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Triglycerides

Complete Testing & Optimization Guide

Optimal ranges, provider comparison, and strategies to improve your Triglycerides levels

10/10
Providers Include It
LIPID PANE
Test Category
2-4x
Annual Testing
✓ Evidence-Based Information✓ Provider Comparison✓ Optimization Strategies✓ Clinical References

✓ Widely Available

Included in 10 of 10 major testing providers

📊 Test Category

Lipid Panel / Cardiovascular Health

🎯 Reference Range

diabetes

Why Triglycerides Testing Matters

⚠️ What Can Go Wrong

Abnormal Triglycerides levels can indicate underlying health issues that may go undetected without proper testing. Regular monitoring helps catch problems early when they're most treatable.

✓ Benefits of Testing

Understanding your Triglycerides levels enables targeted interventions, tracks treatment effectiveness, and helps optimize your overall health and performance.

What is Triglycerides?

Triglycerides are the most common type of fat in your body, serving as a major energy storage molecule. Chemically, they consist of three fatty acid chains attached to a glycerol backbone. After you eat, your body converts calories it doesn't need immediately into triglycerides, which are stored in fat cells and released later for energy between meals.

Your triglyceride levels are measured through a lipid panel blood test, typically after an 8-12 hour fast. These levels fluctuate significantly based on recent food intake, alcohol consumption, and physical activity. Unlike cholesterol, which has structural and hormonal functions, triglycerides primarily serve as energy currency in your metabolic system.

Elevated triglycerides (hypertriglyceridemia) significantly increase cardiovascular disease risk, particularly when combined with other lipid abnormalities. High levels contribute to atherosclerosis, increase small dense LDL particles, and at very high levels (>500 mg/dL) can cause acute pancreatitis. Triglycerides are highly responsive to lifestyle modifications, making them one of the most modifiable cardiovascular risk factors.

Why Triglycerides Are Essential

  • Primary energy storage and metabolism regulation

Bottom line: TSH and Free T4 alone miss people with conversion problems. Free T3 is the only way to know if you have enough active thyroid hormone at the tissue level.

Optimal vs Standard Reference Ranges

Range TypeLevelClinical Significance
Independent cardiovascular disease risk factorMarker of metabolic health and insulin sensitivityPredictor of pancreatitis risk at high levels
Optimal Triglyceride RangesStandard:<150 mg/dL (fasting)Functional/Optimal:<100 mg/dL (fasting)
Clinical Concern:>200 mg/dLLevels 150-199 mg/dL are borderline high. Levels 200-499 mg/dL are high. Levels ≥500 mg/dL are very high and require immediate intervention due to pancreatitis risk. Non-fasting levels may be 20-30% higher. Some longevity-focused practitioners target <70 mg/dL for optimal cardiovascular protection.Reduce Simple Carbohydrates and Sugar
Decrease consumption of refined carbohydrates, sugary beverages, and high-fructose foods. Excess carbohydrates are converted to triglycerides in the liver. Focus on complex carbohydrates with fiber, which have minimal impact on triglyceride levels.Increase Omega-3 Fatty AcidsConsume fatty fish (salmon, mackerel, sardines) 2-3 times weekly or supplement with high-quality fish oil (2-4g EPA+DHA daily). Omega-3s powerfully reduce triglyceride synthesis in the liver. Prescription omega-3s (Vascepa/Lovaza) provide even higher doses for severe hypertriglyceridemia.

Standard lab range:diabetes

How to Optimize Triglycerides

1. Limit Alcohol Consumption

Reduce or eliminate alcohol intake, as alcohol strongly stimulates hepatic triglyceride production. Even moderate drinking can significantly elevate triglycerides in sensitive individuals. Complete abstinence may be necessary for those with persistently elevated levels.

2. Regular Aerobic Exercise

Engage in 150+ minutes weekly of moderate-intensity aerobic exercise. Physical activity increases lipoprotein lipase activity, which clears triglycerides from the bloodstream. High-intensity interval training (HIIT) may be particularly effective for triglyceride reduction.

3. Weight Loss and Metabolic Health

Achieve and maintain healthy body weight, particularly reducing visceral fat. Even modest weight loss (5-10% of body weight) significantly lowers triglycerides. Address insulin resistance through diet, exercise, and potentially medications like metformin if appropriate.

4. Usually asymptomatic until very high;at extreme levels (>1000 mg/dL):fatty deposits under skin (xanthomas), abdominal pain (pancreatitis risk), hepatomegaly (enlarged liver), lipemia retinalis (milky appearance of retinal blood vessels)

Low triglycerides (<50 mg/dL) rarely cause symptoms but may indicate malabsorption, hyperthyroidism, or malnutrition

5. Obesity, high-carbohydrate diet, excessive alcohol, physical inactivity, uncontrolled diabetes, metabolic syndrome, chronic kidney disease, hypothyroidism, genetic conditions (familial hypertriglyceridemia), medications (corticosteroids, beta-blockers, thiazide diuretics, estrogen, tamoxifen)

Malnutrition, malabsorption disorders (celiac disease, Crohn's disease), hyperthyroidism, chronic liver disease, genetic disorders (abetalipoproteinemia), very low-fat diets

Symptoms of Abnormal Triglycerides

Low Triglycerides

  • Retest in 2-3 months after lifestyle modifications or medication changes. If very high (>500 mg/dL), retest in 4-6 weeks. Once stable and optimal, annual testing is typically sufficient as part of routine lipid panels.

Note: Triglycerides and Cardiovascular Risk

High Triglycerides

  • Meta-analysis of 61 prospective studies showing that elevated triglycerides independently predict cardiovascular disease risk, even after adjusting for HDL and LDL cholesterol levels.

Note: Sarwar et al., "Triglycerides and the risk of coronary heart disease,"Circulation, 2007

Causes of Abnormal Triglycerides

Low Triglycerides:

  • Omega-3 Fatty Acids for Triglyceride Reduction

High Triglycerides:

  • Systematic review demonstrating that omega-3 fatty acid supplementation (EPA+DHA) reduces triglycerides by 15-30%, with dose-dependent effects and greatest benefits in those with highest baseline levels.

When to Retest

Scientific Evidence

Carbohydrate Restriction and Triglycerides

Meta-analysis of low-carbohydrate diet trials showing consistent and significant triglyceride reductions (averaging 30-50 mg/dL) compared to low-fat diets, with effects appearing within weeks.

Source:Santos et al., "Systematic review of low-carbohydrate diets and cardiovascular risk factors,"Obesity Reviews, 2012

Exercise Effects on Triglycerides

Review of exercise intervention studies demonstrating that regular aerobic exercise reduces triglycerides by 10-20%, with effects lasting up to 72 hours post-exercise and cumulative benefits with consistent training.

Source:Durstine et al., "Blood lipid and lipoprotein adaptations to exercise,"Sports Medicine, 2001

Weight Loss and Triglyceride Reduction

Large clinical trial showing that modest weight loss (5-10% of body weight) through lifestyle intervention reduces triglycerides by 20-30%, with sustained benefits when weight loss is maintained.

Source:Look AHEAD Research Group, "Cardiovascular effects of intensive lifestyle intervention,"New England Journal of Medicine, 2013

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Source:None

Which Providers Test Triglycerides?

✓ Superpower
Included in standard panel
✓ Blueprint
Included in standard panel
✓ Mito Health
Included in standard panel
✓ WHOOP
Included in standard panel
✓ Function
Included in standard panel
✓ InsideTracker
Included in standard panel
✓ Marek Health
Included in standard panel
✓ Life Ext.
Included in standard panel
✓ Labcorp
Included in standard panel
✓ Everlywell
Included in standard panel
10 out of 10 providers include this test in their standard panels.

Compare Providers

ProviderIncludes TestAnnual CostTotal Biomarkers
Superpower logoSuperpower$199100+
WHOOP Advanced Labs logoWHOOP Advanced Labs$34965
Labcorp OnDemand logoLabcorp OnDemand$39830+
Life Extension logoLife Extension$48640+
Everlywell logoEverlywell$46883
Mito Health logoMito Health$798100+
InsideTracker logoInsideTracker$68048
Function Health logoFunction Health$499100+
Marek Health logoMarek Health$90070+
Blueprint Advanced logoBlueprint Advanced$1150110
Quest Health logoQuest Health$Varies75+

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Frequently Asked Questions About Triglycerides

What does Triglycerides test for?

Triglycerides is a lipid panel / cardiovascular health biomarker that Type of fat found in blood that stores excess energy The normal reference range is diabetes. Regular testing helps track changes and identify potential health issues early.

Which blood test providers include Triglycerides?

10 out of 10 major blood testing providers include Triglycerides in their standard panels. These include Superpower, Blueprint, Mito Health and others.

How often should I test Triglycerides?

For most people, testing Triglycerides 2-4 times per year is recommended to establish baseline levels and track trends. If you have abnormal results or are actively working to optimize this biomarker, more frequent testing (quarterly) may be beneficial. Always consult with your healthcare provider for personalized testing frequency recommendations.

What is the optimal range for Triglycerides?

The standard laboratory reference range for Triglycerides is diabetes. However, many functional medicine practitioners recommend tighter "optimal" ranges for peak health and performance. Your ideal range may vary based on your age, sex, health goals, and other individual factors. Work with a healthcare provider familiar with optimal ranges to determine your target levels.

Do I need a doctor's order to test Triglycerides?

Most direct-to-consumer blood testing services that include Triglycerides provide the physician order as part of their service. However, some states have restrictions on direct-to-consumer testing. Check with your chosen provider about availability in your state and whether they provide the necessary physician authorization.

Why is Triglycerides important for my health?

Elevated levels increase heart disease risk and may indicate metabolic syndrome. High triglycerides often linked to obesity

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Medical Disclaimer

This information is for educational purposes only and is not medical advice. Always consult with a qualified healthcare provider about your specific health needs and before making decisions about blood testing.