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Never liked the concept of lean mean grilling. Higher quality steaks are "marbled", meaning they have fat incorporated with the muscle, and hence a better flavor. Might as well buy a cheaper cut of meat if you want lean.
When I cook bacon, I use the fat to cook potatoes. No sense wasting it.
I don't know how important they type of fat is (HDL vs LDL) with regard to hypertension, as it seems to be mostly influenced by genetics, activity level, and overall weight. Diet surely plays a role, but I'm not convinced it's as big as the other factors.
All that said, fat isn't fattening. Overeating is fattening.
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