-lowering foods built into this plan

This plan intentionally includes:

  • oats / barley → soluble fiber

  • beans, lentils, chickpeas → fiber + plant protein

  • salmon / sardines / trout → omega-3 fats

  • olive oil, avocado, nuts → healthy fats

  • minimal butter, cheese, red meat, processed foods

Important tip

If you’re taking a statin, this meal plan works with the medication and can help improve LDL further over 6–12 weeks.

A repeat cholesterol blood test is often useful after about 3 months of consistent changes.

Let us know how we can help you

Contact via Text/Whatsapp

+44 7803440539

SkinnyJab

WEIGHT MANAGEMENT SERVICE

ESTABLISHED 2017

+44 (0) 333 77 22 848
 

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About Weight Management

SkinnyJab Clinic

104 Harley Street

London

W1G 7JD

CQC ID 1-452208131

​SkinnyJab Head Office

WLO (Weight Loss Online) Ltd

Director: Caroline Balazs-Pilliner

Yew Tree House,

High Street,

Wrexham

LL12 8RF

Company No: 14781213

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