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High cholesterol diet

Lower your cholesterol with food you will actually eat

Your last blood test came back with high cholesterol, and now you are staring at a fridge full of foods you are not sure about. What you eat has a real effect on your cholesterol, and a dietitian can show you which changes matter most.

Medicare, NDIS, DVA and private health funds accepted.

Understanding High cholesterol diet

High cholesterol means there is too much of a fatty substance called cholesterol circulating in your blood, usually the type known as LDL, or your ‘bad’ cholesterol. Over years, that extra LDL builds up inside artery walls and raises your risk of heart attack and stroke. You cannot feel it happening, which is why it shows up on a blood test rather than as pain.

Diet is one of the strongest levers you have. Changing the type of fat you eat, adding soluble fibre and reworking a few regular meals can lower LDL, and those changes also work alongside cholesterol medication if you take it.

Who does it affect?

adults of any age, with risk rising from your mid-forties, and earlier if high cholesterol runs in your family

How common is it?

[CONFIRM: proportion of Australian adults with raised blood cholesterol, AIHW figure]

What is the recovery like?

cholesterol levels respond to sustained change, and how much they shift varies from person to person

Who should I see for treatment?

your dietitian, working alongside your GP and any specialist you see

What funding options are available?

Medicare, NDIS, DVA and private health funds accepted

What is high cholesterol?

Cholesterol is a fat your liver makes and your body needs for hormones, cell walls and digestion. High cholesterol, or hyperlipidaemia, means the balance has tipped: too much LDL cholesterol, often with high triglycerides and not enough protective HDL.

It usually develops slowly. Your liver produces most of your cholesterol, and the saturated fat in your diet drives how much it makes. Add a busy few years of takeaway, less activity and a bit of weight gain, and a result that was borderline at 40 can be well above target at 50.

Things that push cholesterol up include:

  • A diet high in saturated fat, from fatty meats, butter, cream, full-cream dairy, pastries and deep-fried food

  • Low intake of soluble fibre, vegetables, legumes and wholegrains

  • Family history, including an inherited condition called familial hypercholesterolaemia

  • Extra weight carried around the middle, and low physical activity

  • Smoking, and regular alcohol above recommended limits

  • Some medical conditions and medications, including an underactive thyroid

Symptoms of High cholesterol diet

High cholesterol is silent for most people. What you notice is usually the test result, or a related problem that has been building:

Your plan comes out of your assessment and your latest bloods, not a generic list of banned foods.

Fat swaps

Replacing saturated fat with unsaturated fats from olive oil, avocado, nuts and seeds lowers LDL more reliably than simply eating less fat overall

Soluble fibre

Oats, barley, legumes and psyllium bind bile acids in your gut, so your liver pulls cholesterol from your blood to make more

Plant sterols and stanols

These block some cholesterol absorption in the intestine, and are added to certain spreads, milks and cereals

A whole eating pattern

Building meals around vegetables, legumes, wholegrains, oily fish and nuts, rather than tracking single foods

Practical skills

Reading labels for saturated fat, planning a week of meals, ordering takeaway and cooking swaps that your household will accept

Working with your medication

Food changes sit alongside statins or other lipid-lowering medication prescribed by your doctor, and are never a reason to stop taking them

What to expect at your first appointment

  

Tell us what is going on

Bring your most recent blood test results, your medication list and a rough idea of how you eat now. Your family history matters here too.

A full assessment

Your dietitian reviews your lipid profile, your usual meals and snacks, your cooking and shopping habits, your activity and any other conditions.

A clear plan

You leave with specific swaps, meal ideas and a shopping approach, prioritised so you know which two or three changes to make first.

Review and adjust

At follow-up you look at what stuck, what did not, and your next set of bloods, then adjust the plan from there.

When to book an appointment

    Book an assessment if:

  • Your cholesterol has been above target on two or more blood tests over several months

  • You are avoiding foods you enjoy without any real idea whether it is helping

  • You have already cut out eggs, butter or red meat and your LDL has barely moved

  • Your GP has told you to change your diet but you are not sure where to start

Looking after yourself at home

Small, repeated changes do more for your bloods than a short, strict overhaul.

  • A diet high in saturated fat, from fatty meats, butter, cream, full-cream dairy, pastries and deep-fried food

  • Low intake of soluble fibre, vegetables, legumes and wholegrains

  • Family history, including an inherited condition called familial hypercholesterolaemia

  • Extra weight carried around the middle, and low physical activity

  • Smoking, and regular alcohol above recommended limits

  • Some medical conditions and medications, including an underactive thyroid

Meet the team who treat this

Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.

Meet the full team

Aimee Fuller

Healthcare Support Officer

Available at Blaxland

Alicia Whiticker

Healthcare Support Officer

Available at Blaxland

Amanda Banks

Healthcare Support Officer

Available at Blaxland

Amanda Duggan

Healthcare Support Officer

Available at Blaxland

Amy Meekings

Healthcare Support Officer

Available at Blaxland

Anita Beerapu

Healthcare Support Officer

Available at Blaxland

Benjamin Tucker

Healthcare Support Officer

Available at Blaxland

Blake Cossar

Healthcare Support Officer

Available at Blaxland

Bronte Tupper

Healthcare Support Officer

Available at Blaxland

Chris Farrugia

Healthcare Support Officer

Available at Blaxland

Corrina Aitken

Healthcare Support Officer

Available at Blaxland

David Logue

Healthcare Support Officer

Available at Blaxland

Dean Gresser

Healthcare Support Officer

Available at Blaxland

Emma Nassif

Healthcare Support Officer

Available at Blaxland

Esha Sharma

Healthcare Support Officer

Available at Blaxland

Fatima Hussaini

Healthcare Support Officer

Available at Blaxland

Felicity Spencer-Davey

Healthcare Support Officer

Available at Blaxland

Frankie Raikadroka

Healthcare Support Officer

Available at Blaxland

Hannah Norrie

Healthcare Support Officer

Available at Blaxland

Heather Edwards

Healthcare Support Officer

Available at Blaxland

Isaac Vella

Healthcare Support Officer

Available at Blaxland

Jarrah Nesbitt

Healthcare Support Officer

Available at Blaxland

Jonathan Lopez

Healthcare Support Officer

Available at Blaxland

Justin Hanna

Healthcare Support Officer

Available at Blaxland

Kasey Collins

Healthcare Support Officer

Available at Blaxland

Katrina Gauci

Healthcare Support Officer

Available at Blaxland

Kennedy Touet

Healthcare Support Officer

Available at Blaxland

Kristy Edwards

Healthcare Support Officer

Available at Blaxland

Kyle Perry

Healthcare Support Officer

Available at Blaxland

Lorna Nicastri

Healthcare Support Officer

Available at Blaxland

Maja Bosic

Healthcare Support Officer

Available at Blaxland

Marxy Koronel

Healthcare Support Officer

Available at Blaxland

Matt Barton

Healthcare Support Officer

Available at Blaxland

Michael Todd

Healthcare Support Officer

Available at Blaxland

Mr Jeffery Jenkins FACPS

Healthcare Support Officer

Available at Blaxland

Nathan Cavanagh

Healthcare Support Officer

Available at Blaxland

Patrick Celeban

Healthcare Support Officer

Available at Blaxland

Praise Khin

Healthcare Support Officer

Available at Blaxland

Sarah Bonnici

Healthcare Support Officer

Available at Blaxland

Shannon Smith

Healthcare Support Officer

Available at Blaxland

Siobhan Kelly

Healthcare Support Officer

Available at Blaxland

Taleisha Bozzi

Healthcare Support Officer

Available at Blaxland

Trystan Singh

Healthcare Support Officer

Available at Blaxland

Uty Kotwal

Healthcare Support Officer

Available at Blaxland

Yoni Hochberg

Healthcare Support Officer

Available at Blaxland

Zak Lloyd

Healthcare Support Officer

Available at Blaxland

EPC, DVA, NDIS and WorkCover welcome

Nearly half of our appointments are funded through Medicare, DVA, NDIS or WorkCover. We manage the paperwork so you can focus on your health.

NDIS

We support eligible NDIS participants across podiatry, physiotherapy, exercise physiology, dietetics and psychology, depending on your plan and goals. Eligibility and funding are set by your plan.

Learn more

Medicare

Medicare may rebate podiatry, physiotherapy, exercise physiology and dietetics sessions when your GP refers you under an Enhanced Primary Care (EPC) or Chronic Disease Management (CDM) plan, and psychology sessions under a Mental Health Care Plan. The number of sessions is set by your plan.

Learn more

DVA

Gold and White card holders can access DVA-funded care across our services with a valid referral.

Learn more

WorkCover

If you have been injured at work, we accept WorkCover referrals for physiotherapy, exercise physiology and psychology, and manage the paperwork with your insurer, with a clear return-to-work plan.

Learn more

Seven clinics across three regions

Find a clinic near you. Each location is staffed by local practitioners who know your community.

Penrith

Western Sydney

Our largest centre, with our full range of services under one roof.

510/536 High St, Penrith NSW 2750

Ropes Crossing

Western Sydney

Podiatry, at Ropes Crossing Village.

1B/2 Central Pl, Ropes Crossing NSW 2760

Blaxland

Blue Mountains

Podiatry, physiotherapy, exercise physiology and group classes.

10 Layton Ave, Blaxland NSW 2774

Springwood

Blue Mountains

Podiatry, dietetics and a boutique footwear store.

20 Ferguson Rd, Springwood NSW 2777

Katoomba

Blue Mountains

Podiatry, physiotherapy and dietetics, in a restored 1914 cottage.

69 Megalong St, Katoomba NSW 2780

Ryde

North Shore

Podiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.

819 Victoria Road, Cnr Shepherd Street, Ryde NSW 2112

Lindfield

North Shore

Podiatry, with mobile podiatry across the North Shore and Northern Beaches.

2/324 Pacific Highway, Lindfield NSW 2070
view all locations

Ready to get your cholesterol heading down?

Bring your latest blood test and leave with a plan you can start this week.

Frequently asked questions

For most people, eggs have only a small effect on blood cholesterol. The cholesterol you eat matters far less than the saturated fat you eat, and eggs are low in saturated fat. What often causes the problem is the company they keep: butter in the pan, bacon, hollandaise and buttered toast. If you have diabetes or familial hypercholesterolaemia, your dietitian may suggest a specific weekly limit.

Blood cholesterol can begin shifting within a few weeks of consistent change, and continues to respond as the changes stick. Your GP decides when to retest, and will usually wait long enough for a fair picture. Book the retest at the same time of day and follow the same fasting instructions as last time, so you are comparing like with like.

Yes. Statins reduce how much cholesterol your liver makes, while diet changes reduce absorption and prompt your liver to clear LDL from your blood. The two work through different pathways, so the effects add up. Diet also improves triglycerides, blood pressure and blood sugar, which medication for cholesterol does not target. Check with your pharmacist about grapefruit, which interacts with some statins.

LDL carries cholesterol into artery walls, so a lower number is better. HDL carries it back to the liver, so higher is generally protective. Triglycerides are a separate blood fat, driven strongly by alcohol, refined carbohydrates and excess energy intake. Many reports also list non-HDL cholesterol, which is your total minus HDL, and is a useful single figure to track.

They do, but only at the right dose and spread through the day. Research doses sit around two to three grams of plant sterols daily, which usually means using the fortified product across two or three meals rather than once. [CONFIRM: brands and serve sizes stocked locally]. They are not recommended for young children or during pregnancy without advice.

Coconut oil is very high in saturated fat, higher than butter, and it raises LDL cholesterol. Its reputation comes from short-term studies showing it also lifts HDL, which does not offset the LDL effect. For cooking, extra virgin olive oil, canola oil or peanut oil are better choices. Keep coconut cream and oil for occasional use rather than everyday cooking.