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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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Vit b complex 1 od for 3 mnths
T folic acid 5mg for 2 weeks
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Need few more details for further evaluation. Kindly consult
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Consult to fix it .
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If u correct b12 haemocyanin slowly decrease.
Tab neurokind od one at night for 2 months.
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Homocysteine is high due to B12 deficiency.
Take B12 suppliments
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Start tablet homocheck once a day for a month.
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Homocysteine is highly elevated
Need to take methylcobalamin 1500mcg once daily for 3 months
Hydrate yourself properly
Do consult for further treatment plan
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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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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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-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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Please share details of your symptoms, then I can help you further.
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Kindly do connect and consult
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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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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Get homocheck
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Start homocheck
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Dr. Sanskriti
General Physician
4 yrs exp
New Delhi
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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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. V R Tindwani
General Physician
51 yrs exp
Ahmedabad
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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