Hi few abnormalities in my routine test
Hba1c-5.7
Triglyceride - 216
Non HDL - 148
LDL - 105
VLDL - 43
HDL - 43
Homocysteine - 22
Vit d - 21
Vit B12 - 266
Is it possible to lower homocysteine by taking vitamin supplements?
Answers (20)
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Your HbA1c 5.7% is only borderline (pre-diabetic range), but the pattern that stands out is high triglycerides 216 with VLDL 43 and a relatively low HDL 43 - this is typical insulin-resistance dyslipidaemia often seen in desk-based IT work. Your LDL 105 and non-HDL 148 are mildly above ideal for long-term risk. Homocysteine 22 is raised, and yes, it usually responds well to correcting B12 (yours is 266, low-normal) along with folate and vitamin B6; your vitamin D 21 is also deficient. So the answer to your question is yes - homocysteine can be lowered with the right vitamin correction, but only after confirming the cause rather than self-starting supplements.
Next Steps
1) Get fasting insulin and a repeat fasting lipid profile after a strict 12-hour fast to confirm the triglyceride level. 2) Serum B12, folate, TSH and creatinine, plus repeat vitamin D, before starting any supplement - B12/folate/D correction under supervision is what brings homocysteine down. 3) Lifestyle is the main treatment at your age: cut sugar, refined carbs, alcohol and fried food, add 40-45 minutes of brisk walking or gym 5 days a week, and aim to reduce waist size - triglycerides respond fastest to this. 4) No cholesterol medicine is needed on these numbers alone; recheck lipids in 3 months. You can book an online consult with me on Practo to review your reports and plan supplement doses, or visit me at Synergy Multispeciality Hospital, Miraj if you prefer an in-person check with BP and waist measurement.
Health Tips
Please do not start high-dose B12 or vitamin D on your own. If you ever develop chest pain or tightness on exertion, breathlessness, or numbness/tingling in the hands and feet, get evaluated in person without delay.
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Hi
Your HbA1c is on borderline for prediabetes.
Triglycerides and cholesterol is high needing meds. Immediately
Homocysteine is high.
Low vitamin D.... Needs supplements
B12 lower normal range
Regarding your question about homocysteine..... To reduce high homocysteine levels, focus on increasing specific B-complex vitamins that help your body break down this amino acid. The most effective approach combines targeted dietary changes, active vitamin supplementation, and healthy lifestyle habits.
Next Steps
feel free to consult me on practo for further evaluation and management
Health Tips
Adjust Your Diet
eat leafy greens: Fill your plate with spinach, kale, broccoli, and asparagus for natural folates.
Include legumes: Add lentils, chickpeas, and black beans to your meals.
Eat B6 and B12 sources: Incorporate fish, poultry, eggs, and moderate amounts of organic dairy or lean meat.
Add betaine-rich foods: Eat beets, quinoa, and spinach to further support the breakdown of homocysteine.
Modify Lifestyle Habits
Limit alcohol: Reduce or eliminate alcohol, which blocks your body's ability to process B vitamins.Quit smoking:
Avoid all tobacco products to protect your blood vessels.
Exercise regularly: Stay active with at least 150 minutes of moderate movement each week.
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
Yes your triglycerides levels are high, you need to start few medications and along with that lifestyle and dietary changes and restrictions.
For detailed guidance and treatment, kindly book an appointment and connect on PRACTO
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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