Can elevated triglycerides (hypertriglyceridemia) cause dizziness?

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Last updated: July 9, 2025View editorial policy

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Elevated Triglycerides and Dizziness

Elevated triglyceride levels of 224.76 mg/dL are not directly associated with dizziness symptoms. Your triglyceride level falls into the "high" category (200-499 mg/dL) according to clinical guidelines, but this elevation alone is not a known cause of dizziness.

Understanding Your Triglyceride Level

Your triglyceride level of 224.76 mg/dL is classified as follows:

  • This is in the "high" category (200-499 mg/dL) 1
  • Normal levels are <150 mg/dL
  • Borderline high: 150-199 mg/dL
  • High: 200-499 mg/dL
  • Very high: ≥500 mg/dL

Relationship Between Triglycerides and Symptoms

While elevated triglycerides are associated with increased cardiovascular risk, they typically don't cause immediate symptoms like dizziness. Symptoms are generally absent until triglyceride levels become severely elevated (>1000 mg/dL), at which point the primary concern becomes risk of pancreatitis 1.

What Could Cause Dizziness?

If you're experiencing dizziness, consider these more likely causes:

  1. Cardiovascular issues: While triglycerides themselves don't cause dizziness, they are a marker for cardiovascular disease risk. Dizziness could be related to other cardiovascular issues like hypertension or arrhythmias.

  2. Metabolic syndrome: Elevated triglycerides often occur alongside other metabolic abnormalities (insulin resistance, hypertension) that might contribute to dizziness 1.

  3. Medication effects: Some medications used to treat elevated triglycerides (like niacin) can cause dizziness as a side effect.

  4. Blood sugar fluctuations: Conditions that cause elevated triglycerides (like diabetes) can also cause dizziness through blood sugar fluctuations.

Management Approach for Your Elevated Triglycerides

While your triglyceride level isn't likely causing dizziness, it should still be addressed:

Lifestyle Modifications:

  • Diet changes: Reduce refined carbohydrates and added sugars (aim for <5% of calories from added sugar) 1
  • Physical activity: 150 minutes per week of moderate-intensity or 75 minutes of vigorous-intensity aerobic activity 1
  • Weight management: If overweight, aim for modest weight loss (5-10% of body weight)
  • Alcohol limitation: Reduce or eliminate alcohol consumption, as it can significantly raise triglycerides 1

Dietary Recommendations:

  • Increase omega-3 fatty acids: Consume fatty fish like salmon and rainbow trout 1
  • Reduce saturated fat: Limit intake of full-fat dairy and red meat
  • Increase fiber: Focus on vegetables, fruits, and whole grains

When to Seek Medical Attention for Dizziness

Since your triglyceride level is unlikely to be causing dizziness, consider consulting your healthcare provider if:

  • Dizziness is persistent or severe
  • Dizziness is accompanied by other symptoms like chest pain, shortness of breath, or palpitations
  • You have other cardiovascular risk factors (diabetes, hypertension, smoking)

Conclusion

Your triglyceride level of 224.76 mg/dL requires attention for cardiovascular health but is not likely the cause of any dizziness symptoms. Focus on lifestyle modifications to improve your triglyceride levels while working with your healthcare provider to identify the true cause of your dizziness.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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