High triglycerides and low HDL management
1) someone eating healthy per the guidelines( whole grains, low fat/sugar, veggies etc) but still struggling with high triglycerides- what is your recommendation? He is also taking fish oil/ omega3 supplement. 2) same question about HDL - what is your guidance for low HDL in spite of good diet and regular exercise? I have read about Niacin supplements. Do these help? Thanks
Addressing the HDL question first: Evidence has moved away from trying to increase HDL with meds. Benefits of med induced increases in HDL are just not well documented . I would be much more interested in lowering LDL (well documented benefits). Niacin has too many issues of side effects and not worthwhile In high risk individuals with TG between 150-500 treatment with Vascepa may be indicated in higher risk individuals (as an adjunct to statin therapy)……if. you tell me a bit more about the risk profile of this person, I can be more specific