Further evaluation: * Serum vitamin B12 * Folate levels * Thyroid profile (TSH) * HbA1c / fasting glucose * Renal function tests * Blood pressure and weight assessment * Consider Lp(a) and ApoB if there is family history of premature heart disease You may need the following supplements based on the reports of further investigations: Methylcobalamin (Vitamin B12), Folic acid / methylfolate, Pyridoxine (Vitamin B6) Lipid management: Your LDL and non-HDL cholesterol are above ideal targets. Initial management includes: * Regular aerobic exercise * Weight optimisation * Reduction of saturated fats, fried foods, processed foods, red meat, bakery items, and sugary beverages * Increased intake of fruits, vegetables, nuts, whole grains, and omega-3 rich foods Regarding gastritis: * Avoid taking supplements on an empty stomach unless specifically advised * Vitamin B-complex preparations can sometimes worsen gastritis symptoms; taking them after meals usually helps * Avoid excess caffeine, smoking, alcohol, and very spicy/oily meals Repeat homocysteine and lipid profile after treatment/lifestyle modification, usually in 8–12 weeks