
Dr. Esselstyn's diet is a plant-based program aimed at preventing and reversing heart disease. It is a low-fat diet with a target fat percentage of 10%. While avocados are typically considered a healthy plant-based food, they are high in fat, containing around 30 grams of fat per avocado. Due to this, Dr. Esselstyn recommends against consuming avocados, specifically stating, Do not eat avocados. That includes guacamole!. However, some sources suggest that avocados are acceptable in small amounts for those without heart disease who can maintain a cholesterol level of 150 and an LDL level of 80 or lower without cholesterol-lowering medication. So, are avocados okay for the Esselstyn diet? The answer is generally no, especially for those with heart disease, but they may be consumed in small quantities for those without heart disease who can maintain specific cholesterol and LDL levels.
| Characteristics | Values |
|---|---|
| Avocado consumption | Avocados are not recommended due to their high fat content. |
| Exceptions | Avocados may be consumed occasionally by those without heart disease who can achieve a cholesterol level of 150 and LDL of 80 or below without medication. |
| Target fat percentage | 10% |
| Other foods to avoid | Nuts, oils, coconut, seeds, and high-fat foods |
| Foods to consume | Whole grains, beans, fruits, vegetables, herbs, spices, mushrooms, leafy greens, water |
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What You'll Learn
- Avocados are acceptable for people with no heart disease who can achieve a cholesterol level of 150 and LDL of 80 or under without drugs
- Avocados are high in fat, containing 30 grams of fat, 4.2 grams of saturated fat, 20 grams of monounsaturated fat, and 3.6 grams of polyunsaturated fat
- Dr Esselstyn recommends a target fat percentage of 10%, with no nuts and only a few seeds
- Avocados are not recommended for people with existing heart disease as they are high in fat
- Dr Esselstyn's diet is a plant-based, whole foods approach that avoids ultra-processed foods

Avocados are acceptable for people with no heart disease who can achieve a cholesterol level of 150 and LDL of 80 or under without drugs
According to Dr Esselstyn, avocados are acceptable for people with no heart disease who can achieve a cholesterol level of 150 and an LDL of 80 or under without drugs. However, Esselstyn's diet is very low-fat, and avocados are a high-fat food. Therefore, Esselstyn recommends that avocados should only be consumed occasionally and in very small quantities, so that the total fat percentage does not become too high.
Esselstyn's diet is a plant-based program designed to prevent and reverse heart disease. It involves eating whole grains, beans, fruits, and vegetables in their whole form, and avoiding ultra-processed foods. The diet is very strict, with no room for moderation, and aims for a target fat percentage of 10%.
Avocados are a high-fat food, with a whole avocado providing roughly 30 grams of fat, including 4.2 grams of saturated fat. Therefore, while they are acceptable in small amounts for people without heart disease who can maintain low cholesterol levels, they are not suitable for those with heart disease. For those with established heart disease, adding more saturated fat to their diet is inappropriate.
Some people find Esselstyn's diet too restrictive, particularly as it cuts out avocados, which are a popular and nutritious food. However, others argue that the overall impact of their diet is still positive, even with avocado consumption. In addition, the fat in avocados may help to make a plant-based diet more appealing and sustainable for some people.
In summary, avocados are acceptable in small amounts for people following Esselstyn's diet who do not have heart disease and can maintain a cholesterol level of 150 and an LDL of 80 or under without drugs. However, as a high-fat food, they should only be consumed occasionally and in very small quantities to keep the total fat percentage low.
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Avocados are high in fat, containing 30 grams of fat, 4.2 grams of saturated fat, 20 grams of monounsaturated fat, and 3.6 grams of polyunsaturated fat
Avocados are a rich source of nutrients, including monounsaturated fats, potassium, fibre, and vitamins. While avocados are high in fat, with approximately 30 grams of fat per whole avocado, the majority of this is monounsaturated fat, which is considered a healthier type of fat. In fact, monounsaturated fatty acids (MUFAs) may even help to lower LDL, or "bad", cholesterol. Avocados also contain small amounts of saturated fat, with approximately 4.2 grams per whole avocado, and polyunsaturated fat, with approximately 3.6 grams.
The Esselstyn diet, also known as the Prevent and Reverse Heart Disease Program, is a plant-based diet designed to treat heart disease. The diet is very low in fat, and specifically eliminates oils and avocados. According to Dr Esselstyn, oils are extremely low in nutritive value and are high in calorie density. As avocados are high in fat, they are not recommended as part of the Esselstyn diet.
However, some sources suggest that avocados can be beneficial for heart health. For example, a 30-year study found that people who consumed two or more servings of avocado per week had a 16% lower risk of heart disease and a 21% lower risk of coronary heart disease. Additionally, avocados have been found to improve cholesterol levels in some individuals, particularly those with high cholesterol.
While avocados may have some health benefits, it is important to consider them in the context of an overall diet and nutritional goals. For individuals following the Esselstyn diet, avocados may not align with their specific dietary requirements and restrictions. However, for those looking to incorporate healthy fats into their diet, avocados can be a good option. It is always recommended to consult with a healthcare professional or dietitian to determine the best dietary approach for an individual's specific needs and health status.
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Dr Esselstyn recommends a target fat percentage of 10%, with no nuts and only a few seeds
Dr Esselstyn's diet is a plant-based nutrition plan that aims to prevent and reverse heart disease. It is particularly targeted at people with existing heart disease, such as those who have had a heart attack.
The diet recommends a target fat percentage of 10%. This is because Dr Esselstyn believes that the high-fat American diet is responsible for an epidemic of coronary artery disease. He argues that a plant-based diet with less than 10% fat will prevent coronary disease from developing, halt the progress of existing disease, and even reverse the disease in many patients.
To sustain such a low-fat percentage over the long term, Dr Esselstyn recommends avoiding nuts, as they are a rich source of saturated fats and are addictive. He also suggests limiting seeds to just 1-2 tablespoons of ground flax seeds or chia seeds per day.
Avocados are not recommended as part of Dr Esselstyn's diet because they are a high-fat food. A single avocado contains roughly 30 grams of fat, 4.2 grams of saturated fat, 20 grams of monounsaturated fat, and 3.6 grams of polyunsaturated fat. While some people may be able to include small amounts of avocado in their diet, Dr Esselstyn's protocol is very much against too much dietary fat.
In addition to limiting fat intake, Dr Esselstyn's diet also emphasizes avoiding oil, sugar, salt, and coffee. He recommends eating leafy greens six times a day and avoiding smoothies and juices, as chewing leafy greens allows the bacteria in the mouth to interact with them.
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Avocados are not recommended for people with existing heart disease as they are high in fat
Avocados are a high-fat food and are therefore not recommended by Dr Esselstyn for those with heart disease. A whole avocado contains roughly 30 grams of fat, 4.2 grams of saturated fat, 20 grams of monounsaturated fat, and 3.6 grams of polyunsaturated fat. While some healthy fats are allowed in the diet, such as olive oil as a condiment, avocados are considered too high in fat and are therefore not recommended.
For those without heart disease who wish to follow Dr Esselstyn's diet to prevent heart disease, some avocado is acceptable. According to Dr Esselstyn, if a person without heart disease can achieve a cholesterol level of 150 and an LDL level of 80 or under without cholesterol-lowering drugs, some avocado is permissible. However, it is important to note that Dr Esselstyn emphasizes that moderation is not an option, and his diet should be followed strictly to achieve results.
While Dr Esselstyn's diet may be effective for those with heart disease, it is important to note that it is very restrictive. Some people may find it challenging to adhere to such a low-fat diet, especially as it cuts out many healthy foods like avocados, nuts, and seeds. There may be other ways to improve heart health, such as losing excess weight, avoiding alcohol, and following a less restrictive healthy diet, such as the Mediterranean diet.
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Dr Esselstyn's diet is a plant-based, whole foods approach that avoids ultra-processed foods
The Esselstyn diet is a very low-fat approach, and avocados are generally not recommended due to their high-fat content. A whole avocado provides roughly 30 grams of fat, including saturated and monounsaturated fats. However, small amounts of avocado are considered acceptable for individuals without diagnosed heart disease or those not taking cholesterol-lowering medication.
The diet is based on Dr Esselstyn's research and clinical experience at the Cleveland Clinic, where he studied the impact of plant-based diets on heart health. His book, "Prevent and Reverse Heart Disease," details his findings and provides a nutrition-based plan for readers to improve their heart health. The diet is particularly targeted at individuals with existing heart disease or those at risk for developing it.
While the Esselstyn diet emphasizes a plant-based approach, it is important to note that it is a restrictive diet that may be challenging to follow. It requires the elimination of certain food groups, including animal products and oils, which can make it difficult to adhere to, especially when eating out or at social gatherings. However, some individuals may find that the health benefits, such as improved heart health and weight loss, outweigh the challenges of following a restrictive diet.
Overall, the Esselstyn diet is a plant-based, whole foods approach that prioritizes the consumption of unprocessed, natural foods while avoiding ultra-processed items and sources of saturated fat. While avocados are generally not included in this diet due to their high-fat content, small amounts may be acceptable for individuals without heart disease or high cholesterol.
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Frequently asked questions
Dr Esselstyn discourages the consumption of avocados due to their high-fat content. However, he notes that people without heart disease who can achieve a cholesterol level of 150 and an LDL level of 80 or lower without cholesterol-lowering medication may occasionally consume avocados.
The Esselstyn diet is a plant-based diet aimed at preventing and reversing heart disease. Dr Esselstyn recommends a target fat percentage of 10% and avocados, being a high-fat food, can cause the total fat percentage to become too high.
Dr Esselstyn recommends leafy greens, which should be eaten 6 times a day if one has heart disease. He also suggests that small amounts of nuts, seeds, or avocados can transform a plate of beans and steamed vegetables into a more satisfying meal.











































