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I brought mine down about 50 points over a couple years through diet. I went to one of my hospital's seminars, where they advised less than 30g of fat per day. The rule of thumb they also gave me is that when you're shopping, try to get stuff that has 3g of fat or less per 100 calories. This knocks out most junk food, but there's a surprising amount of low-fat food out there that's ok to eat - baked chips, soy chips, cereals, etc.
That's what is working for me so far.
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