
Pizza is a beloved food worldwide, but it has gained a reputation for being unhealthy. One of the reasons for this is the high cholesterol content of many pizzas, which can be attributed to the cheese, crust, and meat toppings. The type of pizza, brand, ingredients, and serving size all influence the cholesterol level. For example, a pizza with no cheese or meat may have minimal cholesterol, while a stuffed-crust meat lover's pizza could be high in cholesterol. However, it's important to note that not all pizzas are created equal, and ultra-processed pizzas should be distinguished from authentic Italian-style pizzas made with fresh ingredients.
| Characteristics | Values |
|---|---|
| Cholesterol in cheese pizza | Cheese pizza contains cholesterol, with the amount varying depending on the type of pizza, brand, ingredients, and serving size. Cheese and meat toppings are significant contributors to the cholesterol content. |
| Health considerations | While cholesterol is essential for certain bodily functions, high levels of LDL (bad) cholesterol can increase the risk of heart disease, plaque buildup, and stroke. |
| Impact on cholesterol levels | Research suggests that cheese, as a source of saturated fat and dietary cholesterol, has little to no effect on LDL cholesterol levels. However, the combination of toppings, crust, and cheese in pizza can influence cholesterol levels. |
| Recommendations | To manage cholesterol levels, it is suggested to opt for high-quality ingredients, reduce processed meat toppings, choose thin crusts, and exercise portion control. Low-fat or plant-based cheese alternatives can also help lower cholesterol intake. |
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What You'll Learn

Cholesterol-lowering crusts
Pizza is a beloved food worldwide, but it has a reputation for being unhealthy. While pizza can be a source of cholesterol, there are ways to make it more heart-healthy, including choosing the right crust.
First, it is important to understand the different types of cholesterol. Low-density lipoprotein (LDL) is often referred to as "bad" cholesterol, as it can build up in the form of plaque in your arteries, increasing the risk of heart attack and stroke. On the other hand, High-density lipoprotein (HDL) is considered "good" cholesterol, as it helps carry LDL cholesterol away from blood vessel walls and back to the liver for excretion.
Cholesterol is a waxy substance that comes from animal products. Therefore, vegan pizzas do not contain any cholesterol. However, some plant-based cheeses contain coconut oil, which can be a source of saturated fat.
When it comes to choosing a cholesterol-lowering crust, there are a few options to consider:
- Whole Wheat Crust: Opting for a whole wheat crust is a healthier choice than a regular crust made with white flour. Whole wheat provides more fibre and nutrients, which can help lower cholesterol levels.
- Thin Crust: Choosing a thin crust over a deep dish or stuffed crust can reduce the amount of cheese and calories in your pizza, making it a healthier option.
- Cauliflower Crust: For a more creative option, a cauliflower crust is a unique way to add vegetables to your pizza and lower the overall cholesterol content.
- Sourdough Crust: A sourdough crust can improve the bioavailability of nutrients in the crust and provide a different flavour profile to your pizza.
In addition to choosing a cholesterol-lowering crust, there are other ways to make your pizza more heart-healthy:
- Go Easy on the Cheese: Cheese is a source of saturated fat and dietary cholesterol. Reducing the amount of cheese or choosing a "light" cheese option can make your pizza healthier.
- Choose Heart-Healthy Toppings: Opt for vegetable toppings like peppers, mushrooms, onions, pineapple, and tomato, which are cholesterol-free. Avoid processed meat toppings, which are high in saturated fat and cholesterol.
- Make it at Home: Making your own pizza allows you to control the ingredients and tailor it to your health needs.
Remember, while these crust options can help lower cholesterol, maintaining healthy cholesterol levels also involves other factors such as exercise, weight management, and limiting saturated fats in your diet.
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Lower-cholesterol cheese options
While cheese is a source of saturated fat and dietary cholesterol, it has little to no effect on your cholesterol levels. Research suggests that eating regular-fat cheese does not increase LDL cholesterol levels any more than eating reduced-fat cheese.
If you are looking for lower-cholesterol cheese options, you can consider the following:
- Low-fat cheeses: These contain no more than 1 gram of saturated fat per serving. Examples include non-fat and low-fat versions of cheddar, Swiss, cottage cheese, ricotta, and mozzarella.
- Fat-free cheeses: These are made from skim milk and have even lower saturated fat and cholesterol content than low-fat cheeses. Examples include fat-free feta, made from a combination of skim and whole goat or sheep's milk, and fat-free mozzarella.
- Vegan cheese: These are made from plant products, such as soy or nuts, and lack the saturated fat that full-fat dairy products contain. However, some plant-based cheeses contain coconut oil, which is a source of saturated fat.
- Go easy on the cheese: Instead of removing cheese entirely, you can opt for a "light" cheese option or simply use less cheese. You can also try shaving thin slices of hard, tangy cheeses like parmesan or asiago, which are more flavorful, so you can use less while still enjoying the taste.
In addition to choosing lower-cholesterol cheese options, you can also make other changes to your pizza to make it more heart-healthy. For example, you can choose a thin crust made with whole wheat flour, add more vegetables, and reduce processed meat toppings. Making your own pizza at home can also be a great way to control the ingredients and make healthier choices.
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Cholesterol-raising toppings
Cholesterol is a waxy substance that comes from animal products. This means that some pizza toppings, such as cheese and meat, will contain dietary cholesterol. The more of these ingredients a pizza contains, the higher its cholesterol content will be.
Meat toppings such as pepperoni, sausage, and bacon are among the worst foods for cholesterol due to their high saturated fat content. Other meats, such as poultry and fish, are better options for maintaining healthy cholesterol levels.
Cheese is also a source of saturated fat and dietary cholesterol. However, research suggests that while cheese is a contributor of saturated fat and cholesterol, it has little to no effect on cholesterol levels. One study found that eating regular-fat cheese did not increase LDL cholesterol levels any more than eating reduced-fat cheese. Another study showed that cheese lowered LDL cholesterol levels compared to butter.
To reduce cholesterol intake, one can opt for low-fat or fat-free cheeses, such as low-fat versions of cheddar, Swiss, cottage cheese, ricotta, and mozzarella. Vegan cheese substitutes made from plant products, such as soy or nuts, are also an option as they lack the saturated fat found in full-fat dairy products.
In addition to choosing lower-fat cheese options, one can also reduce the amount of cheese used on the pizza. Instead of using multiple slices of cheese, sticking to a single slice or shaving thin slices of cheese can help lower cholesterol intake.
For those looking to minimize their cholesterol intake, it is recommended to opt for vegetable toppings such as peppers, mushrooms, onions, pineapple, and tomatoes, which contain no cholesterol.
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Cholesterol-raising sauces
Cholesterol is a waxy substance that comes from animal products. This means that some pizza toppings, such as cheese and meat, will contain some dietary cholesterol. The more of these ingredients a pizza contains, the higher its cholesterol content will be.
While pizza can be a poor choice for those with high cholesterol, careful ordering or making it at home can make it a heart-healthy meal. Going light on the cheese, avoiding red meat, and loading up on vegetables can make pizza an option that everyone can enjoy.
For instance, instead of using whole-milk mozzarella, you can use part-skim ricotta cheese mixed with freshly grated parmesan cheese. You can also opt for plant-based cheese, although these may still contain sources of saturated fat, such as coconut oil.
When it comes to sauces, it is best to avoid those containing butter, cheese, or cream as they are high in saturated fat and cholesterol. Sauces that are good for cholesterol include those made with olive oil, avocados, beans, garlic, nuts, and seeds as these ingredients actively lower cholesterol. Tomato-based sauces are also a good option as they do not contain any cholesterol and tomatoes can help lower cholesterol.
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Cholesterol-raising meat toppings
Pizza can be high in cholesterol, depending on the ingredients used. Cholesterol is a waxy substance that comes from animal products, so meat toppings can be a significant contributor to a pizza's cholesterol content.
Meat toppings that are high in cholesterol include processed meats such as pepperoni, sausage, and ham. These meats are often high in saturated fat and cholesterol, which can increase the risk of heart disease. Therefore, it is recommended to cut back on processed meat toppings and opt for plant-based alternatives or fresh vegetables instead.
In addition to meat toppings, other ingredients such as cheese, crust type, and portion size can also affect the cholesterol content of a pizza. For example, a stuffed crust pizza with pepperoni and extra cheese will be higher in cholesterol than a thin crust pizza with vegetable toppings and less cheese.
Some ways to reduce the cholesterol content of a pizza include choosing a thin whole wheat crust, opting for a veggie-based crust, or going easy on the cheese. Making pizza at home can also help control the amount of cholesterol, as you can choose healthier ingredients and cooking methods.
It is important to note that not all pizzas are created equal, and it is possible to include pizza in a balanced diet, especially if you make some adjustments to the toppings and crust. However, for those with high cholesterol, it is always best to consult a doctor or dietitian to create a suitable meal plan.
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Frequently asked questions
It is safe to eat pizza if you have high cholesterol levels, but it depends on the type of pizza and its ingredients. Cheese is a source of saturated fat and dietary cholesterol, but it has little to no effect on your cholesterol levels. Opting for a thin crust pizza with less cheese and healthier toppings such as vegetables can be a heart-healthy choice.
Some tips to make cheese pizza healthier include opting for a thin crust, choosing low-fat or plant-based cheese, and adding healthier toppings such as vegetables, chicken, shrimp, or lean meats. Making your own pizza at home allows you to control the ingredients and tailor them to your needs.
The amount of cholesterol in a cheese pizza depends on various factors, including the type of cheese, brand, ingredients, serving size, and toppings. A pizza with no cheese or meat may have lower cholesterol, while a stuffed-crust pizza with extra cheese and pepperoni could be relatively high in cholesterol.
Some alternatives to cheese pizza for those watching their cholesterol include opting for a vegan pizza or choosing a pizza with a cauliflower crust. You can also experiment with various toppings, such as vegetables, chicken, or shrimp, instead of cheese.

























