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Trigs at 1400?

mytreefiddy

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My coworker just had some bloodwork done. Cholesterol is 313 but his trigs are 1400. At first i thought he was kidding until he showed me his bloodwork. Never seen em that high. He said the doctor scripted him "something" which i assume is a statin. HDL was low but nothing crazy. It also stated that trigs over 500 does not allow for his LDL to be calculated. Anybody ever seen trigs that high? if so, any recommendations??
 
I had a buddy at work that was regularly far higher then that for many years. The specialists couldn't figure out why. He had some other issues as well. He would show my his blood work. After talking to him i found he never drank water only fruit juice by the quart. And the sugars especially fructose were just being converted to fats for storage. I got him to quit the juice and drink H2O. The trig level plummeted to like 300. His Dr was excited and couldn't believe how low his levels were.
 
I had a buddy at work that was regularly far higher then that for many years. The specialists couldn't figure out why. He had some other issues as well. He would show my his blood work. After talking to him i found he never drank water only fruit juice by the quart. And the sugars especially fructose were just being converted to fats for storage. I got him to quit the juice and drink H2O. The trig level plummeted to like 300. His Dr was excited and couldn't believe how low his levels were.
Fruit juice like apple juice?
 
Fruit juice like apple juice?
Apple, orange etc. i think orange was his favorite. Seems fructose is not digested like other sugars. If i remember right if the liver store of carbs is maxed out the body has to convert fructose to fats before it can do anything else with it. The liver has other options for digesting other sugars if i remember right.
 
Multifactorial chylomicronemia syndrome- aka his body has stopped breaking down fats.

He needs to drastically change his diet to low fat, lose weight even if it takes a GLP. No alcohol.

Carnitine supplementation would be helpful and if it’s a true genetic disorder (generally over 1500) then ApoC III inhibitors could be considered.

Find the root cause and that will help decide how to best treat it. But until then wouldn’t blast cycles or do anything inflammatory.
 
Just spoke to my coworker a bit more in regards to his situation. Doctor scripted him Gemfibrozil to lower his trigs. I asked him how he ate. I told him lying to me wouldn't help as he needs to be honest. His diet really isnt that bad if hes being truthful. Nothing to really warrant such a high number which to me is even more alarming. From what i understand his doctor didn't seem THAT concerned. The doctor told him to come back in a month to run more tests. I dunno.. I found that to be strange. I'm having him start cardio immediately Just a moderate 30min daily.
 
Stop

Drinking

Butter
During one of my first forays into Keto, I was putting MCT oil in my coffee every morning. I did this for around 6 months and my trigs were at 500. I immediately stopped this and trigs came back to normal.
On strict keto but not drinking any fat, my trigs are good (85 last bloodwork).
 
Does he have celiac disease and not know it? A while back on BSG podcast Dr dean was on that was how he realized he had celiac disease.
 

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