Apr 27, 2005
Can diet and other interventions help lower Triglycerides? If diet can be helpful, what diet is suggested? Most recent Triglycerides fasting lab value is > 1000 mg/dl, (a grade 3). The cholesteral, and HDL are ok. Current medications include saquinavir 1000 mg 2 x day and ritonavir 100 mg 2 x day. Changing ARV medications is not an option. Con-meds include fish oil 6 grams a day. Viral load is < 400 and CD4 > 400. No history or signs and symptons of prancreatitis
Response from Dr. Henry
Diet and exercise can help some. Usually use of a fibrate (tried firs with high triglycerides) and then a statin is useful. Fish oil can be useful but you are already on a good standard dose of those. Niacin can also be helpful (awaiting results of a completed ACTG trial to get more information on benefit/problems with niacin). KH
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