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Eating for HoFH if you’re taking lomitapide


Low and high fat foods at a glance 

Use this handy list to make knowing what to eat easier. Why not print it out and stick it on your fridge, or give it to friends when you’re going round for dinner?

Low fat foods

These foods are generally OK to eat. Choose foods from this list – just double check the labels and watch portion sizes to make sure you’re within your daily fat allowance.

Fruits and veg 

  • Most fruit and vegetables – fresh, frozen, canned and dried all count – but check the high fat list for things to avoid. Don’t eat or drink grapefruit or grapefruit juice or more than a little Seville orange marmalade.
  • Beans, peas and lentils – as long as they are not cooked with fats.

Meat, fish and alternatives

  • White fish (which isn’t oily) – such as cod, haddock, skate, sole and plaice. Canned tuna in brine or spring water (but not in oil), redder cuts of tuna and monk fish are OK too.
  • Most shellfish – including prawns, squid, and the white meat of crab and lobster. Clams, mussels and oysters are OK in limited amounts.
  • Chicken and turkey breast, and the breast meat of most other poultry – but remove the skin and any visible fat. 
  • Check the labels of other meat products – you can sometimes find low fat beef, pork, ham, venison, liver, kidney or ostrich.
  • Meat alternatives such as Quorn products (mince and pieces) and soya (mince). But check the labels. 
  • Egg white, but not egg yolk. 
  • Chestnuts – in limited amounts, but not other nuts. 

Starchy foods

  • Wholegrain bread and crispbreads – keep an eye on the amount and check the labels because the ingredients vary greatly between manufacturers.
  • Brown rice – steamed or boiled.
  • Wholemeal pasta – but check the label.
  • Wholegrain breakfast cereals without nuts – such as oats, Shredded Wheat, Weetabix and Branflakes.
  • Boiled, mashed and jacket potatoes – without added fat such as butter or oil.
  • Sweet potato, yam and plantain.


Air-popped popcorn and rice cakes – air-popped popcorn is where the corn is ‘popped’ without any oil.

Dairy products 

Skimmed milk and fat free dairy products – including yoghurts, cottage cheese and quark. Check the labels. 

Sauces and flavourings 

  • Herbs, spices and some flavour enhancers – including soy sauce, fish sauce, lemon juice, garlic, gherkins, vinegars and fat-free salad dressings and marinades. 
  • Miso. 
  • Tomato ketchup.

Sweet foods

  • Boiled sweets, fruit and wine gums, Turkish delight, jelly beans and jelly babies.
  • Jelly, meringue, sorbets, fruit lollies.
  • Jam and honey. 


Water, tea and coffee, squash, fruit juice (not grapefruit) and fizzy drinks.



High fat foods

Avoid these foods. 


Fats and oils 

All fats and oils – including olive oil, sunflower oil, coconut oil, margarines, spreads, butter, lard, ghee, nut butters. 

Fruits and veg

  • Avocado, olives, coconut, coleslaw and hummus.
  • Soups and sauces made with fat or oil.


Meat, fish and alternatives

  • Oily fish – such as salmon, mackerel, halibut, turbot, brill and tinned tuna in oil.
  • Red meat and processed meat – such as beef, lamb, pork, sausages and bacon, but check the labels on red meat because sometimes you can find low fat options.
  • Meat pies, pasties, pork pies and pâté.
  • Nuts and seeds.


  • Mayonnaise, salad cream and salad dressings made with oil.
  • Sauces to go with pasta or other meals which are made with oil.
  • Chutneys and pickles – check the label.

Starchy foods

  • Chips.


  • Full fat dairy products – such as full fat milk, cheese, cream, cream cheese, crème fraiche and ice cream.


  • Crisps, Bombay mix, and all types of fried snacks.

Sweets and baked foods

  • Chocolate, toffees, lemon curd, chocolate spreads, cakes, fudge, sweet biscuits, and Indian sweets.
  • Quiche.
  • Croissants, Danish pastries, oat cakes, cheese scones and puris.
  • Pastries, pies, flans and tarts.

Have a look at our delicious low fat recipes