I echo ZMANINMD's comment about the relatively new drug Vascepa. If your TGs are over 200 and persist above that level after you have tried diet and exercise, do a little research on Vascepa and then ask your doctor (who may never have heard of it because it is new and its manufacturer is a small company), to consider whether you should try it. It's a highly purified Omega 3 called EPA, which stands for Eicosapentanoic Acid Ethyl Ester. Multiple clinical trials showed it to be effective in lowering elevated TGs, and it also lowers some markers of systemic inflammation. Even better is that it is very safe, in particular it does not, unlike the older drug Lovaza, which your doctor probably has heard of, raise LDLc ("bad" cholesterol) and it has no "black box" warning of an association with atrial fibrillation. Also, in one trial, in addition to lowering elevated TGs, it actually raised HDLc ("good" cholesterol) slightly. The FDA approved it in 2012. Good luck!
- 3/20/2014 5:52:13 PM