Managing triglycerides (TGs)

Illustration of a patient with high triglycerides and doctor smiling together.

Managing triglycerides (TGs)

Actor portrayals.
Not an actual patient or healthcare professional.

How are very high TGs managed?

If you have very high TGs, your doctor may recommend diet and lifestyle changes, and sometimes medication, to lower TGs.

 

Your doctor may recommend:

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Changing your diet

Eating fewer foods with saturated fats like fatty meats, high-fat dairy foods, and desserts can help lower TGs. Instead, you can try incorporating food with healthy fats like nuts, seeds, nut butters, or avocado.

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Limiting alcohol

Alcohol can raise your TG levels. It is best to avoid alcohol, or only consume in small amounts. A person who frequently drinks alcohol can reduce their TGs by as much as 80% when they stop drinking. That's the difference between a TG level of 500 mg/dL and a TG level of 100 mg/dL.

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Managing weight

Aim for a healthy weight through diet and exercise. Even a small amount of weight loss may lower your TGs.

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Staying active

Exercise offers many health benefits. Getting at least 150 minutes per week of moderate-intensity exercise can not only help lower your TGs, but may also help you lose weight and lower the risk of diabetes and heart disease.

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Stopping certain medications

Some medications can raise your TGs. If that's the case, your doctor may recommend stopping certain medications, if appropriate. It is important to talk to your doctor before making changes to your medications.

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Starting medications that can help lower TGs

Lifestyle changes aren't always enough to lower TGs. Your doctor may recommend supplements or prescribe medications that can help lower TGs like fish oil (omega-3 fatty acids), fibrates, niacin, and statins. Ask your doctor if medications are right for you in order to lower your TGs.

With many possible causes and different responses to treatment, managing very high TGs is not the same for everyone. That’s why it is important to have a conversation with your doctor to find 
something that works for you.

Talking to Your Doctor About Your TGs

If you have very high TGs (500 mg/dL or above), it’s really important to work with your healthcare team to
make a plan. Bring this guide to your next appointment to help you ask the right questions and make the most of your conversation.

Download our discussion guide

Who can help you manage your very high TGs?

From primary care physicians to cardiologists, there are many healthcare professionals who can help you manage your TGs.

 

Your healthcare team may include:

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Actor portrayal. Not an actual healthcare professional.

Primary Care Physician (PCP)

PCPs are often the first to notice if your TG levels are elevated after a routine blood test. If needed, they can refer you to specialists to look into specific symptoms or treatment options.

Some women turn to their obstetrician-gynecologist (OB-GYN) for primary care, especially during pregnancy. Although OB-GYNs are doctors who specialize in women's reproductive health, they can monitor TG levels and refer to specialists when needed.