Betsy Winslow is a 62-year-old retired school teacher. She is 5'3" tall and weighs 155 pounds. Mrs. Winslow is a member of a walking group that meets three mornings a week. She walks two miles each morning. After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician. Her laboratory results are as follows: total cholesterol: 251
mg/dL; HDL cholesterol: 47 mg/dL; LDL cholesterol: 146 mg/dL; triglycerides: 203 mg/dL.
Mrs. Winslow's 24-hour recall reveals the following intake:
• Breakfast: Scrambled eggs, bacon, toast with butter and jelly, 2% milk
• Lunch: Hamburger pizza, salad with Italian dressing, Coke
• Snack: 3 chocolate cookies, 2% milk
• Dinner: Fried chicken, mashed potatoes and gravy, buttered corn on the cob, sweet tea, coconut cake
• Snack: Ice cream
Mrs. Winslow's physician has asked her to try a three-month trial of TLC before he prescribes medications to lower her blood lipids. An alternate choice for the butter that Mrs. Winslow uses that could help lower her cholesterol is:
a. strawberry jam.
b. margarine that contains plant sterols or stanols.
c. cream cheese.
d. margarine made from corn oil.
b
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