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Advice for High Homocystein& Cholesterol
Hello Doctor,
My recent reports show:
Homocysteine: 63.6
LDL: 148
Non-HDL: 168
I also have a history of gastritis.
I have been taking Neurobion Forte and Folic Acid tablets for the last 45 days.
Please let me know if these medicines are appropriate and when I should repeat the tests. My last test was done on 25 March 2026, and the above values are from that report.
Please also suggest any other medicines/supplements or precautions.
Thank you.
Answers (11)
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Cap Pantaprazole DSR 1 cap x od
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Homocheck, rosuvas
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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."
Next Steps
Dietary Focus: "Increase intake of green leafy vegetables, beans, and citrus fruits. These are natural sources of Folate which helps lower homocysteine."
Lifestyle: "If you smoke or consume excessive alcohol, strictly stop or limit it, as both significantly raise homocysteine levels and worsen heart risk."
Caution: "Do not ignore high homocysteine even if you feel fine. It is often a 'silent' marker that needs long-term monitoring to prevent future vascular complications."
Health Tips
DO CONNECT AND CONSULT WITH ME FOR BETTER TREATMENT PLAN AND ADVICE......
63.6 is a level that requires active clinical management and regular follow-ups.book a
full session once your new reports are ready so we can finalize your long-term plan.
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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.
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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 .
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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.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ayush Khandelwal
General Physician
1 yrs exp
Delhi
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.
Next Steps
Continue the current medicines for now and repeat Homocysteine, Vitamin B12, and Lipid Profile after 6–8 weeks. A detailed review of your reports and symptoms would help decide whether any treatment modification is needed.
Health Tips
Maintain regular exercise, good hydration, proper sleep, and avoid smoking/fried foods. There is no need to panic, but timely evaluation and follow-up are important — you may consult for a more personalised assessment and long-term prevention plan.
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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. Shreya Pradip Gudka
General Physician
9 yrs exp
Mumbai
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
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