Hyperhomocysteinemia as independent risk factor for silent brain infarction

I recently had a patient who had asked her primary care doctor to run a homocysteine level based on some stuff she had been reading in layman’s journals and her family history. Her doctor refused. I have routinely been running homocysteine and CRP levels on patients for quite awhile now. To say that elevated homocysteine (whether by itself or indirectly as a marker for altered folate/B12 status) has an impact on our health would be an incredible understatement. I am going to make a pretty strong statement here…any clinician who refuses to run a homocysteine level when a patient not only has a family history but REQUESTS the test should no longer be practicing. Being a physician and having patient’s health in your hands requires certain committments–one of those would be to crack a medical journal at least once a month.

Neurology — Abstracts: Kim et al. 61 (11): 1595 –

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James Bogash

For more than a decade, Dr. Bogash has stayed current with the medical literature as it relates to physiology, disease prevention and disease management. He uses his knowledge to educate patients, the community and cyberspace on the best way to avoid and / or manage chronic diseases using lifestyle and targeted supplementation.