A triglyceride level of 246 mg/dL is moderately elevated but highly manageable, often starting with lifestyle modifications like a low-sugar diet and regular exercise. For medical management, your doctor might consider prescription omega-3 fatty acids or a statin (such as atorvastatin) if lifestyle changes aren't enough. For migraines, preventative options like topiramate or beta-blockers (such as propranolol) are common, while triptans (like sumatriptan) treat acute attacks. While there is no single medication that treats both conditions, these therapies can safely be taken together. Please consult your physician to tailor a safe, personalized treatment plan.