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Homocysteine
In recent blood tests, her all other parameters look normal, b12 is 218, homocysteine is very high, 75, what are the next steps ?
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Vit B12 is lower side...take vit B12 injection...homocysteine may elevated in B12 deficiency and even smoking alcohol renal damage some drugs also... so please avoid those things
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Vitamin B12 is too low and is on the borderline.
Common causes of high homocysteine Vitamin B12 deficiency
Folic acid deficiency
Vitamin B6 deficiency. Poor diet or malabsorption Kidney disease Rare genetic causes
You should visit our clinic. We will examine you properly, repeat your tests if required, and advise medications accordingly.
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If u correct b12 haemocyanin slowly decrease.
Tab neurokind od one at night for 2 months.
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"A Homocysteine level of 75 µmol/L is considered significantly elevated (Hyperhomocysteinemia). Even though your Vitamin B12 is technically 'within range' at 218 pg/mL, it is at the lower end of normal. High homocysteine is often a more sensitive functional marker that your body lacks sufficient B12 or Folic Acid to process amino acids correctly. Elevated levels are clinically important because they are associated with an increased risk of blood clots (thrombosis), cardiovascular issues, and long-term cognitive decline if left untreated
Next Steps
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To review your full medical history and design a targeted cardiovascular risk prevention plan based on these results, please book a full consultation session via my Practo profile
Health Tips
Dietary Support: "Increase your intake of green leafy vegetables, legumes, and eggs. These are natural sources of folate and B-vitamins that work alongside your medication to lower homocysteine."
Hydration & Activity: "Stay well-hydrated and maintain moderate physical activity (like brisk walking). Good circulation is vital when homocysteine levels are high to minimize any risk of clotting."
Caution: "Do not ignore this high reading simply because your B12 is 'normal.' High homocysteine is an independent risk factor that requires active management regardless of other lab values."
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A homocysteine level of 75 is significantly elevated and commonly needs proper evaluation along with B12 folate correction, but it is manageable with the right treatment connect with me once and I’ll guide you step by step regarding the next tests and treatment plan.
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Homocysteine is high due to B12 deficiency.
Take B12 suppliments
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B12 borderline but homocysteine 75 is critically high — major cardiovascular risk. Check B6 & Folate urgently. Start B12+Folic Acid+B6 combo. See a physician immediately. Consult me privately for a personalised plan.
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-Homocysteine level of 75 is significantly elevated
-Common causes include Vitamin B12/folate deficiency, hypothyroidism, kidney disease, or genetic factors
-High homocysteine can increase cardiovascular and clotting risk over time
Next Steps
-Tab Methylcobalamin 1500 mcg once daily after food for 3 months
-Tab Folic Acid 5 mg once daily for 6 weeks
-Repeat homocysteine after 8–12 weeks
Health Tips
-Increase green leafy vegetables, fruits, eggs, and protein-rich diet
-Avoid smoking and alcohol
-Regular exercise and good hydration are helpful
-Contact me anytime on Practo for further consultation
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This is concerning in view of high chances of heart related issues
Doctor advice needed to start b12, and folic acid for this
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