Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Elevated Homocysteine And TSH Levels
Question: i have high homocysteine level upto 54 and deficiency of vitamin b and D,and slightly elevated tsh witha reading of 5.4 my doctor has adviced me thronorm 25 mg to be taken once everyday,homocyst to be taken at night everyday for 3 month d rise tab to be taken once in a week,and nurokind plus to be taken daily please suggest with this medics how much time i can get the normal levels in all
I also want to know if i need to take thyronorm tablet since my TSH is just 5.4 which is slightly elevated.Also will these medications will have effect on my cholestrol level.
i am not smoking and started a fruit diet everyday
I also want to know if i need to take thyronorm tablet since my TSH is just 5.4 which is slightly elevated.Also will these medications will have effect on my cholestrol level.
i am not smoking and started a fruit diet everyday
Brief Answer:
Regarding your treatment;
Detailed Answer:
Hello and thank you for asking HealthcareMagic!
I have gone through your concern in details.
The treatment, your physician recommended already, is right.
A high TSH level may be the cause of high cholesterol and starting treatment with Levothyroxine will improve the lipid profile.
Usually, under active thyroid is a chronic disease and the treatment is life long, but you should check TSH level after 6 weeks to be sure that the dose you are taking is right.
Regarding Vit-D, the treatment depends on the Vit-D level on the blood, if it is under 10, you should take 50 000 UI once a weak for 8 weeks than 1000 UI/ day.
In the absence of known cardiovascular or cerebrovascular disease, it is controversial whether or not to treat patients with elevated homocysteine levels.
In general, a diet rich in fruits, vegetables, and low-fat dairy products as well as low in saturated and total fat can help to decrease serum homocysteine.
Hope I have been helpful.
Kind regards,
Dr.Mirjeta
Regarding your treatment;
Detailed Answer:
Hello and thank you for asking HealthcareMagic!
I have gone through your concern in details.
The treatment, your physician recommended already, is right.
A high TSH level may be the cause of high cholesterol and starting treatment with Levothyroxine will improve the lipid profile.
Usually, under active thyroid is a chronic disease and the treatment is life long, but you should check TSH level after 6 weeks to be sure that the dose you are taking is right.
Regarding Vit-D, the treatment depends on the Vit-D level on the blood, if it is under 10, you should take 50 000 UI once a weak for 8 weeks than 1000 UI/ day.
In the absence of known cardiovascular or cerebrovascular disease, it is controversial whether or not to treat patients with elevated homocysteine levels.
In general, a diet rich in fruits, vegetables, and low-fat dairy products as well as low in saturated and total fat can help to decrease serum homocysteine.
Hope I have been helpful.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thanks Doctor,
I want to ask if i take these medicines will my cholestrol level increase or decrease?
And how bad is the homocysteine level as 54 as i am concerned about it?
I want to ask if i take these medicines will my cholestrol level increase or decrease?
And how bad is the homocysteine level as 54 as i am concerned about it?
Brief Answer:
The cholesterol will decrease:
Detailed Answer:
Welcome back!
Your homocysteine level is considered intermediate high ( not severe) but In the absence of known cardiovascular or cerebrovascular disease, it is controversial whether or not to treat patients with elevated homocysteine levels. There is no clear evidence for treating patients who do not have severe hyperhomocysteinemia in the absence of cardiovascular or thrombotic disease.
Levothyroxine and the diet low in fat can decrease the cholesterol level.
Wish you good health.
Kind regards,
Dr.Mirjeta
The cholesterol will decrease:
Detailed Answer:
Welcome back!
Your homocysteine level is considered intermediate high ( not severe) but In the absence of known cardiovascular or cerebrovascular disease, it is controversial whether or not to treat patients with elevated homocysteine levels. There is no clear evidence for treating patients who do not have severe hyperhomocysteinemia in the absence of cardiovascular or thrombotic disease.
Levothyroxine and the diet low in fat can decrease the cholesterol level.
Wish you good health.
Kind regards,
Dr.Mirjeta
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
