Severe hypertriglyceridemia will present as pain in abdomen due to pancreatitis.
Three classes of medications are appropriate for high triglyceride levels: fibric acid derivatives, niacin, and omega-3 fatty acids. In addition high-doses of strong HMG CoA inhibitors (statins-simvastatin, atorvastatin, rosuvastatin) also lower triglycerides to some extent.
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