10 doctors weighed in:
What are the best ways of reducing significantly high triglyceride levels  when statins are not helping?
10 doctors weighed in

Dr. Shaym Puppala
Internal Medicine
4 doctors agree
In brief: Lifestyle/meds
Weight loss through diet and exercise can have a very beneficial effect on triglycerides.
If diabetic or hypothyroid, control over these helps. Omega3 fatty acids help but can raise LDL (fish oil 2 grams twice daily, 1/4 cup walnuts/day, use of olive oil for dietary oil such as on spinach salad). Fibrates (prescription) are very effective.

In brief: Lifestyle/meds
Weight loss through diet and exercise can have a very beneficial effect on triglycerides.
If diabetic or hypothyroid, control over these helps. Omega3 fatty acids help but can raise LDL (fish oil 2 grams twice daily, 1/4 cup walnuts/day, use of olive oil for dietary oil such as on spinach salad). Fibrates (prescription) are very effective.
Dr. Shaym Puppala
Dr. Shaym Puppala
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Dr. James Cunnar
Family Medicine
4 doctors agree
In brief: Lower carbs
Some patients have genetic predisposition to elevated triglycerides, but for most folks, going on a lower carbohydrate diet can help decrease triglyceride levels.
Carbohydrates/starches are a staple of western diets. Foods high in carbs include pizza, pasta, rice, potatoes, beer, breads and cereals, mexican food. Ask your physician to guide you if you have any questions.

In brief: Lower carbs
Some patients have genetic predisposition to elevated triglycerides, but for most folks, going on a lower carbohydrate diet can help decrease triglyceride levels.
Carbohydrates/starches are a staple of western diets. Foods high in carbs include pizza, pasta, rice, potatoes, beer, breads and cereals, mexican food. Ask your physician to guide you if you have any questions.
Dr. James Cunnar
Dr. James Cunnar
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Dr. Barry Bellovin
Internal Medicine - Cardiology
3 doctors agree
In brief: Wt loss + low carbs
Statins don't usually help triglycerides.
Weight loss, avoiding alcohol, and a low carb diet usually help. High doses of fish oils or Niacin can help if the above measures don't.

In brief: Wt loss + low carbs
Statins don't usually help triglycerides.
Weight loss, avoiding alcohol, and a low carb diet usually help. High doses of fish oils or Niacin can help if the above measures don't.
Dr. Barry Bellovin
Dr. Barry Bellovin
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Dr. Vasu Brown
Wound care
1 doctor agrees
In brief: Carnitine
For high triglycerides you need both carnitine and b2 in high doses atleast 2gm carnitine per day and redraw levels in 30 days if no response then ask your doctor to prescribe Lovaza -.

In brief: Carnitine
For high triglycerides you need both carnitine and b2 in high doses atleast 2gm carnitine per day and redraw levels in 30 days if no response then ask your doctor to prescribe Lovaza -.
Dr. Vasu Brown
Dr. Vasu Brown
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1 comment
Dr. Vasu Brown
Triglycerides go up if there is poor fatty acid metabolism - so there is an issue with pancreas watch your sugar intake support pancreas - draw c peptide levels will tell you how much is damaged. Reset pancreas with QNlabs.com pancreas complex I have seen good results
Dr. Cayce Jehaimi
Pediatrics - Endocrinology
1 doctor agrees
In brief: Omega 3
Statins are not generally the mainstay for treating elevated triglycerides.
High quality omega 3 are the first choice but if levels are significantly elevated (putting you at risk of pancreatitis), Niacin and fibrates are considered better choices.

In brief: Omega 3
Statins are not generally the mainstay for treating elevated triglycerides.
High quality omega 3 are the first choice but if levels are significantly elevated (putting you at risk of pancreatitis), Niacin and fibrates are considered better choices.
Dr. Cayce Jehaimi
Dr. Cayce Jehaimi
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