What Does A Homocysteine Value Is 22.28 In Blood Report Suggest?

Posted on Sat, 20 Sep 2014

Question: My Homocysteine value is 22.28, Vitamin B12 level is 355, Vitamin D(25OH) is 9.86. For last one month i am having following medicine
1. Cap Lavanza - 1 at night
2. Mecoram - 1 in the morning
3. Tab Caltas 60K - twice a week
I am consulting a Neurosurgeon in XXXXXXX but waiting time is very long there.

Kindly advise how many days i have to take above medicine.
Test Reports are attached.

Answered by Dr. Sudhir Kumar (5 hours later)

Brief Answer:
Usually three months should be fine.

Detailed Answer:
Hi Mr XXXXXXX

Thank you for posting your query.

I have noted your abnormal blood reports and medications.

You are on correct treatment and usually three months of medicines should be enough.

You can repeat the blood tests after three months and stop the medications, if they are normal.

Instead of a neurosurgeon, you should consult a neurologist next time, as you only require medications and no surgery is needed (neurosurgeons are trained to perform surgery on brain and spinal cord).

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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

Follow up: Dr. Sudhir Kumar (15 hours later)

Sir, Kindly suggest me subtitute of these medicine, as these medicines are available only in the chemist shop of Dr. clinic only. Not easy to find in open market

Answered by Dr. Sudhir Kumar (42 minutes later)

Brief Answer:
Following are the substitutes.

Detailed Answer:
Thank you for getting back.

Following are the substitutes:

1. For low vitamin D- TAB TAYO 60K

2. For low vitamin B12- TAB METHYCOBAL 500 mcg

3. For high homocysteine- TAB METASPAN or HOMIN or HOMOCHECK

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (19 hours later)

Sir,

What will be effect on my health of these Low Vitamin B12, Low Vitamin D and High Homocysteine if i do not take these medicine.

Regards,

XXXXXXX

Answered by Dr. Sudhir Kumar (14 hours later)

Brief Answer:
Several health hazards can happen.

Detailed Answer:
Thank you for getting back.

Vitamin B12 deficiency can cause nerve damage in brain and spinal cord, leading to weakness, numbness, memory problems, etc.

Vitamin D deficiency can cause back pain, bone pain, weakness, etc.

High homocysteine level can cause brain stroke and heart attacks.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

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