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Questions and Solutions About Excessive Triglycerides

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Most ldl cholesterol checks will often measure triglycerides, howeverthey aren’t a kind of ldl cholesterol. Nevertheless, triglycerides are associated to the 2 varieties of ldl cholesterol: LDL and HDL. Like ldl cholesterol, triglycerides are varieties of lipids (or fat) that journey by means of the blood to carry out important capabilities within the physique. And, like LDL ldl cholesterol, excessive ranges of triglycerides can pose dangers to coronary heart well being.

We reached out to New York heart specialist and member of the HealthyWomen Girls’s Well being Advisory Council Nieca Goldberg, M.D., to speak about what we will do to handle excessive triglycerides.

How do excessive ranges of triglycerides have an effect on my danger of coronary heart assault or stroke?

A typical lipid panel measures ranges of whole ldl cholesterol in addition to triglycerides, however this quantity is usually ignored. It shouldn’t be, as a result of excessive ranges of triglycerides increase the danger of coronary heart assault and stroke by selling atherosclerosis — the build-up of ldl cholesterol and inflammatory components — within the partitions of the blood vessels that provide blood to the center muscle. Very excessive triglycerides are additionally related to irritation of the pancreas (pancreatitis), which is one other necessary motive to maintain triglycerides in test.

How do I do know if I’ve excessive triglycerides?

There are not any signs you probably have excessive triglycerides. So, step one is to get a lipid panel and ask about your triglyceride degree. Borderline excessive ranges are above 150 milligrams per deciliter (mg/dL), excessive ranges are larger than 200 mg/dL, and really excessive ranges are above 500 mg/dL.If the extent is larger than 150 mg/dL, speak to your healthcare supplier about one of the best strategy to managing cardiovascular danger related to any degree of elevated triglycerides.

Ought to I keep away from sure meals if I’ve excessive triglycerides ranges?

Step one to managing cardiovascular danger related to elevated and excessive triglyceride ranges is to take a look at what you’re consuming. Alcohol, fat, easy carbohydrates and sugars can all increase your triglycerides. As an alternative of consuming meals which might be excessive in saturated fats, easy sugars and starches, eat a Mediterranean-style weight loss plan with complicated carbohydrates — comparable to entire grains — and loads of fruits, greens and wholesome fat like omega-3. These are the varieties of fat present in fish, olive, canola or avocado oil. Weight loss plan and train resulting in weight reduction can enhance triglyceride ranges. It’s additionally good to scale back your alcohol consumption.

How can I decrease my triglycerides and my danger of heart problems?

Oftentimes, if triglycerides are mildly elevated, a easy dietary change like consuming extra fish is enough, together with switching to a nutritious diet and exercising extra. Nevertheless, in case your ranges are reasonable to excessive, your physician might order prescription-strength fish oil or omega-3s, which has increased ranges of omega-3 fatty acids than over-the-counter dietary complement choices. A few of these prescription-strength fish oils include omega-3 fatty acids known as EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), and others include solely a purified type of EPA known as IPE (icosapent ethyl). All of those merchandise will decrease your triglycerides and will lower your danger of pancreatitis, however they don’t all decrease your danger for coronary heart illness, coronary heart assault and stroke. Nevertheless, prescription-strength omega-3 with pure EPA, known as IPE, has been confirmed in scientific trials to scale back your danger of heart problems when used with statins, medication used to decrease ldl cholesterol.

One other medicine known as fibrates can decrease triglycerides, however essentially the most generally used fibrates haven’t been proven to decrease the danger of coronary heart assault or stroke.

This academic useful resource was created with assist from Amarin.

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