About FCS

An illustration of parents with their child.

About FCS

Actor portrayals.
Not actual patients.

What is FCS?

Familial chylomicronemia syndrome (FCS) is a rare genetic condition that makes it difficult for the body to break down TGs. Even a little fat in food can make someone with FCS very sick. People with FCS must carefully follow a strict low-fat diet to avoid serious risks like pancreatitis.

Pancreas icon.

Pancreatitis risk in FCS

People with FCS have a very high risk for pancreatitis due to buildup of TGs in the blood. Pancreatitis is a painful inflammation of the pancreas. It can be sudden and intense, and often requires staying in the hospital.

Reducing the risk of pancreatitis is one of the most important reasons for people with FCS to strictly manage their TGs.

Talking to Family & Friends Guide

Living with FCS can be hard, especially when the people around you don’t understand what you’re going through. Our guide can help you explain your symptoms and the support you need.

Download our guide

How is FCS diagnosed?

A doctor can make an initial diagnosis of FCS by looking for distinct signs of FCS.

Triglycerides icon.

Extremely high TGs of 880 mg/dL or above on more than 1 blood test

Vial of blood icon.

Fatty or milky blood in the lab after it is drawn

Circle with a lightning bolt icon.

Severe, sometimes daily, stomach pain that is often described as back pain

Pill bottles icon.

Little or no improvement in TG levels with typical TG-lowering medications

High triglyceride levels icon.

High TGs that are not caused by diet, alcohol, or medications known to raise TG levels

Supporting an FCS diagnosis with genetic testing

Since FCS is a rare genetic disorder, people with symptoms or a clinical diagnosis of FCS may benefit from a test that checks to see if they have one or more of the genes that causes FCS.

 

While genetic testing is available clinically at commercial laboratories, cost and access may be factors to consider. If you haven’t been tested before and you would like to take a genetic test for FCS, speak with your doctor about options. 

Genetic Testing for Familial Chylomicronemia Syndrome Guide

 

Genetic Testing for FCS Brochure

Learn more about the options available to people looking to receive a genetic confirmation of FCS.

Download our Brochure

How is FCS managed?

Nutrition and lifestyle

Managing FCS requires following an FCS-friendly diet and lifestyle plan, even while taking prescription medicine. Your healthcare team is there to support you and work with you along the way.

An FCS diet should be:

Tablespoon with oil icon.

Low fat

People with FCS should limit their diet to less than 20 grams of total fat (equivalent to fat content of about 1 tablespoon of olive oil) spread throughout the day.

Soft drink icon.

Low carbs

Limit simple carbohydrates like sugar, candy, juices, and soft drinks as well as refined carbohydrates like white flour, white bread, white rice, and many breakfast cereals.

Wine Bottle and glass of wine icon.

No alcohol

People with FCS should avoid alcohol as it can raise TGs significantly.

Following these guidelines is not easy to do; 

that’s why it’s important to work with your healthcare team.

An actor portraying a lipid specialist.
Actor portrayal. Not an actual healthcare professional.

Working with a lipid specialist

For people with FCS, working with a lipid specialist isn’t just helpful, it can be key to managing the disease.

Living with FCS means managing more than just symptoms, it means maintaining a healthy TG level. A lipid specialist has advanced skills in the management of TGs.

Find a lipid specialist near you

Lipid Specialists and FCS Guide

Learn what lipid specialists do, how they manage FCS, and how to find the right one to support your care and quality of life.

DOWNLOAD OUR GUIDE

Eating With FCS

Eating a low-fat diet can feel challenging at first, but a few simple tips can make it easier. Use this guide to help you manage and maintain an FCS-friendly eating plan.

DOWNLOAD RESOURCE