The Exam Room by the Physicians Committee

How a Vegan Diet Could Still Raise Cholesterol | Dr. Kim Williams

Sep 2, 2025
Dr. Kim Williams, a leading cardiologist, shares valuable insights on managing cholesterol even for those on a vegan diet. He explains how saturated fats and ultra-processed foods can impact heart health, despite not containing cholesterol. Williams emphasizes the importance of a high-fiber, whole food, plant-based diet for supporting gut health. He also discusses how public health policies in other countries have successfully reduced heart disease rates. Plus, he offers practical tips for clearer food labeling and healthier eating choices.
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INSIGHT

Saturated Fat Triggers Body To Make Cholesterol

  • Saturated fat stimulates the liver to make more cholesterol, raising blood LDL as if you ate cholesterol itself.
  • Dietary and endogenously made cholesterol both end up in the terminal ileum affecting absorption and levels.
ADVICE

Use High Fiber To Lower Cholesterol

  • Protect your gut by eating a whole-food, plant-based, high-fiber diet.
  • That diet promotes bacteria that 'chop up' cholesterol before it raises blood levels.
ADVICE

Pick Smart Plant-Based Alternatives

  • Choose plant-based alternatives over animal products when possible, but check for sodium and saturated oils.
  • Vegan jerky lacks cholesterol and usually less saturated fat, but still inspect ingredients.
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