Appropriate and timely multidisciplinary intervention can prevent complications in pregnant women with severe hypertriglyceridemia.
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May support multidisciplinary intervention to prevent complications; leaves open need for prospective validation of thresholds.
Overall, our recommendations are to monitor for pregnancy-related hypertriglyceridemia in those with prepregnancy fasting triglyceride level greater than 4 mmol/liter and to institute therapy when triglyceride level increases to more than 10 mmol/liter. Therapy should include a multidisciplinary team to address dietary fat restriction, appropriate supplements, and possible medications when needed. Admission to hospital is recommended in severe cases. We conclude that complications are preventable with appropriate and timely intervention.
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Goldberg et al. (2012) studied this question.
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