Case 2: A 52-year-old man comes to his primary care provider’s office to discuss his concerns about colon cancer. His 48-year-old sister was recently diagnosed with an early-stage colon cancer and was treated with surgical resection. His mother has also had many colon polyps removed during colonoscopies over the years. He is primarily concerned with reducing his risk of developing colon cancer, but he has never had a colonoscopy. A dietary history was taken and he describes himself as a carnivore. He enjoys steak, hamburgers, meat loaf, hot dogs, lamb chops, and veal for dinner about five times a week. Breakfast consists of cereal or doughnuts and lunch at work is usually two slices of pepperoni pizza and iced tea. He also enjoys ice cream after dinner several times a week and he drinks 4-5 beers three times per week. He rarely eats fruit or vegetablesWhat nutritional factor in his diet does not increase his risk for colon cancer?

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