Answer is D (Avoid Alcohol) Avoidance of alcohol is not pa of dietary recommendation in patients with CHD. 'Moderate alcohol consumption is strongly and consistently associated with lower risk of CHD than either abstention or higher in takes. Current recommendations from AHA (American Hea Association) and the U.S. Dietary Guidelines Advisory committee are that men who drink alcohol may consume upto two alcoholic beverages per day, and women no more than one per day' - Braunwald 8th/1110 Saturated fats should be limited to < 7% of total calories Recent guidelines from AHA recommend consumption of < 7% of calories as saturated NCEP - ATP Ill Guidelines (National Cholesterol Education Programme-Adult Treatment Panel) The NCEP - ATP 111 guidelines have placed major emphasis on Therapeutic Lifestyle change (TLC) as an essential modality in clinical management of patients at risk of CHD. The 'Therapeutic Lifestyle Change' Diet is designed to achieve risk reduction and makes recommendations regarding nutrient compositions in diet to reduce LDL levels and metabolic syndrome Nutrient Composition of the Therapeutic Lifestyle Changes Diet Nutrient Recommended Intake Saturated fat <7% of total calories Polyunsaturated fat Up to 10% of total calories Carbohydrate Up to 20% of total calories Fiber 20-30 g/d Protein Approximately 15% of total calories Cholesterol <200 mg/d Total Calories Balance energy intake expenditure to maintain desirable body weight/prevent weight gain AHA recommends limiting salt intake to < 6gm/day to reduce risk of CHD 'Available data suppo the current AHA guideline of limiting salt intake to 6 gm/day, the equivalent of 100 mmol of sodium (2400 mg) per day' LDL cholesterol < 100 mg/dl is recommended for patients with high risk of CHD `The goal of LDL-lowering therapy in high risk patients is an LDL cholesterol level of < 100 mg/dl'