Intake of several food products has been shown to be potentially harmful or increase risk of ASCVD. Sugar-sweetened and artificially sweetened bev- erages have been correlated with increasing the development of T2DM and with ASCVD risk, with a 20% increase in the frequency of diabetes mellitus with 1 daily serving of these sweetened In large cohort studies, consump- tion of added sugar at >10% of daily calories has been associated with increased mortality However, adults who are habitually high consumers of sugar-sweetened beverages and utilize low calorie sweetened beverages as a replacement strategy that provides a sweet taste while reducing caloric intake may find this use- ful in the transition to water.S3.1-20 In REGARDS (REasons for Geographic and Racial Differences the Southern dietary pattern was identified as substantially increasing health risks, including a 56% higher risk of heart disease and a 30% higher risk of stroke. This pattern con- sisted of more fried food, added fats, organ and processed meats, and sugar-sweetened bev- erages. Consuming a dietS3.1-4 with juices and sweetened beverages, refined grains, potatoes/ fries, and sweets resulted in a greater increase in coronary events than the increase seen with consumption of animal products. Given the addi- tional risk associated with intake of these various food products, clinicians would do well to coun- sel individuals about their associated harm and advise them to avoid these foods when possible. Furthermore, longstanding dietary patterns that focus on low intake of carbohydrates and a high intake of animal fat and protein are associated with increased cardiac and noncardiac mortal- low- carbohydrate diets were associated with a 31% higher risk of all-cause death, with increased cardiac mortality rate. 