Yes, high triglycerides (TG >150 mg/dL) can often be managed effectively through diet alone, with reductions of 20-50% via targeted changes, especially when combined with weight loss and exercise. Lifestyle is the first-line therapy per AHA/ACC guidelines, often delaying or avoiding meds.[pmc.ncbi.nlm.nih]
Key Dietary Strategies
Diet slashes TG by altering macronutrients and calories:
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Calorie restriction: 5-10% body weight loss drops TG 20-40%.
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Low-carb: Cut refined carbs/sugars (<10% calories)—reduces liver TG production.
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High fiber: 25-30g/day slows fat absorption.
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Healthy fats: Omega-3s (fish 2-3x/week) lower TG 10-30%.
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Mediterranean pattern: Proven in RCTs—fruits, veggies, nuts, olive oil.
Expected Reductions:
| Change | TG Drop |
|---|---|
| 5% weight loss | 20% |
| Low-carb diet | 30-50% |
| Omega-3 (2g EPA/DHA) | 25% |
| Alcohol abstinence | 20-50% |
Sample Daily Plan (TG Control)
Breakfast: Oats + berries + chia (fiber boost)
Lunch: Grilled fish salad + olive oil
Snack: Handful almonds
Dinner: Lentils + veggies + quinoa
Avoid: Soda, sweets, fried foods, excess alcohol Monitor via lipid panel every 3 months; severe TG (>500 mg/dL) needs urgent intervention.
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