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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Triglycerides

Hi, I have a concern with some blood test results that my sister recently had taken. Her Triglyceride is 343 & the normal range should be below 160. The VLDL is 68.60 & normal range is 6.00 - 40.00. She does take a cholesterol medication but its obviously not working enough. I feel this is very dangerous to ignore. Please advise your opinion on this matter. Thanks, very much for your help.
Fri, 26 Jun 2015
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Cardiologist,  's  Response
Hi. Thank you for contacting me via HCM.

Triglyceride levels tend to be false positive sometimes, especially when the blood test is taken within 8-16 hours after the last meal. Therefore, I would suggest that this test be repeated after a 16-hour fasting period. If the levels are still high, then my opinion is to start a fibric acid derivative to the therapy (e.g. fenofibrat 160 mg x 1 tb/d). Also, diet and lifestyle adjustment would be appropriate. I would recommend a diet with low salt, rich in fibres (green leafy vegetables and fruit) and a 60 minute physical activity per day (e.g. walking, visiting a swimming pool).

I hope I was helpful. Take care.
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Suggest Treatment For High Triglycerides

Hi. Thank you for contacting me via HCM. Triglyceride levels tend to be false positive sometimes, especially when the blood test is taken within 8-16 hours after the last meal. Therefore, I would suggest that this test be repeated after a 16-hour fasting period. If the levels are still high, then my opinion is to start a fibric acid derivative to the therapy (e.g. fenofibrat 160 mg x 1 tb/d). Also, diet and lifestyle adjustment would be appropriate. I would recommend a diet with low salt, rich in fibres (green leafy vegetables and fruit) and a 60 minute physical activity per day (e.g. walking, visiting a swimming pool). I hope I was helpful. Take care.