To lower high triglycerides, lifestyle changes like diet and exercise are the first steps. If medication is needed, your doctor may prescribe Fibrates (e.g., fenofibrate), which are highly effective at lowering triglyceride levels. Prescription Omega-3 Fatty Acids (e.g., Vascepa): High-dose, purified fish oils that reduce triglyceride production in the liver. Statins, e.g., atorvastatin): Primarily used for cholesterol, but they also moderately lower triglycerides and reduce overall cardiovascular risk. Niacin: Less commonly used now, but can lower triglycerides.\n\nPlease consult your healthcare provider to determine the safest medication and dosage based on your specific health profile.

Your triglyceride level of 173.6 mg/dL is borderline high (normal is under 150 mg/dL). Assuming 'lipoprotein' refers to HDL ('good' cholesterol), 37.4 mg/dL is slightly low. At these borderline levels, medication is typically not the first step. Instead, lifestyle modifications, such as reducing carbohydrates, engaging in regular aerobic exercise, and limiting alcohol, are the most effective initial treatments. Please consult your healthcare provider to review your complete lipid profile (including LDL and total cholesterol) and evaluate your overall cardiovascular risk to determine if prescription therapy is necessary.