Triglycerides

High triglycerides are often symptomless but raise risk of atherosclerosis, heart attack and stroke. Very high levels can trigger acute pancreatitis. They’re commonly linked to fatty liver, insulin resistance and metabolic syndrome. Management includes weight loss, healthier diet, exercise, alcohol reduction and controlling diabetes; doctors may prescribe statins, fibrates or prescription omega‑3s to lower levels and reduce cardiovascular risk.

Lower triglycerides by losing weight, exercising aerobically at least 150 minutes weekly, and cutting added sugars, refined carbs and excess alcohol. Choose healthy fats (olive oil, fatty fish/omega‑3s), increase fiber, and limit saturated/trans fats. Manage blood sugar and thyroid health, quit smoking, and follow prescribed lipid‑lowering or triglyceride‑specific medications if lifestyle changes aren’t enough. Regularly monitor levels with your clinician.

High triglycerides are commonly caused by excess calories from refined carbohydrates and added sugars—sugary drinks, sweets, white bread and pasta, and fruit juice—and by heavy alcohol intake. Trans and saturated fats found in fried foods, baked goods, processed meats, and some full‑fat dairy can also raise levels. Overeating and obesity, plus frequent consumption of these foods, contribute to persistently high triglycerides.

High triglyceride levels most directly threaten the pancreas; very high levels (typically above 1000 mg/dL) can trigger acute pancreatitis. Elevated triglycerides also promote atherosclerosis, damaging blood vessels and increasing heart attack and stroke risk. Managing levels through diet, exercise, and medications when needed reduces these risks—consult a clinician for testing and personalized treatment.

High triglycerides are often silent, but common signs include eruptive xanthomas—small yellowish papules on the skin; pancreatitis symptoms—sudden severe upper abdominal pain with nausea or vomiting; lipemia retinalis—milky-appearing retinal vessels and possible visual changes; and fatty liver/hepatomegaly—an enlarged, sometimes tender liver. Seek medical testing and treatment promptly if concerned.

Unsweetened green tea or plain water are the best drinks to lower triglycerides. Replace sugary beverages and alcohol with water, unsweetened green or black tea, or moderate black coffee. Omega‑3 (fish‑oil) supplements can also reduce triglycerides but should be used under medical guidance. Avoid added sugars and excess alcohol; choose unsweetened, low‑calorie drinks within a heart‑healthy diet.