Foods That Could Help Lower Triglycerides
Chances are, you’ve heard that having healthy triglyceride levels in your blood is important. But what exactly are triglycerides, and how do they work in your body? And when you have high levels, is it possible to manage them with lifestyle, and can food make a difference? The good news is, according to food and health pros, what you eat can help. We’ve rounded up some of the foods that can lower triglycerides, and there are plenty of whole foods on the list.
Add More Fiber To Your Diet
Fiber is the part of your food that isnt digested, and its important because it helps you feel full. According to a study published in February 2019 in the journal Current Developments in Nutrition, dietary fiber can reduce the risk of high triglycerides in young to middle-aged adults who are overweight or obese. In general, fiber-rich foods also have carbohydrate content that is more complex and can lead to more gradual absorption by the body, which can also help temper the triglyceride increase that occurs after meals, says Michael Wesley Milks, MD, a cardiologist and assistant professor of clinical medicine at The Ohio State University Wexner Medical Center in Columbus. Fiber is found in whole grains and nutrient-rich foods such as fruits and vegetables.
For The Love Of Lipids: 3 Ways To Lower High Triglyceride Levels
Lipid levels gotcha down â and need to literally come down? If your doctor has warned you that your triglycerides are too high, youre likely wondering how to quickly lower them. Here are three healthy and safe ways to lower those triglyceride levels.
âRead more:â Triglycerides: What You Need to Know
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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.
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Lowering Triglycerides Without Medication
Unless your triglycerides are extremely high, lifestyle changes are the best place to start. These simple steps can significantly lower triglyceride levels.
- Beware of bad fats. Cutting back on saturated fat and trans fats can lower triglycerides.
- Go for good carbs. Easily digested carbohydrates give triglycerides a definite boost. Eating whole grains and cutting back on soda can help control triglycerides.
- Check your alcohol use. In some people, alcohol dramatically boosts triglycerides. The only way to know if this is true for you is to avoid alcohol for a few weeks and have your triglycerides tested again.
- Go fish. Omega-3 fats in salmon, tuna, sardines, and other fatty fish can lower triglycerides. Having fish twice a week is fine.
- Aim for a healthy weight. If you are overweight, losing just 5% to 10% of your weight can help drive down triglycerides.
- Get moving. Exercise lowers triglycerides and boosts heart-healthy HDL cholesterol.
- Stop smoking. It isnt good for triglyceride levels or for anything else.
About the Author
Gregory Curfman, MD, Assistant Professor of Medicine, Former Editor-in-Chief, Harvard Health Publishing
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Becoming More Physically Active
A sedentary lifestyle lowers HDL cholesterol. Less HDL means theres less good cholesterol to remove bad cholesterol from your arteries.
Physical activity is important. At least 150 minutes of moderate-intensity aerobic exercise a week is enough to lower both cholesterol and high blood pressure. And you have lots of options: brisk walking, swimming, bicycling or even yard work can fit the bill.
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Do Bananas Lower Triglycerides
The researchers also say that people with high triglycerides should focus on eating more vegetables fruits that are lower in fructose such as cantaloupe, grapefruit, strawberries, bananas, peaches high-fiber whole grains and especially omega-3 fatty acids, which are found primarily in fatty fish such as salmon,
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Whats Considered As Normal Cholesterol Levels
Many factors influence what your personal cholesterol or lipid targets should be, and so cholesterol tests should be interpreted in the context of your personal risk.
Your doctor can help you understand your results and guide you on strategies to not only lower your cholesterol but lower your risk of heart disease.
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If you’ve been diagnosed with high triglycerides, you’re not alone. According to the U.S. Centers for Disease Control and Prevention, 21.5 percent of all adults have above-normal triglyceride levels, also called hypertriglyceridemia or dyslipidemia. High levels of triglycerides may not come with specific symptoms, but they may coincide with both high total blood cholesterol and low HDL cholesterol levels. Having too many triglycerides in the blood can raise your risk of heart disease and insulin resistance, especially if you also have high blood pressure or high cholesterol.
The good news? Whether you currently have high triglycerides or it runs in the family and you want to keep your levels down, there are natural ways to keep them on an even keel.
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Taking Medications To Lower Triglycerides
Summary
However, most medications and even supplements can come with significant side effects. Always ask your doctor before starting any new supplements or medications.
In addition to supplements, several studies show certain medications may reduce triglycerides. Recommendations to take medications focus on reducing the risk of pancreatitis as well as heart disease.
The evidence to support the idea that lowering triglycerides with medications can provide cardiac protection is mixed. Many isolated studies show no benefits, but a meta-analysis of multiple studies suggests minor benefits.42
Ask your doctor if any of these medications may be right for you:
Statins The most commonly prescribed class of cholesterol-lowering drugs has a mild triglyceride-lowering effect ranging from 10% reduction at low doses to 30% at higher doses.43
Fibrates Drugs such as gemfibrozil can lower triglycerides by 30-50%.44 These drugs should be used with caution when taken along with statins or warfarin due to drug interactions. Those with a history of gallstone disease should not take fibrates.
Although fibrates do lower triglycerides, it is not clear that they reduce cardiac events or the risk of death.
Prescription niacin Niacin can reduce triglycerides by up to 30%.45 Niacin may cause liver disease, and may worsen insulin resistance or blood sugar control in those with type 2 diabetes. Those with peptic ulcer disease should not take niacin.
You Are Not Balancing Your Blood Sugars
Eating too much food with added sugars can also lead to elevated triglyceride levels. Surprisingly or not, added sugars make up more than 13% of an average Americans daily caloric intake, well above the Dietary Guidelines recommendation of less than 10% of total calories per day.
Added sugars can be present in prepackaged foods, in foods prepared away from home, as add-ins to your coffee and tea or as ingredients in your baked goods .
When you eat sugar, your liver breaks down its carbohydrates into glucose and transforms them into glycogen that is stored to use as energy later. The liver can only convert a limited amount of glucose into glycogen at one time any excess will be stored as fatty acids. These fatty acids are then used to make triglycerides, which are stored in the fat cells and contribute to body fat.
Under normal conditions, your pancreas also makes the hormone insulin to respond to the influx of glucose present in the bloodstream. Insulin, which acts as a key to the bodys cells, aids glucose to pass into the cells for energy. When the key and the lock do not fit well, glucose may not move into cells efficiently or at all, causing the pancreas to make more insulin. Eventually, the pancreas may become sluggish in producing insulin, which can lead to insulin resistance and diabetes over time.
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How Quickly Can I Lower My Cholesterol
Your cholesterol levels may lower as quickly as a few weeks to a few months, depending on your treatment plan.
If your levels are very high, your healthcare provider may recommend taking medications at the start of your treatment plan. This may help lower your cholesterol levels more quickly. The sooner you can lower your bad cholesterol levels, the sooner you can lower your risk for plaques to form.
You can also lower your cholesterol through lifestyle and diet changes alone, but it may take three to six months to see results. Talk with your healthcare provider to figure out the best treatment plan for you.
A Promising New Treatment For High Triglycerides
- By Gregory Curfman, MD, Assistant Professor of Medicine, Former Editor-in-Chief, Harvard Health Publishing
When you think about fat circulating in the bloodstream, you might immediately think of cholesterol. But theres another type of fat you shouldnt ignore: triglycerides. As with cholesterol, high triglycerides can also increase the risk of having a heart attack. Existing drugs for lowering triglycerides arent that good at reducing heart attack risk. Thats why a report on a new way to lower triglycerides, New England Journal of Medicine, is generating some excitement among cardiologists.
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Based On The Above Points A Good Fish Oil/algal Oil Should Meet The Following Conditions:
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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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How Can I Lower Cholesterol With Diet
Heart-healthy lifestyle changes include a diet to lower your cholesterol. The DASH eating plan is one example. Another is the Therapeutic Lifestyle Changes diet, which recommends that you
Choose healthier fats.You should limit both total fat and saturated fat. No more than 25 to 35% of your daily calories should come from dietary fats, and less than 7% of your daily calories should come from saturated fat. Depending upon how many calories you eat per day, here are the maximum amounts of fats that you should eat:
| Calories per Day | |
|---|---|
| 69-97 grams | 17 grams |
Saturated fat is a bad fat because it raises your LDL level more than anything else in your diet. It is found in some meats, dairy products, chocolate, baked goods, and deep-fried and processed foods.
Trans fat is another bad fat it can raise your LDL and lower you HDL . Trans fat is mostly in foods made with hydrogenated oils and fats, such as stick margarine, crackers, and french fries.
Instead of these bad fats, try healthier fats, such as lean meat, nuts, and unsaturated oils like canola, olive, and safflower oils.
Limit foods with cholesterol. If you are trying to lower your cholesterol, you should have less than 200 mg a day of cholesterol. Cholesterol is in foods of animal origin, such as liver and other organ meats, egg yolks, shrimp, and whole milk dairy products.
Eat plenty of soluble fiber. Foods high in soluble fiber help prevent your digestive tract from absorbing cholesterol. These foods include
What Are Triglycerides
Triglycerides are a type of fat that circulates in the bloodstream. After you eat a snack or meal, your body breaks down the fats in the food, packages them with protein and cholesterol, and dumps them into the bloodstream. After an especially fatty meal, triglycerides can be so abundant that they give the blood a milky tint. Within a few hours after a meal, triglycerides have mostly cleared out of the bloodstream.
The American Heart Association sets out four main categories of triglyceride levels:
- healthy: below 100 milligrams per deciliter of blood
- borderline high: 150 to 199 mg/dL
- high: 200 to 499 mg/dL
- very high: 500 mg/dL and above.
“High” or “very high” levels of triglycerides are associated with an increased risk of heart disease. When the triglyceride level nears 1,000 mg/dL, individuals can develop pancreatitis, a serious inflammation of the pancreas, in addition to heart disease.
High triglyceride levels also may be associated with obesity, type 2 diabetes, and a cluster of heart disease risk factors known as the metabolic syndrome. Together, these features put a person at especially high risk of heart disease.
A large clinical trial of fenofibrate , one of the fibrate drugs, showed that it also reduced triglyceride levels, but didnt lower the risk of heart disease. However, fenofibrate did seem to help a subgroup of people in the trial who had particularly high triglyceride levels and low HDL levels.
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What Is C: 0
Although we have been told that all saturated fats are bad for us, science now supports that that is not exactly the case.
Saturated fats can be even-chain or odd-chain. While even-chain saturated fats have been shown to be detrimental to your health, C15:0, an odd-chain saturated fatty acid has been associated with multiple health benefits including better heart health.* There are now calls to action to update current dietary guidelines to differentiate between good and bad saturated fats.
Finding Out Your Triglycerides Levels
Triglycerides are measured with a simple blood test. Triglyceride levels should be measured when you have a cholesterol test as they can also contribute to your risk of developing heart disease, and other disease of the heart and blood vessels. The triglyceride test measures the triglycerides carried in chylomicrons and VLDL cholesterol. National guidelines in the UK no longer recommend a fasting blood test .
What should your triglyceride levels be?
HEART UK experts state that we should aim for a non-fasting triglyceride level below 2.3mmol/L.
If your doctor has asked you to fast for a test then your triglyceride level should be below 1.7mmol/L. This fasting test number is lower because only the triglycerides made by the liver and carried in the VLDL cholesterol will be measured not the triglycerides you get from food. As you have not eaten, there will be no chylomicrons present in your blood.
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Ask Your Doctor About Medication
But diet and exercise arenât always enough to lower high triglycerides, the Cleveland Clinic says. If your triglyceride levels still wonât budge, you may need medication. The medication often chosen to treat high triglycerides is prescription statin therapy, the Cleveland Clinic says.
Other medications your doctor may order include prescription omega-3 fatty acid supplements â namely ones that include 2,000 and 4,000 milligrams of omega-3s called DHA + EPA, according to the Cleveland Clinic.
Cleveland Clinic recommends that you talk to your doctor about the risks and benefits of medication to lower triglyceride levels if you think you may need it, as well as any dietary and exercise changes you make.
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Eliminate Bread & Pasta
White bread, pasta, and Irish potatoes contain starch, a carbohydrate that has a high glycemic value that can spike blood sugar and raise your triglyceride levels. Eliminating these foods can help lower your triglycerides. Focus on eating whole grains, such as wild rice, barley, or quinoa, and a variety of vegetables, nuts, and seeds, which contain complex carbohydrates and fiber.
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/11make A Workout Routine
Good cholesterol, HDL has an inverse relationship with triglyceride levels, which means adequate levels of HDL can lower the triglyceride levels.
Regular aerobic activity has been linked with lower triglyceride levels. Some common aerobic activities include jogging, walking, bicycling and swimming.
Studies have also found that exercising at a higher intensity for less time is more effective than exercising at a lower intensity for a longer time.
What Kind Of Medications Treat High Triglycerides
If your triglyceride levels are very high, you may need medication.
Niacin supplements also known as vitamin B3 can help reduce blood triglyceride levels. You can get niacin naturally from meats, avocados, and peanuts among many other foods. Supplements work well, too, if youre worried you may not be getting enough through your diet alone.
For those who dont like to eat fish, packaged omega-3 fatty acids, and even cod liver oil, can come in a capsule and help you get some of the same benefits. Vascepa is an FDA-approved prescription-strength omega-3 fatty acid that you can take if you are 45 or older and have diabetes or cardiovascular disease. It has been shown to reduce triglyceride levels and the risk of heart attack or stroke when exercise, diet, and other medications arent enough.
One of the main types of medication prescribed to treat high triglycerides are called fibrates, including fenofibrate. These medications slow down production of triglycerides and help remove triglycerides from the bloodstream.
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