How To Lower Triglycerides
What does it mean when you have high triglycerides? How do you lower your triglycerides?
If youve been told that you have high triglycerides a type of fat found in the bloodstream youre not alone. One report suggests that nearly one-third of Americans have elevated triglycerides.1
Higher than normal triglyceride levels are a problem because theyre associated with increased risk of metabolic dysfunction, heart attacks, and strokes.2
Although many people focus on the risks associated with high low-density lipoprotein cholesterol, high triglycerides may be even more predictive of future heart events.3
The good news is, you can use the advice in this guide to work with your healthcare provider to reduce your triglycerides naturally. You can also consider discussing medications or supplements to lower your triglycerides if needed.
Heres what you need to know about reducing your triglycerides.
Will A Keto Diet Lower Triglycerides And Cholesterol
No, keto diets have been shown to increase cholesterol levels. The Mediterranean diet, however, has been shown to lower cholesterol levels and reduce the risk of cardiac events.
The Mediterranean diet promotes eating vegetables, fruits, whole grains, and healthy fats daily eating fish, poultry, beans, and eggs weekly reducing portions of dairy and limiting red meat.
What Other Lifestyle Changes Help Lower Triglycerides
Lifestyle strategies are a way to lower triglycerides naturally.
Weight loss has a positive effect on triglycerides. For every 5% to 10% weight reduction, triglycerides may be lowered by 20%. Another way to look at this: For every kilogram lost, triglycerides may be reduced by 2%.
Increasing physical activity lowers triglycerides.
- Aerobic activity of any kind, especially when done after a meal, uses up triglycerides that are in the blood ready to be used as fuel. This not only lowers triglycerides but also helps with abdominal obesity.
- Exercise is most effective for lowering triglycerides when they are very elevated. If triglycerides are optimal , exercise will not further lower the level.
All together, intensive lifestyle strategies can reduce triglycerides by 50% or more over a year. Lifestyle strategies can enable people to effectively reduce triglycerides without medicine or drugs, plus there are many other positive effects on other aspects of health and well-being. This is the recommended approach of the American Heart Association for anyone with triglycerides greater than optimal .
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What Are Normal Triglyceride Levels
You can monitor triglycerides with blood tests. Generally, your doctor will order a lipid panel that checks the levels of several types of lipids, including triglycerides and cholesterol. Your doctor will ask you to fast before your blood draw to help ensure test accuracy, so you should not eat anything for 10-12 hours before getting your blood drawn.
Normal triglyceride levels are less than 150 milligrams per deciliter . Anything higher than that is considered hypertriglyceridemia and can put you at risk for serious health problems. Mildly high levels run from 150 to 199 mg/dL, high levels run 200 to 499 mg/dL, and very high levels are over 500 mg/dL. Your doctor will probably start you on medicine if your level is over 200 mg/dL.
Eat Foods That Lower Triglycerides
If you’re wondering how to lower triglycerides through dietary changes, try the following foods.
Oats
You may be happy to learn that your morning oatmeal can naturally lower triglycerides, as long as it’s whole-grain, rather than instant. Researchers discovered that eating high-fiber oats lowered triglycerides more than wheat cereals. Scientists have linked fiber with a lowered risk of cardiovascular diseases, and oats are an excellent source of dietary fiber. You can also try steel-cut oats.
Beans
Not only are beans and other legumes a great source of fiber and nutrients, but they also lower triglycerides. Adults who ate two servings of beans to one serving of white rice had lower triglycerides, lower blood pressure, and lower fasting glucose levels compared to those who ate more rice than beans. Several other studies have found that beans lower cholesterol and triglyceride levels.
Avocados
Whether you prefer to add them on top of whole-grain toast or serve them in guacamole, avocados are a natural defense against high triglycerides. Eating extra avocados for seven days lowered both triglyceride and cholesterol levels in one study of adults. Avocados are chock full of healthy oils, including monounsaturated fat and polyunsaturated fat, and some researchers have suggested all people replace unhealthy saturated fat with avocados.
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The Best Diet For Lowering Triglycerides: A Mediterranean
Throughout the research on lowering triglycerides, two trends emerge. The first is that limiting carbohydrates and increasing fat consumption leads to lower triglyceride levels. The second is that polyunsaturated fats decrease triglycerides more than any other fat.
If we combine these two trends together, we come out with a Mediterranean-style ketogenic diet that restricts carbohydrates more than any other diet and places emphasis on omega-3 rich fish like sardines and salmon and polyunsaturated fat rich nuts and olive oil.
The Mediterranean-style Ketogenic Diet will also provide a healthier amount of vegetables, fiber, and protein than a typical Americans diet, which further improves triglyceride levels.
Not sure what a Mediterranean-style Ketogenic meal would look like? Here are some delicious examples:
Or have a can of sardines on a delicious Oven Roasted Caprese Salad.
What Are Triglycerides And What Is Considered A Healthy Level
Triglycerides are sort of like cholesterol: Both are types of fat found in your blood. But while cholesterol is used to make cells and certain hormones, the job of triglycerides is to store unused calories to give your body energy between meals.
Triglycerides get stored after you eat. If you take in any calories that arent needed for energy right away, theyre converted into triglycerides and transferred to your fat cells for later use.
Eating more calories than you need on the reg can lead to high triglycerides over time, which can up your risk for heart disease. Triglycerides are usually measured along with cholesterol, and numbers over 150 mg/dL are usually considered high.
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Increased Risk Of Heart Disease
Medical science consistently demonstrates that people with higher triglycerides have a higher risk of heart disease. That is not surprising since high triglycerides are also correlated with other cardiac risk factors such as insulin resistance, metabolic syndrome, and more atherogenic small LDL particles.49
Observational studies demonstrate the risk of a heart attack triples for those with triglycerides above 265 mg/dL compared to those with lower levels.50
Another study reports an increased risk for statin-treated patients when their triglycerides were above 175 mg/dL .51
Studies comparing the impact of elevated triglycerides on cardiovascular risk suggest it may be equally or more important than high LDL cholesterol.
One study shows genetic mutations that lower triglycerides have an equal benefit for reducing heart disease risk as those that lower LDL.52
Other studies report elevated triglycerides and triglyceride-to-high-density lipoprotein cholesterol ratio are associated with smaller LDL particles and a more advanced coronary disease, whereas elevated LDL cholesterol show no significant correlation.53
Most recently, an evaluation of the PREDIMED trial demonstrates that triglycerides above 150 mg/dL and remnant cholesterol ) have greater predictive power for heart disease risk than does LDL.54
In fact, many trials show no improvement in the risk of heart disease or death.
Could triglyceride-lowering lifestyles have a greater impact than medications?
Work With Your Doctor On A Lower Cholesterol Plan
Lowering your cholesterol doesnt mean going it alone. Your primary care doctor is a helpful partner along your journey.
Your doctor can work with you to create an action plan just for you one that combines diet, exercise and other lifestyle changes to help you lower and manage your cholesterol.
For example, losing weight and quitting smoking can be big helpers for lowering cholesterol. Quitting smoking can raise your good HDL cholesterol levels, and losing weight can lower your bad LDL cholesterol levels significantly.
But these two tasks arent easy. Fortunately, your primary care doctor can be a great resource to help you get started and find practical ways to stick with it. Plus, help with quitting smoking and losing weight may already be covered if you have health insurance.
Whether you want to quit smoking, lose weight or just learn more about how your personal health would benefit from lower cholesterol levels, regular check-ins with your doctor are key. They can also perform cholesterol tests the only way to actually measure cholesterol to check your progress and help you make adjustments based on the results.
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Does Lemon Water Lower Triglycerides
Multiple useful cardiovascular effects have been discovered including enhancement of fibrinolytic activity, lowering of blood pressure, reduction in cholesterol, and triglyceride. The results showed that combination of garlic and lemon juice significantly reduced serum TC, LDL-C, and blood pressure.
Cut Back On Sugar And Refined Carbs
Different carbohydrate-loaded foods also contain very different nutritional levels.
Dr. Nissen recommends scaling back or eliminating:
Dr. Nissen advises that increasing your fiber intake may lower triglyceride levels. If you have high triglyceride levels, theres a good chance you dont ingest close to the recommended 25 to 30 grams of fiber a day, he says.
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/11lower Your Carb Intake
Just like the added sugar, extra carbs in your diet also get converted into triglycerides. Low carb diet has been linked to lower triglyceride levels.
Studies have found that people getting a lower number of calories from carbs had lower triglyceride levels as compared to people who received more calories from carbs.
People who were kept on a low carb diet for one year lost more weight and had lower triglyceride levels as compared to people who had a high carb diet, finds a study.
Why Lowering High Triglyceride Levels Matters
The national guidelines for fasting triglyceride levels in healthy adults are:
- Normal: Under 150 milligrams per deciliter .
- Borderline High: 151200 mg/dl.
- High: 201499 mg/dl.
- Very High: 500 mg/dl or higher.
When your triglyceride levels are high and you have a high amount of LDL cholesterol or a low amount of HDL cholesterol, all of this could contribute to the development of fatty buildups within the artery walls of the heart. The buildup can increase your risk of heart attack and stroke.
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Foods That Lower Triglycerides Naturally
Having high triglyceride levels is often part of the criteria when diagnosing high cholesterol, and it also plays a role in cardiovascular disease and strokes. Keeping triglyceride levels down in our blood stream may require the use of pharmaceutical medication, exposing you to the annoying and potentially harmful side effects. Thankfully, there is a natural way to regulate cholesterol and triglyceride levelsit includes keeping a healthy diet and simple lifestyle changes that will not only make you feel healthier but keep your blood vessels and heart muscles performing at their best. Here you will find a list of food that lower triglycerides.
Studies show over the past 30 years that more and more Americans are becoming overweight, leading to high triglyceride levels becoming a serious issue. They are linked to an increased risk of stroke and heart attack and may actually have a genetic predisposition, with high triglyceride levels and low good cholesterol numbers having a tendency to run in the family.
It is good to know what is considered a normal and abnormal triglyceride level.
- Normal: Less than 150mg/dl
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Why Do You Have High Triglycerides
However, one big problem arises if we live in westernized societies there is an over abundance of food at all time. If you are reading this right now, you probably live in an area where many different varieties of food are always available. In this kind of food environment, our emotional and instinctual desires override all logical sense, so most of us eat more calories and carbohydrates than we need.
In response to this influx in calories, the cells become stuffed with so much energy that they reject the signal to take more energy in that they receive from insulin . This is otherwise known as insulin resistance, and this causes a cascade of hormonal changes that increase blood sugar and triglyceride levels.
On top of that, carbohydrate consumption stimulates hepatic lipogenesis independent of insulin signaling.
What all of this means is that eating excess calories increases your chances of having high triglycerides levels and eating excess carbohydrates increases triglyceride levels, especially if those carbohydrates are coming from fructose and other processed sugars.
Hold on. What about the fat?
We are talking about triglycerides a type of fat. How could I talk about calories and carbohydrates and neglect to mention fat as a contributor to high triglyceride levels as well? Well, there is a good reason for that.
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Some People May Respond Best To A Low
For those with severely elevated triglycerides , there is a case for low-fat diets being equally good if not better than low carb in some situations.
One study finds that those with triglycerides below 400 mg/dL respond best to low-carb diets, but those with triglycerides greater than 400 mg/dL respond best to low-fat diets.24
However, case reports document a decrease in severely elevated triglycerides with low-carb, high-fat diets.25
Its important to understand the cause of elevated triglycerides, as that may impact the proposed dietary treatment. If someone has a genetic cause, such as familial chylomicronemia or lipoprotein lipase deficiency, a low-fat diet may be more effective.26
Aside from these extreme examples, there is no evidence to support a low-fat diet as being better than a low-carb diet for reducing elevated triglycerides.
What Are High Triglycerides
Triglycerides are a kind of fat found in blood. Cholesterol is another kind. Stored in fat cells for later use, triglycerides are a major energy source. Normal amounts are important for good health. Eating more fat than the body burns can lead to high triglyceride levels . High triglyceride levels may result in hardening of the arteries , which increases risks of stroke, heart attack, and heart disease. They can be part of metabolic syndrome, which also includes too much fat around the waist, high blood pressure, high blood sugar, and abnormal cholesterol levels.
Sometimes high triglyceride levels mean poorly controlled type 2 diabetes, low thyroid hormone levels , liver or kidney disease, or rare genetic conditions.
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Look At Your Prescription Meds
A bunch of different drugs can potentially raise triglyceride levels, including oral estrogen, corticosteroids, and antipsychotic drugs.
If your numbers recently measured high, be sure to review any prescription drugs you might be taking with your doctor. If one of your meds is the culprit, you can talk figure out a plan for protecting your heart health.
How Are High Triglycerides Diagnosed
High blood triglycerides are diagnosed with a routine blood test called a lipid panel. A lipid panel measures total cholesterol, HDL cholesterol, LDL cholesterol, and triglyceride levels in the blood.
Triglyceride level ranges are:
- Normal: Less than 150 mg/dL
- A little bit high: 150 to 499 mg/dL
- Very high: 500 mg/dL or greater
- Moderately high: 500 to 886 mg/dL
- Very high: Greater than 886 mg/dL
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Establish A Regular Meal Pattern
Insulin resistance is another factor that can contribute to high blood triglycerides.
After you eat a meal, the cells in your pancreas send a signal to release insulin into the bloodstream. Insulin is then responsible for transporting sugar to your cells to be used for energy.
If you have too much insulin in your blood, your body can become resistant to it, making it difficult for your body to use insulin effectively. This can lead to a buildup of both sugar and triglycerides in the blood.
Fortunately, setting a regular eating pattern can help prevent insulin resistance and high triglycerides. For instance, research shows that not eating breakfast can lead to decreased insulin sensitivity .
An American Heart Association statement suggested that irregular eating patterns seemed less likely to achieve healthy cardiometabolic levels. They recommended intentional eating at regular times .
However, the evidence is mixed when it comes to meal frequency.
A 2013 study demonstrated that eating three meals per day significantly decreased triglycerides compared with eating six meals per day (
36 ).
Regardless of how many meals youre eating daily, eating regular meals can improve insulin sensitivity and lower blood triglyceride levels.
Summary
While studies are mixed on how meal frequency affects blood triglyceride levels, research suggests that sticking to a regular meal pattern can decrease many heart disease risk factors and prevent insulin resistance.
Consider Cutting Back On Carbs
You dont have to go full keto. But some research suggests that lower carb diets are tied to healthier triglyceride levels.
How low should you go? In a 2006 study, people who consumed about a quarter of their calories from carbs lowered their triglycerides more than those who got more than half their calories from carbs.
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Changing The Way You Eat
Because triglycerides store extra calories, you might need to start cutting down on your daily calorie intake. By reducing calories, your body will begin using the energy stored in your lipids, reducing your triglycerides over time.
Paying attention to what youre eating is as important as how much you eat. Sugar, refined carbohydrates, and alcohol all contribute to high triglyceride levels. Cutting back on foods like white bread and white rice, pasta, sweets, white potatoes, and sugary drinks will go a long way towards getting your triglycerides under control.
Swap simple carbs for more nutritious choices, such as:
- Non-starchy vegetables
- Whole-grain bread, crackers
Limiting your alcohol intake is important for reducing triglycerides. Experts suggest that cutting out alcohol entirely can make a huge difference in triglyceride levels.