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Low Choline Meal Plan for TMA

1,800 to 2,000 CALORIES/DAY


►Use measuring cups and spoons and read food labels for proper portions.

MEAL PATTERN EXAMPLE


Breakfast (18.3 mg choline)
2 oz protein ½ cup egg whites (2.8 mg choline, 14 g HBV pro)
2 starches 2 slices white toast (6 mg choline)
2 fruit ½ cup canned pears (2.6 mg choline)
6 oz apple juice (3.3 mg choline)
3 - 4 fats egg whites cooked in 1-2 tsp. canola oil (0 mg choline)
2 teaspoons margarine for toast (0.6 mg choline)

Lunch (30.1 mg choline)


2 oz protein grilled cheese sandwich:
2 oz (2 slices) Swiss cheese (9.2 mg choline)
2 starches 2 slices white bread (6 mg choline)
fruit ½ cup canned peaches in heavy syrup (4.5 mg choline)
1 serving non-starchy vegetables ½ cup baby carrots (6.8 mg choline)
3 servings of fat 2 Tbsp. regular Italian Dressing for carrots (0.9 mg)
2 teaspoons marg for grilled cheese (0.3 mg choline)
Other 12 oz can of coca cola reg or caffeine free (2.4 mg)

Dinner (77 mg choline)


3 oz protein 3 oz chicken breast with skin (56 mg choline)
3 starches 1 cup cooked white rice = 2 serv (3.2mg choline)
1 dinner roll – plain white (3 mg choline)
2 servings vegetables ½ cup steamed carrots (6.8 mg choline)
1 cup chopped Romaine lettuce (5.5 mg choline)
4 servings fat 3 teaspoons margarine (0.08 mg choline)
1 Tbsp. reduced fat Italian dressing (0.9 mg choline)
Other 1 choc chip cookie, commercially prepared (1.7mg)

Bedtime Snack (7.1 mg choline)

1 oz protein 1 ounce cheese (4.6 mg choline)


1 starch 5 saltines (2.9 mg choline)

Sample meal plan provides approx. 131.5 mg choline or 30% RDI for choline
50 grams of High Biological Value protein, 78 grams total protein
Nutritional breakdown 2000calories, approx. 47% carb, 16 % protein, 37% fat

*********WARNING/CAUTION*********
The safety of this diet is unknown. Animals fed low-choline diets
have shown liver dysfunction. Discuss this meal plan with your
doctor.
Lowest Choline Foods
Listed in order from lowest to highest choline content

Best Starch Choices (10 mg choline or less per serving)


White rice – ½ cup cooked = 1.6 mg Spaghetti noodles ½ cup cooked = 4.7mg
Saltine – 5 = 2.9 mg Wheat bread – 1 slice = 6.6mg
White bread – 1 slice =3 mg Danish pastry, 1 small approx. 1 oz = 7.6mg
Graham cracker – large rectangle = 3.1 mg Oatmeal, 1/2cup cooked = 8.7mg
Tortilla – 6 inch diameter = 3.2 mg Sweet potato, cooked ½ cup = 8.9 mg
Wheat crackers – 6 or ½ oz = 3.8 mg Brown Rice, ½ cup cooked 9.0mg
Cream of wheat, cooked ½ cup = 4.1mg English muffin, 1 whole approx. 2 oz = 10.2 mg
Biscuit, pre-baked, approx. 2 oz = 4.5mg

Best Fruit Choices (10 mg choline or less per serving)


½ cup canned pears = 2.6mg 1 cup diced watermelon = 6.2mg
Apple juice, 6 oz = 3.3 mg 1 cup strawberries, whole = 8.1mg
½ cup grapes = 4.2mg 1 medium pear, approx. 5-1/2 ounces = 8.5 mg
½ cup canned peaches, heavy syrup = 4.4mg 1 cup raw blueberries = 8.7 mg
1 medium apple, fresh (approx. 4 oz) = 4.7mg ½ medium grapefruit, approx. 4 ounces=9.6mg
Raisins, seedless 1-1/2 ounces = 4.8mg 1 medium orange approx. 4 ounces = 10mg
1 medium peach, approx. 3 ounces = 6mg

Best Vegetable Choices (10 mg choline or less per serving)


Celery, 1 medium stalk = 2.4mg Carrots, raw, ½ cup sliced = 5.3 mg
Cucumber, ½ cap sliced 3.1 mg Romaine lettuce, 1 cup = 5.5mg
Spinach, ½ cup raw, chopped = 3.3mg Mushrooms, raw, 1/2 cup pieces = 5.9mg
Lettuce, Iceberg, 1 cup shredded = 3.7mg Carrots, cooked, 1/2 cup sliced = 6.8 mg
Beets, raw, ½ cup sliced 4.1 mg Beets, cooked, ½ cup sliced 7.5 mg
Peppers, ½ cup chopped = 4.1 mg Tomatoes, raw, 1 medium, approx. 4 oz = 8.3 mg
Sprouts, alfalfa, raw, 1 cup = 4.7 mg Zucchini, cooked, ½ cup = 8.4 mg
Onion, raw, ½ cup chopped = 4.9 mg Beans, green snap, cooked, ½ cup = 9.1 mg
Beets, canned, ½ cup sliced = 5.2 mg

Best Fat Choices (2.5 mg or less choline per serving)


Olive Oil – 1 Tbsp. = 0 mg Butter, salted, 1 tsp. = 0.9 mg
Canola Oil – 1 Tbsp. = .04mg Italian dressing, regular, 1 Tbsp. = 1.9 mg
Creamer, 1 tsp. = 0.05mg Mayonnaise, imitation, 1 Tbsp. = 2.2
Margarine: regular – 1 tsp. = 0.3 mg Sour cream, reg - 1 Tbsp. = 2.4 mg
Italian dressing, reduced fat, 1 Tbsp. = 0.6mg Half and half – 1 tablespoons = 2.5 mg
Protein Choices
The ones with an * indicates a high biological value protein (better protein quality)

Best (10 mg choline or less/serving) Moderate Choline (11 – 35 mg/serving)


*egg whites – 2 whites or ¼ cup =1.4 mg Roasted peanuts, 1 ounce = 14.7 mg
*egg substitute – ¼ cup = 1.4 mg *Pork sausage patty, 1 ounce = 19.7 mg
*cheese, 1 oz cheddar, Swiss, mozzarella=4.6mg *Chicken hot dog, 1-1/2 ounces = 23mg
*pork sausage link- 1 oz = 9.5 mg *Yogurt, fruited, 6 oz = 23.9mg
*cottage cheese – ¼ cup = 10 mg Navy beans, ½ cup cooked = 24 mg
Peanut butter – 1 level Tbsp. = 10mg *Fish sticks, about 3 (3 ounces) = 25.5 mg
*Yogurt, plain, 6 ounces = 25.8 mg
*Milk, whole 4% milk-fat, 1 cup = 34.3 mg

(The protein sources listed above provide about 7 – 8 mg of protein per serving)

High Choline Protein Choices (55 + mg choline/serving)


(Contain the highest amount of choline, but supply the most high biological value protein per serving)

• NO MORE THAN A 3 OUNCE SERVING DAILY


• AMOUNTS LISTED ARE FOR A 3 OUNCE COOKED PORTION

Salmon = 55.6 mg Ground beef, 85% lean = 67.4 mg


Chicken, with skin = 55.9 mg Ground beef, 75% lean = 70 mg
Shrimp, canned = 60 mg Fish, Atlantic cod = 71 mg
Beef, trim cut = 66.4 mg Pork loin = 87 mg (eat rarely)
Chicken without skin = 66.9 mg

Best Snack/Sweets Choices (less than 6 mg choline)


Jell-O, ½ cup = 0.6mg Potato chips, 1 ounce = 3.4 mg
Frosting, vanilla, canned, 2 Tbsp. = 0.8mg Popcorn, oil popped, 3 cups = 4.6 mg
Choc chip cookie 2-1/4” diameter = 1.7 mg Kellogg’s Pop Tart, strawberry plain or
Strawberry preserves, 1 Tbsp. = 2 mg Frosted, 1 pastry = approx. 4 mg
Graham crackers, 1 large rectangle = 3.1 mg Tortilla chips, plain, 1 ounce = 5.7 mg
Corn chips, 1 ounce = 3.4 mg

Best Beverage Choices (less than 4 mg choline)


Diet coca cola, 12 ounce can = 0 mg choline Orange Crush soda, 12 ounces = 2.2 mg
Brewed tea, 1 cup = 0.9 mg Coca- Cola, 12 ounces = 2.5 mg
Decaffeinated coffee powder, 1 tsp. = 1.8 mg Apple juice, 6 ounces = 3.3 mg
Cranberry juice cocktail, 6 ounces = 2.0 mg
Prepared by Monika Lambertson, MD RD LD CDE Palm Beach Diabetes 561-659-6336 ext 8012