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Triglycerides · high result

What does a high Triglycerides mean?

Short answer

Triglycerides above 150 mg/dL are borderline high, 200–499 high, and 500 or above very high — a level that risks pancreatitis. Non-fasting samples, alcohol, refined carbohydrate and sugar, excess weight, uncontrolled diabetes, hypothyroidism, kidney disease and medications (estrogens, steroids, some HIV drugs, beta-blockers) raise them. Very high levels also make calculated LDL unreliable.

Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026

When does this result need same-day care?

  • Triglycerides above 1,000 mg/dL, or above 500 with abdominal pain — prompt care (pancreatitis risk)

What is the normal range for Triglycerides?

  • age 18+, fasting: 0.000 – 150 mg/dL

Often reflects high carbohydrate or alcohol intake, weight changes, or insulin resistance.

Full reference table, citations and testing options: Triglycerides biomarker page.

What are the common causes of high Triglycerides?

  1. Non-fasting sample or alcohol within 24–48 hours
  2. Excess weight, high-sugar or refined-carbohydrate diet
  3. Insulin resistance, poorly controlled diabetes
  4. Hypothyroidism, kidney disease, pregnancy
  5. Medications: oral estrogens, glucocorticoids, thiazides, beta-blockers, retinoids, some antipsychotics and HIV medications
  6. Genetic disorders of triglyceride metabolism (usually >500 mg/dL)

What symptoms go with high Triglycerides?

  • None at moderate levels
  • Abdominal pain (pancreatitis) or fatty skin deposits at very high levels

What do clinicians usually check next?

  • Repeat fasting, no alcohol for 72 hours
  • A1c, fasting glucose, TSH
  • ApoB or non-HDL cholesterol (better risk markers when triglycerides are high)

Follow-up tests available at TestWell: TSH (Thyroid Stimulating Hormone) ($26.99), TSH + Free T4 ($27.99), Glucose ($14.99).

How do you recheck Triglycerides?

Prices are cash-pay; every order adds one $6 lab processing fee. Physician authorization is included; no insurance or referral needed.

Test or panelTypePriceFastingResults
General Wellness PanelPanel · 4 tests$89.99Yes1–3 business days
Heart Health PanelPanel · 5 tests$99.99Yes3–5 business days
Pre-Diabetes PanelPanel · 5 tests$89.99Yes2–5 business days
Lipid PanelTest · 4 biomarkers$24.99Yes1–3 business days

Common questions

How quickly can triglycerides change?

Fast — days to weeks with alcohol reduction, less sugar and refined carbohydrate, and weight loss. That's why a repeat fasting test after a few weeks of changes is informative.

Educational content, not a diagnosis. Lab results are one input; a clinician interprets them with your history and exam.