Myths vs facts: Triglyceride senken and Wechseljahre

During menopause, declining estrogen alters lipid metabolism, often raising triglycerides and LDL cholesterol. A common myth is that hormone replacement therapy (HRT) always lowers triglycerides. In reality, oral estrogen can increase triglycerides, while transdermal forms are neutral. Another myth is that supplements like omega-3 or red yeast rice are sufficient. Evidence for omega-3 is moderate (20–30% reduction at high doses) but not universal. Red yeast rice contains a natural statin but carries similar risks. The most evidence-based approach combines a Mediterranean diet, regular exercise, and weight management. Consumer blood tests (e.g., MyBody-X) can identify deficiencies but are not diagnostic. For significantly elevated triglycerides, medical evaluation is essential. Be cautious of marketing that promises quick fixes without lifestyle changes.