<s>[INST] my lipid panel was normal other than my total cholesterol was 201 but my triglycerides were nearly 300...the is the 3rd time my doc has check it in the last 6mo's each time the triglycerides have increased...im a little heavy but not obese, i do exercise and my diet is not "out of control" should i be concerned? [/INST] Brief Answer: In case of persistence of high levels of TG in blood , then you should start a treatment with fibrates.Detailed Answer:Hello,Thank you for using HCM.First of all, your trygliceride levels are not so scary. Eventhough, as you have 6 months with high levels of TG in blood, is advisable to start a treatment with fibrates. Fibrates are a class of medication that lowers blood triglyceride levels. I hope your trygliceride test is performed well, as it is strongly affected by diet and alcohol. The test should be performed at a fasting state and after 24 hours of alcohol-free time. You should eat a low fat meal the night before the test. Restrict food and fluid intake after midnight the night before the test.So if you have any doubt that the test is not performed promptly, please repeat it respecting the rules above mentioned. If the result is still high, than you should see an endocrinologist , in way to begin a treatment with fibrates. Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda </s>