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Questions and Solutions About Excessive Triglycerides



Most ldl cholesterol assessments will normally measure triglycerides, howeverthey aren’t a kind of ldl cholesterol. Nonetheless, 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 way 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 Ladies’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 threat of coronary heart assault or stroke?

A normal lipid panel measures ranges of complete ldl cholesterol in addition to triglycerides, however this quantity is commonly ignored. It shouldn’t be, as a result of excessive ranges of triglycerides elevate 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 essential motive to maintain triglycerides in test.

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

There aren’t any signs when you’ve got excessive triglycerides. So, step one is to get a lipid panel and ask about your triglyceride stage. Borderline excessive ranges are above 150 milligrams per deciliter (mg/dL), excessive ranges are better than 200 mg/dL, and really excessive ranges are above 500 mg/dL.If the extent is better than 150 mg/dL, discuss to your healthcare supplier about the very best method to managing cardiovascular threat related to any stage of elevated triglycerides.

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

Step one to managing cardiovascular threat related to elevated and excessive triglyceride ranges is to have a look at what you’re consuming. Alcohol, fat, easy carbohydrates and sugars can all elevate your triglycerides. As a substitute of consuming meals which are excessive in saturated fats, easy sugars and starches, eat a Mediterranean-style food plan with complicated carbohydrates — reminiscent of 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. Food plan and train resulting in weight reduction can enhance triglyceride ranges. It’s additionally sensible to cut back your alcohol consumption.

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

Oftentimes, if triglycerides are mildly elevated, a easy dietary change like consuming extra fish is ample, together with switching to a nutritious diet and exercising extra. Nonetheless, in case your ranges are average to excessive, your physician could 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 comprise omega-3 fatty acids known as EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), and others comprise solely a purified type of EPA known as IPE (icosapent ethyl). All of those merchandise will decrease your triglycerides and should lower your threat of pancreatitis, however they don’t all decrease your threat for coronary heart illness, coronary heart assault and stroke. Nonetheless, prescription-strength omega-3 with pure EPA, known as IPE, has been confirmed in scientific trials to cut back your threat of heart problems when used with statins, medication used to decrease ldl cholesterol.

One other remedy known as fibrates can decrease triglycerides, however probably 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 help from Amarin.

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