Reduce dietary total fat intake
Reduce saturated fat intake
Avoid trans fats
Limit refined carbohydrates and added sugars
Increase fiber intake (especially soluble fiber)
Choose whole grains instead of refined grains
Prefer lean proteins (fish, poultry, legumes) over processed meats
Limit alcohol intake or avoid alcohol
Control calorie intake to support weight loss if overweight
Maintain regular physical activity (aerobic + resistance training)
Manage blood sugar and insulin resistance
Improve sleep duration and quality
Quit smoking
Review medications with a clinician if they may raise triglycerides (e.g., certain steroids, estrogen, some beta-blockers, antipsychotics)
Treat underlying conditions (uncontrolled diabetes, hypothyroidism, kidney disease, fatty liver) with clinician guidance
Consider omega-3 fatty acids (EPA/DHA) with clinician guidance
Consider fibrates or niacin only if recommended by a clinician
Monitor triglycerides regularly and follow a tailored plan with a healthcare professional