Triglyceride level is 417 what can i do ?

Try first: Stop taking all forms of sugar and sweeteners.

Marker for: metabolic syndrome, Insulin resistance is the culprit and triglycerides come from starch. Low carb diets work the best!

Triglycerides : If diet does not work there are medications available that will help.

Low carb: diet plus exercise and use of medication like Fenofibrate

Why worry?: During my forty years as a physician, I have seen essentially no evidence that high triglycerides by itself is a risk factor atherosclerosis, independent of obesity and lack of exercise. It's mostly genetic. If you need to get back in great physical shape, do so. Otherwise I suggest you just maintain good health like other sensible people. The sample was fasting, right?

Need more info: If you are overweight, lose weight (easier said than done). Cut down, if not eliminate your intake of saturated fats. Reduce your intake of carbohydrates, Exercise at least 150 minutes/week, If that does not help, see a doctor for prescription medication. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex.

Drink less alcohol.: I suspect you are drinking too much alcohol. Please send details.