# #194: Severe Hypertriglyceridemia: 5 Pearls Segment

An episode of [Core IM | Internal Medicine Podcast](https://invisiblenetwork.ai/podcast/1297791208), 3 Dec 2025, 38 min.

Audio: https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/a4cf6548-a5f4-48a1-9c5f-963256246dc3/stream.mp3

How quickly can triglycerides rise? At what threshold are patients at risk of pancreatitis or cardiovascular adverse outcomes? What do you have to rule out? How do you counsel on lifestyle changes? Which medications do you start with why and when? 🔹 Transcript and Shownotes (03:19) | Lipoprotein Lipase and Why Triglycerides Fluctuate Fast (05:27) | Triglycerides as a Cardiovascular Risk Marker (09:28) | Acute Management For Pancreatitis induced by Triglycerides (14:34) | Lifestyle Counseling (17:31) | Medications That Lower Triglycerides (25:29) | How to Choose the Right Triglyceride Therapy (27:56) | Genetic Causes and When to Suspect Familial Disorders Tags: CoreIM, Internal Medicine, Lipidology, lipid, Cardiology, Metabolic Health, Triglycerides, Evidence-Based Medicine, Clinical Reasoning, Hospital Medicine, Medical Education, primary care Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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