Are gizzards beneficial for lowering Low-Density Lipoprotein (LDL) cholesterol?

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Gizzards Are Not Specifically Recommended for Lowering LDL Cholesterol

Gizzards are not specifically recommended as a food to lower LDL cholesterol. While chicken gizzards have a relatively favorable PUFA/SFA (polyunsaturated to saturated fatty acid) ratio of 1.11 when cooked 1, they do not feature in evidence-based dietary recommendations for managing LDL cholesterol.

Evidence-Based Dietary Strategies to Lower LDL Cholesterol

The American Heart Association and other major guidelines recommend the following approaches to lower LDL cholesterol:

Primary Dietary Modifications:

  • Reduce saturated fat intake to less than 7% of total calories 2, 3
  • Limit dietary cholesterol to less than 300 mg/day (or 200 mg/day for high-risk individuals) 3
  • Eliminate trans fats from the diet 3
  • Increase soluble fiber intake to 10-25 g/day 2, 3
  • Add plant stanols/sterols (2 g/day) 2, 3

Beneficial Food Choices:

  • Increase consumption of fruits, vegetables, and whole grains 2, 3
  • Include fatty fish for omega-3 fatty acids 3
  • Consider soy protein (can reduce LDL by 3-10%) 4
  • Add nuts to the diet (can reduce LDL by approximately 8%) 4

What About Gizzards?

Research on chicken gizzards 1 shows:

  • Cooked gizzards contain about 0.88% fat and 72.68 mg/100g of cholesterol
  • They have a favorable PUFA/SFA ratio of 1.11
  • They contain palmitic acid (C16:0) at 6.39% and stearic acid (C18:0) at 19.19%

However, this single study on gizzards does not provide sufficient evidence to recommend them specifically for LDL cholesterol reduction. The research doesn't demonstrate a direct cholesterol-lowering effect of gizzard consumption.

Potential Concerns with High-Protein Animal Foods

The American Heart Association cautions that:

  • High-protein diets that emphasize animal proteins may raise LDL cholesterol levels 2
  • Animal proteins are generally higher in saturated fat and cholesterol compared to plant proteins 2
  • Foods high in purines (including organ meats) may increase uric acid levels and potentially cause gout in susceptible individuals 2

More Effective Dietary Approaches

For more effective LDL cholesterol reduction, consider:

  1. Plant-based proteins: Replacing animal proteins with plant proteins can reduce LDL cholesterol 5
  2. Portfolio diet: Combining plant sterols, soy protein, viscous fiber, and nuts can reduce LDL cholesterol by up to 30% 5
  3. Balanced macronutrient approach: Moderate replacement of carbohydrates with low-fat, high-protein foods can improve lipid profiles 6

Bottom Line

While gizzards aren't harmful in moderation and have some favorable fatty acid characteristics, they are not specifically recommended for lowering LDL cholesterol. Focus instead on well-established dietary strategies like reducing saturated fat, increasing soluble fiber, adding plant sterols, and incorporating plant proteins, nuts, and fatty fish for more effective LDL cholesterol management.

References

Research

Cholesterol and fatty acids profile of Brazilian commercial chicken giblets.

Archivos latinoamericanos de nutricion, 2002

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Dietary Recommendations for Managing LDL Cholesterol Levels

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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