How to reduce high triglycerides and uric acid levels

Elevated levels of triglycerides and uric acid can be improved by adjusting dietary structure, increasing aerobic exercise, controlling weight, limiting alcohol intake, and medication intervention. The elevation of these two indicators is usually associated with a high purine diet, metabolic abnormalities, lack of exercise, genetic factors, and decreased renal excretion function.

1. Adjust dietary structure:

Reduce the intake of high purine foods such as animal organs and seafood, and control red meat consumption within 100 grams per day. Increase the proportion of whole grains and dark vegetables, and replace animal fats with olive oil. Choose low-fat or skimmed dairy products and avoid sugary drinks and fruit juices. This dietary pattern can simultaneously reduce uric acid production and triglyceride synthesis.

2. Increase aerobic exercise:

Engage in moderate intensity exercises such as brisk walking and swimming for at least 30 minutes five times a week. Maintaining a heart rate in the range of 220 age x 60% -70% during exercise can promote lipid metabolism and uric acid excretion. Avoid sudden intense exercise that can lead to lactate accumulation, which may actually trigger gout attacks.

3. Weight control:

Control the BMI index within the range of 18.5-23.9, with waist circumference not exceeding 90 centimeters for males and 85 centimeters for females. The recommended weight loss rate is 0.5-1 kg per week, as losing weight too quickly may lead to ketoacidosis. A decrease in body fat percentage helps improve insulin resistance, thereby regulating lipid metabolism and uric acid reabsorption.

4. Limit alcohol intake:

Beer contains a large amount of guanosine, which can be converted into uric acid. The acetic acid produced by the metabolism of strong liquor competitively inhibits the excretion of uric acid. It is recommended that men consume no more than 25 grams of alcohol per day and women no more than 15 grams. After 4 weeks of quitting drinking, about 30% of patients' uric acid levels can decrease by more than 10%.

5. Drug intervention:

Betrate drugs such as fenofibrate and benzimidazole can be used for excessive triglycerides. When uric acid levels rise, allopurinol and febuxostat are commonly used to inhibit production, while benzbromarone promotes excretion. When combining hypertension, priority should be given to antihypertensive drugs such as losartan potassium that have both uric acid lowering effects. Regular monitoring of liver and kidney function is required during medication.

It is recommended to drink at least 2000 milliliters of water per day to promote metabolism, and to alkalize urine by drinking light tea or soda water. Cooking methods often use steaming and stewing to avoid frying and grilling. Fruits such as kiwi and strawberry with high vitamin C content should be supplemented, but high sugar fruits should be limited. Maintain a regular schedule and avoid staying up late which can lead to metabolic disorders. If the indicators are not met after three months of lifestyle intervention, or if symptoms such as joint swelling and pain, pancreatitis, etc. occur, timely medical treatment should be sought for specialized treatment. Regularly review the four blood lipid levels and uric acid levels, and dynamically adjust the intervention plan based on the results.