diet exercise and especially weight loss if needed are the first things to try. if you are doing all you can in those areas then the only other thing that will have a significant effect is medicine. fish oil supplements may help but the evidence for them is conflicting with over-the-counter supplements and your triglycerides aren't high enough for prescription fish oil. you could try to work with a personal trainer and a nutritionist to see if you can optimize your program to lower your triglycerides even more. otherwise medicines may be your best option.
what can i do to reduce my triglucerides? . my triglycerides are above 298. i already control my diet and walk as exercise? i do not want to take medication due to side affects. i have taken medicine in the past.