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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For High Triglycerides?

Hi, I was recently diagnosed (5 months ago) with high triglycerides in the 350 range. A year prior to that I was in normal range and had the Mirena. I had the Mirena removed a year ago and started taking birth control pills. I began having numbness in my two little toes on my right foot and they also feel cold about a month ago. The numbness comes and goes but it happens every day now. After talking with my gyno Dr. we decided to switch from Yaz to progestin only pills to see if it would help with my triglyceride levels. My primary Dr. also has me on Fenofibrate. I am really concerned about the numbness and what could be causing it. I have also lost about 30 lbs. within the last 5 months and am working on 25-30 more. My thyroid levels checked out fine and was negative for diabetes when she last tested me. Any feedback would be greatly appreciated. Thanks!
Thu, 29 Jun 2017
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Cardiologist,  's  Response
Two questions.
The toes. Almost certainly unrelated to your triglycerides though you rightly raise concern about your weight and glucose. Since its just one foot, it probably isn't a systemic problem. If your doctor has no concerns about your back, a visit with a podiatrist may be the best next step.

Triglyceride. It may be inherited, due to diabetes or systemic illness and rarely a drug. Of course the most offending drug is alcohol. It sounds as though your weight is excessive and your are successful in reducing it. That is by far the most important cause and treatment. Medicine isn't necessary unless your values are very high (>500) after your efforts with diet and weight. Be sure to limit carbohydrate intake as much as possible and strictly avoid refined sugars and see if you can talk your doctor out of medicine in three months.
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What Is The Treatment For High Triglycerides?

Two questions. The toes. Almost certainly unrelated to your triglycerides though you rightly raise concern about your weight and glucose. Since its just one foot, it probably isn t a systemic problem. If your doctor has no concerns about your back, a visit with a podiatrist may be the best next step. Triglyceride. It may be inherited, due to diabetes or systemic illness and rarely a drug. Of course the most offending drug is alcohol. It sounds as though your weight is excessive and your are successful in reducing it. That is by far the most important cause and treatment. Medicine isn t necessary unless your values are very high ( 500) after your efforts with diet and weight. Be sure to limit carbohydrate intake as much as possible and strictly avoid refined sugars and see if you can talk your doctor out of medicine in three months.