Treatment by consultation as it needs pillow up also.

A homocysteine level of 63.6 is significantly elevated and should not be ignored. Most commonly, this happens due to: * Vitamin B12 deficiency * Folate deficiency * Vitamin B6 deficiency * Gastritis-related poor absorption (especially if chronic acidity medicines are used) * Less commonly kidney disease, hypothyroidism, smoking, genetics, etc. Your LDL 148 and non-HDL 168 are also elevated and increase long-term cardiovascular risk, especially when combined with high homocysteine. Neurobion Forte + folic acid can help, but in many people with gastritis/absorption issues, oral B12 alone may not be sufficient, especially if the deficiency is significant.

Any kidney disorders shud be ruled out..increased cholestrol..cud lead to gall bladder and pancreatic disorders....kindly consult a physician for thorough examination and investigation...

Detailed history is required,,you should consult rehmatology is these level are always low for gentic counselling.

If you’re looking for proper diagnosis and clear treatment—not confusing or incomplete advice—you can consult me directly. Available on Practo or via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four This is a paid consultation. I provide structured, step-by-step treatment plans with simple explanations, focused management, and follow-up until recovery. Avoid delays and self-medication—get the right treatment from the start.

Hello. Your laboratory reports show significantly elevated levels of Homocysteine (63.6) and borderline high LDL Cholesterol (148). Both of these are independent risk factors for cardiovascular health, and they require a structured management plan. ​1. Addressing High Homocysteine ​A level of 63.6 is considered severely elevated (the normal range is typically below 15). This is often linked to deficiencies in B-vitamins or genetic factors. ​Current Medications: Taking Neurobion Forte and Folic Acid is the correct first step, as these provide Vitamin B12, B6, and B9 (Folic Acid) which are essential to break down homocysteine. ​A Note on Gastritis: Since you mentioned a history of gastritis, your body may have difficulty absorbing Vitamin B12 orally. If your levels do not drop significantly in the next report, you should discuss B12 injections with your doctor to bypass the digestive tract. ​2. Cholesterol Management ​Your LDL and Non-HDL are above the optimal range. ​Dietary Precautions: Focus on a 'heart-healthy' diet by reducing saturated fats (red meat, full-fat dairy) and eliminating trans fats. Increase your intake of soluble fiber (oats, beans, lentils). ​Lifestyle: Since you are 37, regular aerobic exercise (30 minutes a day) can significantly help improve your lipid profile. ​3. Follow-up and Recommendations ​Repeat Testing: You should repeat your Homocysteine and Lipid Profile tests 3 months after starting your supplements (around late June 2026) to assess how well you are responding to the current dosage. ​Additional Screening: Given the high homocysteine level, I recommend checking your Vitamin B12 and Vitamin D levels during your next blood draw. ​Please consult your local physician to see if a low-dose statin or a change in the B-vitamin dosage is necessary based on your physical examination and family history.

-Homocysteine 63.6 is significantly elevated and is commonly associated with Vitamin B12/Folate deficiency -LDL and Non-HDL cholesterol are also mildly elevated, increasing long-term cardiovascular risk

Yes Cap Pantaprazole DSR 1 cap x od

Kindly do connect and consult

Homocheck, rosuvas

Your reports show a significantly elevated Homocysteine level of 63.6 μmol/L (Normal is usually <15). High homocysteine is an independent risk factor for cardiovascular diseases and can damage the lining of your arteries. Your LDL (148) and Non-HDL (168) are also above the optimal range, which increases the risk of plaque buildup. Since you already have a history of gastritis, we need to balance your supplement intake to ensure it doesn't irritate your stomach while effectively bringing these levels down."

Your homocysteine level is elevated and does need proper follow up, but in many cases it improves well with the right vitamin correction and lifestyle measures 👍 Since you already have gastritis and are on treatment, a detailed review of your reports, diet, B12 status and risk factors would help guide you more accurately you can book a consultation with me for a complete assessment and follow up plan.

Continue this medications for atleast 3 months. Then we can repeat the tests for it. Need further more evaluation and detailed history. Kindly consult for further treatment .

Continue these meds and when 12 weeks are over, repeat tests. Avoid high fat dairy products, spicy food, processed meat, sugary items, refined grains, excess of alcohol, caffeinated products. Take small,  frequent, meals.

Do consult

Your reports suggest elevated homocysteine and mildly raised cholesterol, which are commonly manageable with proper treatment and lifestyle correction. Gastritis can sometimes affect Vitamin B12 absorption and may be contributing to this.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need complete evaluation of you and your history What’s your cbc report vit d and b12 levels Are you taking antacids Also need to know your routine and overall health