High Homocysteine & Cholesterol – Advice

Your reports show an elevated homocysteine level, ldl and non hdl level. A markedly elevated homocysteine level at your age warrants further evaluation because it can be associated with increased cardiovascular and thrombotic risk. Common causes include deficiency of vitamin B12, folate, or vitamin B6, hypothyroidism, smoking, renal dysfunction, certain medications, and genetic factors

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