Common causes: MTHFR gene mutations (C677T, A1298C) reducing enzyme efficiency Vitamin B deficiencies (folate, B12, B6) preventing homocysteine recycling Kidney disease impairing homocysteine clearance Certain medications (methotrexate, antacids, metformin) Hypothyroidism Aging Health risks associated with high homocysteine: Cardiovascular disease damages blood vessel walls, promotes atherosclerosis Blood clots increases risk of DVT, pulmonary embolism, stroke Heart attack and stroke particularly when levels exceed 15 mol/L Pregnancy complications miscarriage, preeclampsia, neural tube defects Cognitive decline Alzheimers disease, dementia, memory problems Osteoporosis weakens bone structure Depression and mental health issues Treatment approach: Increase methylated B vitamins (methylfolate, methyl-B12, B6) Improve diet with folate-rich foods Address underlying deficiencies Support methylation pathways Monitor and reduce levels to optimal range (below 10 mol/L) The goal: Lower homocysteine by improving your bodys ability to process it efficiently
Preventive medications are prescribed to help one stay healthy
if you have significant weight loss, you may decide to undergo skin-tightening procedures such as a facelift for GLP-1-related facial sagging or a buttock lift to minimize excess skin in this area
Aging Cell 20 , e13296 (2021)
