No need of medicines. You just need lifestyle changes in the form of regular endurance exercise, weight control, avoiding fried junk food, consuming high fiber diet
It seems you are either consuming fried food or food with lot of starch. Kindly get basic food habits right. At this level of triglycerides you are at risk of getting pancreatitis.
Other history of your family and your lifestyle is needed. Also check blood sugar
I today did Lipid Profile test and the report goes like this: Cholesterol=157..
TRIG=76..
HDL=41..
LDL=10
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