Lipids assessed at various intervals (baseline, 3 months, 12 months, and 24 months) show no statistically significant difference between both groups. Median chain saturated fatty acids in coconut oil do not seem to increase the lipids when compared with polyunsaturated fatty acids of sunflower oil when consumed along medication including statins. This is the real world scenario in this community with majority of patients continuing to use coconut oil even after being diagnosed to have atherosclerotic CAD. The primary objective of our study was to assess whether this traditional cooking oil media influence the CAD risk factors unfavorably in spite of medication. As the traditional lipid profile reflects only a part of atherogenic burden30 to assess the atherogenic versus non-atherogenic lipids, apolipoprotein B and A were evaluated in the study population