Triglycerides
Lipids marker
Triglycerides
Category: Lipids
Unit: mmol/L
Type of fat in the blood. Elevated levels increase cardiovascular risk.
PED Notes
Can be elevated by high calorie bulking diets, especially high carb. GH use can worsen triglycerides. Fasted blood draw important for accurate reading (12h fast minimum).
When high
Supplements:
- Omega-3 (EPA/DHA) -- 2-3g/day (most effective for triglycerides)
- Berberine -- 500mg 2-3x/day (before meals)
Lifestyle:
- Reduce refined carbohydrates and sugar
- Increase fibre intake
- Regular cardio exercise
- If on GH, consider dose reduction if persistently elevated
Pharmacological options (when triglycerides remain elevated despite supplements):
- Fenofibrate -- 145-200mg/day; PPAR-alpha agonist; reduces triglycerides 30-50%; first-line prescription for triglycerides >5 mmol/L; monitor liver enzymes and CK
- Icosapent ethyl (Vascepa) -- 2g 2x/day; purified EPA; REDUCE-IT trial showed 25% MACE reduction; preferred over standard fish oil for athletes with persistent elevation
- Semaglutide / Tirzepatide -- 0.25-2.4mg or 2.5-15mg subQ weekly; GLP-1 (or GLP-1/GIP) agonist; reduces triglycerides 20-30% via insulin sensitisation and weight loss; ideal for GH/MK-677 users with concurrent insulin resistance
- Niacin -- 1-2g/day; raises HDL and lowers triglycerides but causes flushing and can worsen glucose control (limit in GH/insulin users)
- Pemafibrate -- 0.2mg 2x/day where available; selective PPAR-alpha modulator with cleaner safety profile than fenofibrate
- All require physician oversight and baseline liver/CK panel
History Chart
Reading History
Frequently Asked Questions
Reference Ranges
Standard Range
0 - 2 mmol/L
VitalMetrics Range
0 - 2.5 mmol/L