How Can You Lower High Triglycerides Naturally?
Ken D. Berry, MD, family physician
Published 11/12/26
You lower high triglycerides by changing what you eat and drink, not by adding a pill. Eating fat does not raise your triglycerides. Eating too many total carbohydrates, and certain kinds of carbohydrates, is what does. Cut your carbs and fructose, replace them with healthy fats, cut back on alcohol and review your medications.
Why do high triglycerides matter?
Elevated triglycerides, called hypertriglyceridemia, can increase your risk of heart attack, heart disease and stroke. If your triglycerides are high enough, they can increase your risk of a life-threatening condition called pancreatitis.
What level of triglycerides is considered high?
The cutoff is 150 milligrams per deciliter, or 1.69 millimoles per liter if your country measures it that way. Above that, you are at increased risk for heart attack, heart disease and stroke. Above 500 milligrams per deciliter, or 5.65 millimoles per liter, you are at greatly increased risk of pancreatitis, which can be fatal.
Are high triglycerides genetic?
Many doctors, dietitians and other health care providers will tell you it's genetic and there's nothing you can do about it. There is a tiny genetic component, meaning some people are more likely to have high triglycerides than others. In my view, that is not the root cause. It just increases your likelihood. The root cause is what you eat and what you drink.
Do medications fix high triglycerides?
Your doctor will almost always want to add a pill, whether that's a statin, a prescription strength omega-3 fatty acid like Lovaza or Vascepa, or a fibrate like Lopid or Tricor. These do lower your triglycerides a little bit, some of them not much at all. But they don't address the root cause or correct the underlying problem that caused your high triglycerides.
What are the 5 steps to lower triglycerides?
- Decrease your total carbohydrate intake. Eliminate the highly processed carbs first: cookies, pies, cakes, candy, breakfast cereals, pastries, jams, jellies, sauces and syrups. These spike your blood sugar and make your liver turn sugar into triglycerides. For many people, cutting the junk is all they need. Many people get back to normal by getting under 100 grams of total carbs a day. Others, probably people with that genetic predisposition, have to go down to 50 total grams a day, cutting out lots of fruit and other seemingly healthy carbs.
- Focus on lowering your fructose intake. Get rid of soft drinks and other drinks with high fructose corn syrup or sucrose, since sucrose is made of glucose and fructose. Fruit juices carry a ton of fructose and sugar too. Some have more than soft drinks, so for most people fruit juices and fruit juice smoothies are just as bad for high triglycerides.
- Replace the carbs you removed with good healthy fats from animals and from plants. Remember, eating fat does not raise your triglycerides.
- Cut back on alcohol. Some people only need to get down to one or two drinks a day. Others have to become almost abstinent. In my opinion, normal triglycerides are so important for your health and longevity that it's worth never having another drink if you are one of those people.
- Review all of your medications, prescription and over the counter, because some medications are known to raise triglycerides.
Frequently asked questions
Does eating fat raise triglycerides?
No. Eating fat does not cause high triglycerides. Eating too many total carbohydrates, and specific kinds of carbohydrates, does.
Is fruit juice bad for triglycerides?
For most people, yes. Some fruit juices have more fructose and more sugar than soft drinks, so fruit juices and smoothies are just as bad for high triglycerides as soft drinks.
How many carbs should I eat to lower triglycerides?
Many people get their triglycerides back to normal under 100 grams of total carbs a day. Some have to go down to 50 total grams a day.
Can I still drink alcohol with high triglycerides?
Some people can drink one or two drinks a day and get back to normal. Others have to stop almost completely.
This information is not medical advice. Work with your own doctor on your health and medications.
About Dr. Berry
Dr. Ken Berry is a board-certified family physician who has cared for over 25,000 patients in more than two decades of practice in rural Tennessee. He grew up in Hohenwald, Tennessee, and earned his MD at the University of Tennessee Health Science Center.
He is the author of the #1 bestselling Lies My Doctor Told Me and the creator of the Proper Human Diet.
He lives on a farm in Holladay, Tennessee, with his wife Neisha and their two children.