Why Are Triglycerides High? Causes, Symptoms, and What to Do

High triglycerides can increase heart disease risk. Learn what causes them, symptoms to watch for, and when to see a doctor.

Full guide: Triglycerides

Aug 1, 2026How we prepare texts 3 min read

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High triglycerides are a common concern that can affect your heart health. Triglycerides are a type of fat found in your blood, and having too much can increase your risk of heart disease. Understanding what causes high triglycerides, recognizing the symptoms, and knowing how to manage them is important for maintaining your overall health.

What are triglycerides?

Triglycerides are a type of fat, also known as lipids, that your body uses for energy. They circulate in your bloodstream and are stored in your fat cells. After you eat, your body converts any calories it doesn't need to use right away into triglycerides. These are then stored in fat cells to be used for energy later. However, consistently high levels of triglycerides can be a risk factor for cardiovascular diseases.

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Causes of high triglycerides

Several factors can contribute to high triglyceride levels. These include:

  • Diet: Eating more calories than you burn, especially from high-carbohydrate foods, can lead to high triglycerides.
  • Obesity: Being overweight or obese is closely linked to higher triglyceride levels.
  • Lack of exercise: Physical inactivity can contribute to higher levels of triglycerides.
  • Medical conditions: Certain conditions, such as diabetes, hypothyroidism (an underactive thyroid), and kidney disease, can raise triglyceride levels.
  • Genetics: Some people may inherit a tendency to have high triglycerides.
  • Medications: Some medications, like beta blockers, certain diuretics, and steroids, can increase triglycerides.

Symptoms of high triglycerides

High triglycerides themselves do not usually cause noticeable symptoms. However, they can lead to conditions that do, such as pancreatitis (inflammation of the pancreas), which may cause abdominal pain, nausea, and vomiting. Since high triglycerides increase the risk of heart disease, it is important to monitor your levels through regular blood tests.

How to manage high triglycerides

Managing high triglycerides often involves lifestyle changes:

  • Diet: Aim to eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Limit sugar, alcohol, and saturated fats.
  • Exercise: Regular physical activity can help lower triglycerides. Aim for at least 150 minutes of moderate-intensity exercise each week.
  • Weight management: Losing even a small amount of weight can help lower triglyceride levels.
  • Medications: In some cases, medications such as fibrates, niacin, or omega-3 fatty acids may be prescribed by your doctor to help lower triglycerides.

Frequently asked questions

What is considered a normal triglyceride level? A normal triglyceride level is less than 150 mg/dL when fasting. Ideally, levels should be under 100 mg/dL.

Can high triglycerides be hereditary? Yes, genetics can play a role in high triglyceride levels, making it important to manage other contributing factors like diet and exercise.

How often should I get my triglyceride levels checked? Your doctor will recommend how often to check your triglyceride levels based on your overall health and risk factors. Generally, adults should have their levels checked every 4-6 years.

Can high triglycerides cause symptoms? High triglycerides typically do not cause symptoms, but they can lead to conditions like pancreatitis, which can cause abdominal pain and other symptoms.

Is medication always necessary to lower triglycerides? Not always. Many people can manage their triglyceride levels with lifestyle changes, but medications may be necessary if lifestyle changes alone are not effective.

When to see a doctor

If you have been told that your triglyceride levels are high, or if you have risk factors for heart disease, it is important to talk to your doctor. They can help determine the best plan for managing your triglyceride levels and reducing your risk of heart disease. If you experience symptoms like severe abdominal pain, nausea, or vomiting, seek medical attention promptly as these could be signs of pancreatitis.

Remember, decisions about your health should always be made in consultation with your healthcare provider.

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