The primary goal of this study is to test the effect of a systems-based intervention for nutritional change, when added to a proven physician-delivered nu­trition counseling inter­vention, on pt serum LDL-C levels and dietary SFA intake. Therefore our primary hypotheses are the following:

1. Mean serum LDL-C level will decrease significantly more from baseline levels to one-year follow-up in pts in condition II than for pts in condition I.

2. Mean intake of SFA (percent of total energy) will be significantly lower at one-year follow-up in condition II pts as compared to condition I pts.

Secondary hypotheses are the following:

1. Mean total fat intake (percent of total energy) will be significantly lower at one year of follow-up in condition II pts as compared to condition I pts.

2. Mean body weight will decline significantly more at one year in condition II pts than in condition I pts.

3. The number of intervention steps implemented by physicians during follow-up visits (as measured by PEIs) will be significantly greater for pts in condition II than for those in condition I.