I started feeling really sick. I would be constantly nauseous and throw up. I went to my primary care physician who did blood work and my triglycerides were 4500. I wasn't fasting but my previous years blood work was fine. I redid blood work fasting - tryglicerides 480. My doctor recommended seeing an endocrinologist. I saw two different ones. They both said change your diet. Really? I finally found a functionional endocrinologist who put me on bioidentical hormones. After three months my triglycerides down to 125.