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Lipid lowering dietary advice

BMJ 1995; 310 doi: (Published 24 June 1995) Cite this as: BMJ 1995;310:1669
  1. Francesco Angelico,
  2. Roberto Volpe
  1. Senior research fellow Research fellow Istituto di Terapia Medica Sistematica, Universita' “La Sapienza,” 00161 Rome, Italy

    EDITOR,—Scientists and practitioners agree that dietary modification should be the first step of any cholesterol lowering regimen, but H A W Neil and colleagues report that the reduction in concentrations of total cholesterol and low density lipoprotein cholesterol after dietary advice given in general practice to hypercholesterolaemic patients by a dietitian, practice nurses, or in a diet leaflet alone was small.1 The poor response seems to be related mainly to the low dietary compliance in poorly motivated patients. This agrees with our objective evaluations of the compliance to hypocholesterolaemic dietary prescriptions: on the basis of …

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