What is the best treatment for hypertriglyceridemia?
Selected Therapies for Managing Hypertriglyceridemia
| Therapy | Triglyceride reduction (%) | HDL-C increase (%) |
|---|---|---|
| Fenofibrate (Tricor), 48 to 145 mg daily | 40 to 60 | 15 to 25 |
| Gemfibrozil (Lopid), 600 mg twice daily | ||
| Niacin | 30 to 50 | 20 to 30 |
| OTC immediate-release niacin, 0.5 to 2 g two or three times daily |
What are the guidelines for triglycerides?
Table 1.
| NCEP ATP III (3) | The Endocrine Society 2010a | |
|---|---|---|
| Normal | <150 mg/dl | <1.7 mmol/liter |
| Borderline-high triglycerides | 150–199 mg/dl | 1.7–2.3 mmol/liter |
| High triglycerides | 200–499 mg/dl | 2.3–11.2 mmol/liter |
| Very high triglycerides | ≥500 mg/dl | 11.2–22.4 mmol/liter |
When Should statins be taken for triglycerides?
The third recommendation (class IIa) endorses the initiation of statins in those with severe hypertriglyceridemia with ASCVD equal to or greater than 7.5% in concert with addressing secondary factors.
What level is severe hypertriglyceridemia?
(See ‘Niacin’ below.) Severe hypertriglyceridemia — We define severe hypertriglyceridemia as >1000 mg/dL or 11.3 mmol/L. Some experts use a lower cutpoint (ie, 880 mg/dL or 10 mmol/L) given that the risk of acute pancreatitis is substantially increased at this lower threshold [13].
What is the best drink to lower triglycerides?
Some of the best drinks for cholesterol management include green tea, pomegranate juice, citrus juice, soy milk, plant-based smoothies, and red wine.
What foods should you eat to lower your triglycerides?
Foods that can help lower triglycerides
all vegetables, especially leafy greens, green beans, and butternut squash. all fruits, especially citrus fruits, and berries. low fat or fat-free dairy products, such as cheese, yogurt, and milk. high-fiber whole grains, such as quinoa, barley, and brown rice.
What is the first line treatment for hypertriglyceridemia?
Fibrates are the first-line treatment in patients with severe hypertriglyceridemia. Omega-3 fatty acids and niacin are very useful drugs for patients with hypertriglyceridemia. Statins in high doses exhibit a significant hypotriglyceridemic activity.
What is the best medicine for high cholesterol and triglycerides?
Statins are usually effective and well tolerated, and are the most commonly prescribed drugs to lower cholesterol. Examples include Lipitor (atorvastatin), Crestor (rosuvastatin), Zocor (simvastatin), Lescol (fluvastatin), Pravachol (pravastatin), and Mevacor (lovastatin).
What are the warning signs of high triglycerides?
Another warning sign of very high triglycerides is a condition called acute pancreatitis. Symptoms include sudden severe belly pain, nausea, vomiting, fever, rapid heartbeat, and rapid breathing. Alcohol can trigger an attack of pancreatitis, and if you have high triglycerides, alcohol can shoot them up even higher.
What is the main cause of high triglycerides?
Causes include obesity, eating too much unhealthy food, genetics, certain illnesses including poorly controlled diabetes, kidney disease, and underactive thyroid (hypothyroidism). Some drugs, such as steroids and birth control pills, and drinking a lot of alcohol can also cause it.
What foods decrease triglycerides?
Soy protein products, fatty fish, whole grains, quinoa, avocado, coconut oil, garlic, and cruciferous vegetables have all been shown to significantly reduce triglyceride levels.
What is the fastest way to lower triglycerides?
What’s the best way to lower triglycerides?
- Exercise regularly. Aim for at least 30 minutes of physical activity on most or all days of the week.
- Avoid sugar and refined carbohydrates.
- Lose weight.
- Choose healthier fats.
- Limit how much alcohol you drink.
What foods cause high triglycerides?
Sugary food and drinks, saturated fats, refined grains, alcohol, and high-calorie foods can all lead to high levels of triglycerides.
…
Refined Grains and Starchy Foods
- Enriched or bleached white bread, wheat bread, or pasta.
- Sugary cereals.
- Instant rice.
- Bagels.
- Pizza.
- Pastries, pies, cookies, and cakes.
What vitamins help lower triglycerides?
The long-chain omega-3 polyunsaturated fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), and the B-vitamin niacin (nicotinic acid) have potent triglyceride-lowering effects.
How do you feel when your triglycerides are high?
Very high triglycerides may cause blocking of the blood supply to your heart or your brain. Symptoms of decreased blood supply to your heart could include chest pain. Decreased blood supply to your brain could cause numbness, dizziness, confusion, blurred vision, or severe headache.
What should I eat for breakfast to lower triglycerides?
all fruits, especially citrus fruits, and berries. low fat or fat-free dairy products, such as cheese, yogurt, and milk. high-fiber whole grains, such as quinoa, barley, and brown rice. beans, nuts, and seeds, which contain fiber and unsaturated, healthy fats.
Do bananas help lower triglycerides?
A medium banana contains 3.1 grams of dietary fiber, making it a high-fiber food. Fiber in your diet can help you lose weight, and shedding unnecessary pounds can help you lower your triglycerides. Dietary fiber can also help lower your low-density lipoprotein cholesterol, also called LDL or “bad” cholesterol.
Does vitamin D help lower triglycerides?
The improvements in total cholesterol and triglycerides were more pronounced in participants with baseline vitamin D deficiency. Conclusions: Vitamin D supplementation appeared to have a beneficial effect on reducing serum total cholesterol, LDL cholesterol, and triglyceride levels but not HDL cholesterol levels.
Does vitamin B12 lower triglycerides?
In our study, triglyceride levels were significantly decreased after vitamin B12 treatment in patients with higher triglyceride levels before vitamin B12 treatment.
Are eggs good for high triglycerides?
Based on pooled results observed during the two 3-week periods, consumption of enriched eggs was associated with a significant 16-18% decrease in serum triglycerides (P<0.01) but with no significant difference in serum LDL-cholesterol and HDL-cholesterol.
Does vitamin B12 increase triglycerides?
They found that low levels of vitamin B12 were associated with higher levels of total cholesterol, LDL (bad) cholesterol, and triglycerides—even after adjusting for the effects that body mass index, abdominal fat, and total body fat percentage have on the body.
How do you feel if your triglycerides are high?
What vitamin can you take to lower your triglycerides?
Which fruits reduce triglycerides?
Foods that may help lower triglycerides include: Lower fructose vegetables: These include leafy greens, zucchini, butternut squash, green beans, and eggplant. Lower fructose fruits: Examples include berries, kiwi, and citrus fruits.