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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Triglycerides Way Too High

My total cholesterol is normal but my doc said my Triglycerides are waaaaaaaaaaay too high....they ve hit the 200 s and two years ago were normal. I m not a big steak eater....I don t eat fast food....I actually competed in an Ironman in 2004, I do yoga, and brazilian jiu jitsu. What could cause my tri s to shoot up so high? I read that I m at risk for heart attack but I m only 35. WTH!!! Could stress raise my tris?
Fri, 18 Dec 2009
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Actually, you and your doctor will discuss the best option. Trig level of 200, while high (optimal less than 150), is not absurdely out of control. There are drugs designed specifically to target the triglycerides called Fibrates (Tricor, Lopid) and they are similar wrto adverse effects to the statins used to treat LDL. First and foremost, a trial of lifestyle modification, including diet and exercise should be attempted, lasting ~ 6 months. If that doesn't work, then you start to look for a pharmacological solution. Good news, you LDL and HDL are good, congratulations!!! That lowers you risk for several BAD things despite the trig level. Did the doctor mention anything about you blood sugar? Elevated blood sugars for sustained periods can coincide with elevated triglycerides. There is a test called an HbA1c that can give you a pretty good idea about your sugar control for the past 3 months or so, and if it is less than 7 your probably ok there as well. Hope this helps, i'm very tired.
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Triglycerides Way Too High

Actually, you and your doctor will discuss the best option. Trig level of 200, while high (optimal less than 150), is not absurdely out of control. There are drugs designed specifically to target the triglycerides called Fibrates (Tricor, Lopid) and they are similar wrto adverse effects to the statins used to treat LDL. First and foremost, a trial of lifestyle modification, including diet and exercise should be attempted, lasting ~ 6 months. If that doesn t work, then you start to look for a pharmacological solution. Good news, you LDL and HDL are good, congratulations!!! That lowers you risk for several BAD things despite the trig level. Did the doctor mention anything about you blood sugar? Elevated blood sugars for sustained periods can coincide with elevated triglycerides. There is a test called an HbA1c that can give you a pretty good idea about your sugar control for the past 3 months or so, and if it is less than 7 your probably ok there as well. Hope this helps, i m very tired.