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:
No symptoms at all, with the diagnosis coming from a routine blood test
Chest tightness or breathlessness on exertion, if arteries have narrowed
Cramping pain in the calves when walking, which eases with rest
A high result recorded alongside high blood pressure, prediabetes or a fatty liver
Your plan comes out of your assessment and your latest bloods, not a generic list of banned foods.
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
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
Book an assessment if:
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.
Seven clinics across three regions
Find a clinic near you. Each location is staffed by local practitioners who know your community.
Penrith
Western SydneyOur largest centre, with our full range of services under one roof.
Ropes Crossing
Western SydneyPodiatry, at Ropes Crossing Village.
Blaxland
Blue MountainsPodiatry, physiotherapy, exercise physiology and group classes.
Springwood
Blue MountainsPodiatry, dietetics and a boutique footwear store.
Katoomba
Blue MountainsPodiatry, physiotherapy and dietetics, in a restored 1914 cottage.
Ryde
North ShorePodiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.
Lindfield
North ShorePodiatry, with mobile podiatry across the North Shore and Northern Beaches.
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
Do eggs raise your cholesterol?
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.
How soon will diet changes show up in a blood test?
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.
Is diet still worth it if I am already on a statin?
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.
What is the difference between LDL, HDL and triglycerides?
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.
Do plant sterol spreads and cereals actually work?
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.
Is coconut oil a healthy fat for high cholesterol?
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.


















































