Your LDL (bad cholesterol) is excellent at 81, but your triglycerides remain high at 380 despite taking Nialip 250. To manage this, you should not self-medicate. Your doctor may consider increasing your Nialip dosage or switching you to highly effective triglyceride-lowering medications like Fibrates (e.g., fenofibrate) or prescription-strength Omega-3 fatty acids. Additionally, lifestyle modifications are crucial: limit alcohol, cut back on simple sugars and refined carbohydrates, and exercise regularly. Please consult your physician to safely adjust your prescription, as these medications require professional monitoring of your liver enzymes.