I have a trigliceride level of 1385. that' a jump from 185 to that in a year. the only med added was estrogen this year. i take 100 mg metaprolol and 10 mg lisinapril. that's all. can i cahnge my diet?

Estrogen : Estrogen can increase levels of triglyceride. But perhaps you gained weight over this past year. You need to be checked for diabetes too since that's very common in people with trigs this high. You will want to stay away from all alcohol since that definitely increases trigs.In general, low fat diet and weight loss are of more importance than low simple carbs. You ought to get checked out pronto since trigs this high can increase the risk for pancreatitis. We usually start meds (lovaza, Fenofibrate or sometimes niacin) when trigs are this high. They can be stopped if diet/weight improve matters substantially.

Estrogen : Estrogen (along or in the form of a oral contraceptive pill) can certainly aggravate your tg levels but it is very unsually to make it go that high. You should seek a lipid specialist (lipidologist/endocrinologist) asap as your tg level are very high and pose a real risk for developing acute pancreatitis. Your diet will need to be changed (low carb) and your estrogen may have to put on hold until your tg come down to a safe level. There is several medications that can bring tg down such as fibrates, high dose omega 3 and niacin, each with its pros and cons. Again, must see a lipid specialist right away. Good luck cayce t. Jehaimi, M.D., faap pediatric endocrinology & diabetes the children's hospital of southwest florida fort myers, fl usa.