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Have High Homocysteine Level. Feeling Tired. Which Amount Of Folic Acid Is Required?

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Posted on Tue, 21 May 2013
Question: hi i have a high homocysteine level kindly advice which amount mg folic acid required for how much days and on which time of day before or after meal my reports are as under
1.homocysteine 24 micromol/L
2.cholerastol total 224 mg%
3.cholerastol LDL 139%
4.testosterone 305.75 ng/dl
5.25 OH vitamin B12 188 pg/mlVitamin D total 19.43 ng/ml
I am feeling increasing forgotfullness and tired from very less hard work
doctor
Answered by Dr. Anantharamakrishnan (42 minutes later)
Hi friend,
Welcome to Health Care Magic
_______________________________________________________________
Your BMI is 27.4. You are overweight.
_______________________________________________________________
This level of homo-cysteine is just moderate ...
The most important aspect is to stop tobacco and alcohol.
1 mg of folate / along with 10 mg of B-6 / and 0.5 mg of B-12 are enough.../ Most of the multivitamin tablets have this strength...
It can be taken at any time of the day
It has no relation to food intake
It has to be taken for life time
______________________________________________________________
Vitamin B-12 and Vitamin D are at lower limit of normal and supplementation can be useful...
________________________________________________________________
Testosterone is normal
________________________________________________________________
There are subdivisions of cholesterol – LDL, HDL, non-HDL and so on. / LDL (& non-HDL) is bad cholesterol – lower, the better. / HDL is good cholesterol – higher, the better. Your LDL is high
In the absence of any other risk factor 100 is ideal. [130 was allowed before.] In the presence of ischemia, 70 should be the aim.

Keep your weight to normal / even a little less
Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
Repeat the test in 6 weeks.
     Cholesterol can still be high, in spite of diet and exercise – you need drugs; Because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis)
____________________________________________________________
You also seem to have Anxiety?
_____________________________________________________________
Discuss the details with your physician and get proper prescription
_____________________________________________________________
Take care
Wishing speedy recovery
God bless
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (3 hours later)
which way do you found that I have anxiety
At present i am using very low oil
excercise only 15 minutes
Why i get tired very soon in normal work condition?
doctor
Answered by Dr. Anantharamakrishnan (30 minutes later)
One of the reasons for the feeling of tiredness in otherwise healthy young person is anxiety or depression.
Idle life style is another reason -
Deficiency of unidentified micronutrients too - include fresh fruits and vegetables...
You ought to increase the duration of exercise
Exercise under supervision as in Gym can be very helpful in the initial stages
It is good to use less oil - it has twice the calories as carbohydrate or protein.
Both the quantity and quality needs attention
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Have High Homocysteine Level. Feeling Tired. Which Amount Of Folic Acid Is Required?

Hi friend,
Welcome to Health Care Magic
_______________________________________________________________
Your BMI is 27.4. You are overweight.
_______________________________________________________________
This level of homo-cysteine is just moderate ...
The most important aspect is to stop tobacco and alcohol.
1 mg of folate / along with 10 mg of B-6 / and 0.5 mg of B-12 are enough.../ Most of the multivitamin tablets have this strength...
It can be taken at any time of the day
It has no relation to food intake
It has to be taken for life time
______________________________________________________________
Vitamin B-12 and Vitamin D are at lower limit of normal and supplementation can be useful...
________________________________________________________________
Testosterone is normal
________________________________________________________________
There are subdivisions of cholesterol – LDL, HDL, non-HDL and so on. / LDL (& non-HDL) is bad cholesterol – lower, the better. / HDL is good cholesterol – higher, the better. Your LDL is high
In the absence of any other risk factor 100 is ideal. [130 was allowed before.] In the presence of ischemia, 70 should be the aim.

Keep your weight to normal / even a little less
Quit smoking, if you are a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
Repeat the test in 6 weeks.
     Cholesterol can still be high, in spite of diet and exercise – you need drugs; Because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis)
____________________________________________________________
You also seem to have Anxiety?
_____________________________________________________________
Discuss the details with your physician and get proper prescription
_____________________________________________________________
Take care
Wishing speedy recovery
God bless
Good luck