My homocysteine and lipoprotein values are elevated. Is it worrisome?

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I have gone through your reports (attachment removed to protect patient identity). This is not worrisome. Lipoprotein is just borderline, and you just need to have a healthy lifestyle to control it like low oily, fat and calorie diet along with regular exercises at least 30 minutes a day. Lipoprotein correlates with cholesterol. So, once you should get your lipid profile done. Homocysteine is elevated to some extent which is usually due to vitamin B12 or folate deficiency. So, you need to get the level of vitamin B12 and folic acid done, and supplements, if either one is deficient. Thirdly, you have mild prolapse of the mitral valve in echo which is not usually worrisome but should be kept under observation. So, you get echo done every two to three years. So overall, it is not worrisome, but smoking is always injurious to health. It increases the risk of many illnesses. So, effort should be always to cut down on smoking and it is best to avoid it.

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No, this is not much serious. As I mentioned above, the usual cause for elevated homocysteine is low vitamin B12 or folic acid. So, I suggest you test their levels and if low, then you will need supplements depending upon the result.

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I have gone through it. There is nothing to worry about it at the moment. There is just mild prolapse and a majority of the individuals with this condition do not get any future problems, just minority, say 10 to 15 percent may have progression. And yours does not look like to progress. So, we should just keep watch with regular echo say every two to three years. Rest parameters are normal. Also, there is just a trivial MR which can be found normally in an otherwise normal individual. So nothing to worry about it at present.

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Alcohol does increases homocysteine but once a month is fine. It will not affect your homocysteine levels if you are having it once a month, but regular excessive intake will affect. As I mentioned previously, homocysteine is treatable in most of the patients with vitamin B12 or folate supplements. Also, occasional alcohol will not affect mitral valve prolapse. Smoking should not be done as it is much more harmful than alcohol.