Homocysteine 32 μmol/L is of some seriousness and requires intervention as soon as possible. The normal reference value for homocysteine should be 6-17 μmol/L, so 32 μmol/ is an elevated level of homocysteine. Current research suggests that elevated homocysteine is an independent risk factor for stroke, and hyperhomocysteinemia can also trigger cardiovascular events and lead to microangiopathy. Therefore, interventions should be taken as soon as possible. The metabolic process is mainly regulated by supplementation with vitamin B12, vitamin B6, folic acid and other drugs. In addition, it is necessary to maintain good living habits, low salt, low fat and low sugar diet, and appropriate physical exercise. It is recommended to consult a doctor for standardized diagnosis and treatment when necessary.