What is a major characteristic of Esselstyn's plant-based diet for coronary artery disease (CAD)?

Esselstyn's plant-based diet for coronary artery disease (CAD) is characterized by its very low fat content, which is integral to its effectiveness in managing and potentially reversing heart disease. This dietary approach emphasizes the consumption of whole, plant-based foods such as fruits, vegetables, grains, legumes, and nuts while strictly avoiding added fats, particularly saturated and trans fats found in animal products and processed oils.

The rationale behind a very low-fat diet lies in the fact that high fat intake, especially from animal sources, can lead to increased levels of cholesterol and contribute to the progression of CAD. By minimizing fat, particularly saturated fat, the diet aims to reduce cholesterol levels and improve overall cardiovascular health. This approach is supported by research indicating that lifestyle changes, including diet, can yield significant benefits for patients with CAD.

In contrast, options highlighting high saturated fats, a mix of animal and plant products, or moderate fat intake do not align with Esselstyn's recommendations and would not focus on the core principles of his dietary intervention for cardiovascular health.