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.
Cut Out Sugar And Too Many Refined Carbs
Common sources of added sugar and refined carbs include white bread, rice cakes, white flour, soda, breakfast cereals, and pasta. Basically, anything that comes from a package should be avoided to protect your health.
Food and beverage labels include added sugars in the nutrition facts section and ingredients list. We have a detailed guide showing how to read nutrition labels.
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Limit Sugar Refined Carbohydrates And Too Much Alcohol
Do you have to eat a keto diet to lower triglycerides? Not necessarily. Reducing sugars, refined carbohydrates, and alcohol may be enough to lower your levels.
As we mentioned, any caloric excess can increase triglycerides. However, the most likely sources of extra calories are excess sugar, refined carbs, and alcohol.19
One reason carbs and sugars commonly increase triglycerides may be that carbs and sugars are two of the most commonly overconsumed foods. However, another reason could be that fructose and alcohol are more likely to cause fatty liver, which can raise triglycerides.20
One study reports that simply replacing sugar-sweetened beverages with water reduced triglycerides.21
And another reports that decreasing alcohol consumption lowered fasting triglycerides.22
Other factors, such as baseline obesity and insulin resistance, may make it more likely that eating carbs would cause an individuals triglycerides to rise.23
If youre overweight or have insulin resistance, the evidence shows its important to reduce carbs. However, the data suggests that most people with high triglycerides even people with normal weight would benefit from reducing sugar, refined carbs, and alcohol.
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Do High Triglyceride Levels Affect Hdl And Cholesterol Levels
Triglycerides are involved in the transport of fatty acids to muscles and tissues for energy.
- HDL particles are involved in the transport of excess fatty acids from the periphery back to the liver for elimination. Because of these competing roles, it is very difficult to increase HDL, the healthy good cholesterol, without first addressing triglycerides.
- HDL not only transports excess lipid to the liver for disposal, but it also transports cholesterol to organs such as the adrenals, ovaries, and testes for steroid hormone synthesis.
- Many of the strategies discussed here that lower triglycerides are also known to raise HDL.
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What Is Being Tested
Triglycerides are a form of fat and a major source of energy for the body. This test measures the amount of triglycerides in the blood.
Most triglycerides are found in fat tissue, but some triglycerides circulate in the blood to provide fuel for muscles to work. After a person eats, an increased level of triglycerides is found in the blood as the body converts the energy not needed right away into fat. Triglycerides move via the blood from the gut to adipose tissue for storage. In between meals, triglycerides are released from fat tissue to be used as an energy source for the body. Most triglycerides are carried in the blood by lipoproteins called very low-density lipoproteins .
High levels of triglycerides in the blood are associated with an increased risk of developing cardiovascular disease , although the reason for this is not well understood. Certain factors can contribute to high triglyceride levels and to risk of CVD, including lack of exercise, being overweight, smoking cigarettes, consuming excess alcohol, and having medical conditions such as diabetes and kidney disease.
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Foods And Drinks With Simple Sugars Or Added Sugars
Sodas, ice-creams, desserts, baked products, sweet and flavored yogurts, breakfast cereals, candies are some of the many everyday products that should be avoided. Check product labels for added fructose, corn syrup, cane syrup, honey, sucrose, dextrose, glucose, lactose, maltose or malt sugar, molasses, which are all sugars.
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What Are Normal And High Triglyceride Levels
The National Cholesterol Education Program sets guidelines for triglyceride levels:
- Normal levels: Less than 150 milligrams per deciliter
- Borderline high:150 to 199
- High: 200 to 499
- Very high: 500 or more
Elevated levels may lead to heart disease, especially in people with low levels of good cholesterol and high levels of bad cholesterol. The same is true if you have type 2 diabetes.
Experts once debated how important triglycerides are, but it now seems clear that higher levels are linked to problems such as heart disease.
One thing is clear, though: A good diet and exercise plan can lower triglyceride levels, improve cholesterol, and decrease the chance of heart disease.
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Where Should Cholesterol Be Checked
Its best for your primary care doctor to do the test. As noted, your cholesterol levels represent just one of many factors affecting your cardiovascular health. Your primary care physician will have a fuller understanding of your personal and family history, as well as any other risk factors that might apply.
If your cholesterol is checked at a public screening, they may measure your HDL cholesterol and total cholesterol. But if HDL cholesterol isnt measured, knowing your total cholesterol levels still gives you valuable information. Getting your blood cholesterol, blood pressure, body mass index and fasting blood sugar measured regularly should be part of your overall personal care plan.
If you obtain cholesterol screening results from a source outside of your doctors office, be sure to share those with your primary care physician. Additional data points help to establish your cardiovascular risk. This is particularly important for people who smoke, have other health conditions such as diabetes or inflammatory conditions, or have a family history of heart disease, high blood pressure or stroke.
Written by American Heart Association editorial staff and reviewed by science and medicine advisers. See our editorial policies and staff.
Why The Test Is Performed
Triglycerides are usually measured together with other blood fats. Often it is done to help determine your risk of developing heart disease. A high triglyceride level may lead to atherosclerosis, which increases your risk for heart attack and stroke.
A very high triglyceride level may also cause swelling of your pancreas .
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Instead Eat Healthy Fats
Not all fats are created equal when it comes to triglycerides. Certain healthy fats actually make the body work better, according to the American Heart Association, so you do want to include them in your diet. Replacing saturated fat with monounsaturated and polyunsaturated fat has been shown to help reduce TG levels, Palinski-Wade says, adding that the connection is quite direct: Research has shown that every percent you decrease your intake of trans fatsreplacing them with monounsaturated or polyunsaturated fatlowers your triglyceride levels by the same amount. Eating avocados and cooking with olive oil instead of butter are great ways to add these healthy fats to your diet. Olive oil also contains another fatty acid that can reduce your heart attack risk by 48 percent.
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Choose Healthy Fats Over Saturated Fats
Another way to lower triglycerides and cholesterol naturally is by eating healthy fats. Omega-3 fatty acids lower triglycerides and bad cholesterol by increasing fat metabolism, according to the AHA. Omega-3 fatty acids are found in oily fish, such as salmon and herring, olive oil, and dietary supplements. For people with high triglycerides, the AHA recommends prescription-strength omega-3 fatty acid supplements at a dose of 4 grams per day, although its still best to get it from foods. Saturated fats, which come mainly from meat sources, should be limited to no more than 5 to 6 percent of your total daily calories, and your daily intake of cholesterol should be no more than 300 mg, according to the AHA.
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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.
Eat More Plant Sources Of Protein
Excellent plant proteins include beans all beans, like lentils, red beans, pinto beans, and soybeans. Rather than raising blood cholesterol levels, as animal sources of protein do, beans actually help lower cholesterol.
Beans also help reduce blood sugar and insulin levels, and may even lower cancer risk.
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Exercising To Lower Triglycerides
Summary
While nutrition probably has the most significant impact on triglycerides, exercise can also lower your levels. But not all forms of exercise produce equally promising results.
When it comes to lowering triglycerides, higher intensity exercise is best.34
There are different ways to define high-intensity exercise. The most common is achieving greater than 85% of your maximum heart rate. However, a more useful definition may be a level of exercise where you can no longer have a conversation or a level you can maintain for only a few minutes.
Resistance training, involving a moderate amount of weight and high repetitions, can also help with triglyceride levels. Lifting extra heavy weight fewer times produces less of a significant effect.35
Does this mean lower intensity exercise doesnt provide health benefits? Of course not. As we detail in our in-depth exercise guide, physical activity of any kind has multiple health benefits.
Even if you cant get to the point where exercise impacts your triglycerides, dont let that discourage you. Carry on to maintain your muscles, strengthen your bones, and build your fitness one step at a time.
Mistakes Youre Making When Trying To Lower Your Triglycerides
Triglycerides are a type of fat that makes up most of your body fat stores. They can also be found in various foods, such as butter, margarine and oils. Beyond consumption of triglycerides, what and how much you eat also affects your blood triglyceride levels. When you eat more calories than you need, whether from carbohydrates, protein or fat, your body stores the excess calories as fat in the form of triglycerides.
Hypertriglyceridemia is a condition where elevated levels of triglycerides are present in the blood. It is a risk factor for heart disease and diabetes. Luckily, making changes to your diet and lifestyle can help lower your triglycerides and improve your health outcomes. Here are six mistakes that you may be making when trying to lower your triglycerides.
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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.
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Busy Lifestyles Are The Most Common Reasons For High Cholesterol And Triglyceride Levels
If you are like me and like to pack your day full of activities or if you are simply trying to balance a work and home life, watching your diet is often the last thing on your mind.
Therefore, making a healthy meal for yourself and even the family is often impossible. Processed and other fast foods are often high in the fats associated with increasing cholesterol and triglycerides.
To try and tackle this problem, I have started doing a simple menu plan. That is deciding for the week what foods will best suit my cholesterol and triglyceride lowering diet and ensuring I have the ingredients ready to go.
The idea of creating a menu plan is, the days you know you are going to be pressed for time you and organise a simple meal that is still healthy. The meals that require more preparation or cooking time, I save for the days I know I can commit the time.
- Day one Poached salmon, new potatoes and carrots
- Day two Pasta with tomato and basil sauce
- Day three Vegetable curry with rice
- Day four Chicken salad
- Day five Mackerel, rice and poached eggs
The weekend I would leave to chance, although I do treat myself to a small Chinese takeaway and a half-a-glass of red wine on a Saturday evening.
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What Vitamins And Supplements Help Lower Triglyceride Levels
Fish oil lowers triglycerides. The dose needed to reduce triglycerides is 1 to 4 grams of EPA/DHA per day. Four grams per day has been shown to reduce triglycerides by 25% to 30%. People with the highest triglycerides benefit most. It is worth noting that non-marine omega 3 fatty acids do not appear to lower triglycerides in the same way. The prescription form of synthetic omega-3 fatty acids, Lovasa, Vascepa, or Epanova is approved by the US Food and Drug Administration for people with triglycerides over 500 mg/dL.
Niacin is another supplement for lowering triglycerides. Both regular and extended-release nicotinic acid has been shown to reduce triglycerides by up to 40% . Niacin has the added benefit of increasing HDL and lowering LDL. The high doses of niacin needed to lower triglycerides can cause uncomfortable flushing in some people. To avoid this, niacin can be taken with baby aspirin, with food, or with an extended-release form of niacin/nicotinic acid . Inositol-hexanicotinate, marketed as no-flush niacin, is NOT the same thing and contains very little nicotinic acid.
Fibers, such as chia, flax, psyllium, or bran, help lower triglycerides. Fibrates, a class of cholesterol-lowering drugs that have been used for decades, also have a triglyceride-lowering effect through the same general mechanisms.
There are other supplements with limited research supporting their benefit in hypertriglyceridemia.