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What does it mean when homocysteine levels are high?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Please examine my heath checkup report with the CBC report extensively and help me to understand my present health condition.
Answered by Dr. Sadaf Mustafa

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

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Hello,

Welcome to icliniq.com.

I reviewed your reports. (attachment removed to protect patient identity).

All and all it looks very good but I have a few questions if you can answer them:

Do you have any one in the family with heart attack? If yes who were they and what were there ages? Did some one shred with you that you snore or stop breathing when you sleep? Do you live on a hilly or mountainous area, high altitude area or you travel frequently? Do you have any medical conditions, allergies or taking any supplements? Are you a vegetarian?

Patient's Query

Thank you doctor,

No family history of heart attack. Are my homocysteine levels very high? I do snore but I suffer from anxiety attacks sometimes in the night while sleeping or I feel I might have a heart attack.

My BP gets elevated sometimes because of heath anxiety when I visit a doctor, but at other times it is normally less than 140/90 mmHg. I am a non-vegetarian. How does my overall report look like? Kindly advise.

Answered by Dr. Sadaf Mustafa

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Homocysteine levels are used as a predictor of cardiovascular outcome along with other indices. Your cholesterol panel looks good and you do not have diabetes yet. However, you carry a risk of developing it in the future because your blood sugar is more than 100 mg/dL and your hbA1c is more than 6. I would suggest you start working on losing weight and try to lose 10 kg over the next six to eight months. Luckily you do not have any family history of heart problems, so you do not need to take an Aspirin as of now.

Now coming to your blood pressure. The latest recommendations are that blood pressure of 140/90 mmHg is normal, but if you have higher numbers then this should be treated. Try to watch your intake of salt it will help.

The panic attacks in the night are not panic attacks. Looking into your blood work CBC (complete blood count), I see you have high hemoglobin that indicates that your oxygen drops in sleep that cause you to have this panic attack. This happens classically in a condition called obstructive sleep apnea. I would suggest a sleep study.

I hope this helps.

Medically reviewed by Dr. Vinodhini J.
Published At February 7, 2020
Reviewed At January 11, 2024

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

Education:

MBBS

Professional Bio:

Dr. Sadaf Mustafa is an Internal Medicine Specialist. She can diagnose and manage complex and multisystem disease. She can treat chronic conditions like diabetes, hypertension, and cardiovascular disorders. She can provide preventive care and routine health assessments. She can help in the management of infections and autoimmune diseases. She helps in the interpretation of diagnostic tests and imaging reports. She can do medication management and adjustment for long-term therapies.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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