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This report was funded by a grant from the NCD Alliance. NCD Alliance's work to help scale up proven strategies in the WHO's REPLACE package to reduce and eliminate exposure to TFAs and increase availability of healthier alternatives is funded through a grant from Resolve to Save Lives, an initiative by Vital Strategies. The report was prepared by Ammar Rashid from Heartfile, with key support from Dr. Saba Amjad (Heartfile), Kassim Nishtar (Heartfile), Dr. Khawaja Masuood Ahmed (NHSR&C, Islamabad), Dr. Noureen Aleem Nishtar (WHO Pakistan), Dr. Omer Mukhtar Tarar (PCSIR, Karachi) and Fakhar Gulzar (WHO Pakistan). We would also like to extend our gratitude to officials from the food authorities of Punjab, Khyber-Pakhtunkhwa, Sindh and Balochistan for their input.