Hi A.!
I am sorry you both went through that. That would scare me tremendously if I were in your shoes.
The government standard for a "Heart Healthy" Diet is outdated. The focus there is on an extremely low-fat and "healthy whole grain" diet. The problem is that newer research is finding that consuming "healthy whole grains" can cause a host of health problems.
High cholesterol is present when there is inflammation in the body. Cholesterol receives such terrible press when our bodies actually NEED cholesterol for proper functioning. The presence of high cholesterol in and of itself is not the problem - it is the indicator that there is a problem. The problem is chronic inflammation and identifying the root(s) that is causing it.
The number one major change your husband (and any human on the planet) can make from a dietary standpoint is to cut out industrial seed oils (ANY vegetable oil - corn, canola, soybean, peanut, safflower, sunflower). They are the number one cause of inflammation in the body in modern, Western diets. Seed oils (outside of ancient olive and palm oil) did not exist prior to the Industrial Revolution. The reason is that seeds do not have enough oil to easily pull out the oil. The creation of these oils requires extremely high heat and chemicals to create. This process creates a really high Omega-6 to Omega-3 ratio (which translates to inflammation), and the process causes the oil to go rancid. So after extraction they are chemically colored and deodorized to make them look and smell appealing for consumption.
This sounds like a simple diet change, but any packaged food or any restaurant food will always use some form of industrial seed oil. The way to get away from them is to 1) cook more at home 2) when eating out, choose things that have not been cooked in oil.
As for fats/oils that are "heart healthy" and have a low Omega-6 to Omega-3 ratio there are:
- Olive Oil
- Palm Oil
- Coconut Oil
- Avocado Oil
- Ghee (which is also called clarified butter) - It is butter that has been gently heated to separate the fat from the solids and protein so all that is left is the pure fat
- Lard (not modern, hydrogenated and shelf-stable lard but traditionally rendered lard that should be refrigerated)
- Beef Tallow
- Chicken Schmaltz
- Duck and Goose Fat
There is a nuance to the oils! Olive, Palm, Coconut and Avocado Oil should all be unrefined and cold-pressed.
There is also a nuance to the animal fats! If they come from animals raised in a Concentrated Animal Feeding Operation (you can google this for more info), are fed antibiotics regularly and are fed food that is not natural for them to eat, then their fats will have a high Omega-6 to Omega-3 ratio. You want animal fats from pastured animals, eating a diet their species was designed to eat. Most of the animal fats listed above you can render yourself and may be able to find some of them locally through a farmer/rancher.
You can look for local sources in your area by going to:
http://www.eatwild.com/
or
http://www.localharvest.org/
This website has highly reputable meats as well as beef tallow, pork lard and duck fat:
http://www.grasslandbeef.com/
I hope this is a great starter point for you, and I do hope I did not overwhelm you! May your husband be truly "heart healthy" soon!!
God's Grace to you,
Lisa :)
*Edit In Response to Maggie's Post*
"It's just common sense to eat less (or no) fat"
With due respect to Maggie, common sense is to spend time researching and understanding what causes high cholesterol. Fat consumption does NOT cause high cholesterol, BUT the WRONG FAT consumption will cause high cholesterol. The question to ask (and to research intelligently) is discover why certain types of fats cause inflammation in the body and lead to increased cholesterol in order to moderate the problematic, chronic inflammation and why other fats do not have that effect.
Please see these links in response to Maggie's:
http://blog.cholesterol-and-health.com/
http://www.cholesterol-and-health.com/Vegetarianism.html
http://www.westonaprice.org/blogs/cmasterjohn/author/CMAS...
Chris Masterjohn is one of the most highly researched people in the area of cholesterol.
Lard and Duck Fat are both ancient forms of fat consumption and the phenomenon of high cholesterol and heart disease is a NEW phenomenon in the modern world.
As a personal aside, I consume both a large amount of fats as well as vegetables and my last physical exam my Nurse Practitioner commented on how my triglyceride level is the best she's ever seen. It is 50. That is not due to superior genetics. It's due to an understanding of why it's okay (and actually necessary) to consume some types of fats and not to ever consume others (addressed in initial post). And of course I would NEVER shun the wonderful vege! I would actually give you a highly educated reason why you should consume plenty of veges that are sustainably and locally grown (cooked in a good fat of course)!