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Endocrine
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Hypertriglyceridemia
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Secondary causes → lifestyle; >500 → fibrate/fish oil.
Decision
Outcome
Decision
Hypertriglyceridemia. First step?
✓
Evaluate secondary causes (diabetes, alcohol, hypothyroid, drugs, nephrotic, OCPs)
✗
Start fibrate immediately
Decision
Triglyceride level?
✓
150–500 mg/dL → lifestyle; statin if ASCVD risk
✓
>500 mg/dL → fibrate + omega-3 + abstinence from alcohol
Outcome
Lifestyle (weight, exercise, moderate alcohol), statin for CV risk
Outcome
Pancreatitis prevention is priority — fibrate, fish oil; statin once TG ≤500