What're you eating? Eating low carb, not semi-low, is probably what your body wants. It is carbs, not fats, that spin out triglycerdies. Every meal you eat carbs, adds onto the last meal you ate carbs, nudging them higher and higher.
Are you still eating grains? Especially wheat. That'll raise your triglycerides more than almost anything.
There are loads of great low carb veggies. Ideally you'd eat lots of fatty meat, eggs, fats like coconut oil, saturated fats, etc and that'll bring down the Trigs and raise the HDL. There are tons of LC veggies too: Cruciferous veggies, cukes, leafy greens, and so on.
You might enjoy the book "Wheat Belly" he talks about ways of lower triglycerides and he's a cardiologist, so he knows what he is talking about.
Also, intermittent fasting, might also help. The longer between meals, the more time your body has to clear out triglycerides it created from the last carb-laden meal. So increasing your overnight fasting time and shortening your eating window should help a lot. You can eat a lot, but just less frequently.
But fats don't have that sort of impact on triglycerides. It is carbs.
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I'm a pescatarian so I can't really go super low carb
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Not sure I buy that, but you will need to eat lots of fish. How about eggs?
LDL p and ApoB
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