Len Howard is a $48-$ year $-$ old male executive in a Fortune $500$ company $.$ In a recent physical exam $,$ he was $5\text{'}11"$ tall and weighed $175$ Lb$.$ His serum cholesterol was $290($ desirable less than $200$ mg $/$ dL $)$ with HDL of $40($ desirable $40$ mg $/$ dL or higher $)$ and LDL of $160($ Desirable less than $130$ mg $/$ dL $)$ His family history revealed that his father and older brother both died of heart disease $.$ His wife is employed as an attorney $,$ and they have a $15-$ year $-$ old son $.$ Registered Dietitian Nutritionist $($ RDN $)$ : $"$ You mentioned that the doctor wants you to try modifying your diet $.$ How do you feel about making changes $?$ Mr$.$ Howard : $"$ Well $,$ I think I really need to make some changes $.$ I know I have a strong family history but I$\text{'}$m not sure where to start and I don't even know if changing my diet will even help Registered Dietitian Nutritionist : $($ RDN $)"$ I hear you saying you want to make changes $,$ but you're not sure how to get started or if it will even improve your cholesterol $.$ I understand how