Some thinking is that industrialised vegetable oils are the baddies as far as Trigs are concerned. Oils such as corn oil etc (seed oils too). These contain lots of omega 6 and are found in processed foods such as shop bought pasties, pastries, take aways and ready meals. Oily fish is good - perhaps the real thing 3 times a week, such as salmon, mackerel, tuna. It's worth a try, but with Trigs of 12 you should be referred to a specialist lipid clinic. These are the NICE guidelines:
https://www.nice.org.uk/guidance/cg...d-assessing-cardiovascular-disease-cvd-risk-2
1.3.7
Consider the possibility of familial hypercholesterolaemia and investigate as described in
familial hypercholesterolaemia (NICE guideline CG71) if they have:
- a total cholesterol concentration more than 7.5 mmol/litre and
- a family history of premature coronary heart disease. [new 2014]
1.3.8
Arrange for specialist assessment of people with a total cholesterol concentration of more than 9.0 mmol/litre or a non‑HDL cholesterol concentration of more than 7.5 mmol/litre even in the absence of a first‑degree family history of premature coronary heart disease.
[new 2014]
1.3.9
Refer for urgent specialist review if a person has a triglyceride concentration of more than 20 mmol/litre that is not a result of excess alcohol or poor glycaemic control.
[new 2014]
1.3.10
In people with a triglyceride concentration between 10 and 20 mmol/litre:
- repeat the triglyceride measurement with a fasting test (after an interval of 5 days, but within 2 weeks) and
- review for potential secondary causes of hyperlipidaemia and
- seek specialist advice if the triglyceride concentration remains above 10 mmol/litre. [new 2014]
1.3.11
In people with a triglyceride concentration between 4.5 and 9.9 mmol/litre:
- be aware that the CVD risk may be underestimated by risk assessment tools and
- optimise the management of other CVD risk factors present and
- seek specialist advice if non‑HDL cholesterol concentration is more than 7.5 mmol/litre. [new 2014]
