Patient Question: Disease: High homocysteine in physical examination Description: Hello doctor, my mother is 62 years old and the results of her physical examination on the 5th of this month are (the uploaded picture is not very clear, I will write down the ones that are not within the normal range): blood sugar 6.24, total bilirubin 26.7, glutamine transferase 63, triglycerides 1.79, total cholesterol 5.62, LDL 3.78, Apo B 1.38, complement C4 0.58, homocysteine 21.63. My mother has a history of hypertension of 6,000 years, and her mother has a history of hypertension of 6,000 years. My mother has a history of hypertension for 6-7 years and has been taking medication for a long time; she was found to have hyperlipidemia the year before last, and stopped taking medication after the indexes were normal for a year; her hyperglycemia was found this year, but she had a high level of glycosylated insulin before and did not take medication for a long time; she had a stroke screening at Xuanwu Hospital early last year, and her homocysteine index was still normal, but there was plaque in her arteries. This year, my mother had one dizziness, one unconscious runaway walk, and two colic in the chest where the trachea is located (but no cause was found in both cases). Recently, I suddenly noticed a patch of baldness on the top of my head about 2cm in diameter (no hair growth where white hair used to grow). Help wanted: We first went to the community hospital to ask about it, and the doctor told us to take folic acid supplements. Do I need to take any vitamin supplements other than folic acid? Should I go for another stroke screening? I would like to ask you for your answer in your busy schedule, thank you. I have been taking antihypertensive medication for 6 or 7 years, and I stopped taking lipid-lowering medication for about a year last year (because the index was normalized last year, I stopped taking it), and I just started taking atherosclerosis prevention medication. Vitamin B6 and methylcobalamin can be added and taken according to the instructions. It is recommended to perform stroke screening again. I wish your mother good health! Patient Question: Thank you very much, Dr. Liu Mingyong, Department of Neurology, Beijing Chaoyang Hospital, Beijing West Campus replied: You are welcome!