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A 54-year-old female asked:

blood test results-what do i need to do next? low omega 3 / high homocyteine 14 / acth is too high.

2 doctor answers4 doctors weighed in
Dr. Ed Friedlander
Pathology 44 years experience
Consider a consult: Physicians debate the value of screening homocysteines, but I am puzzled as to why you have had your omega 3 and acth levels checked. If your physician cannot explain the ongoing workup, it may be time to get a second opinion about the direction in which these studies are going.
Dr. Bennett Werner
Cardiology 44 years experience
Homocyteine was a fad that has been repeatedly shown to be not related to heart disease (only exception: inherited homocyteinuria). If your ACTH is truly elevated, an endocrine w/u for a pituitary adenoma may be indicated. I doubt there is any upper limit of normal for Omega 3 so that measurement sounds bogus!
Jan 17, 2014
Dr. Ed Friedlander
Pathology 44 years experience
Provided original answer
Thanks Dr. Werner. I've met quite a few people here needing to be reassured about homocysteine and the recent promotion for gene testing that gives an "abnormal" result to a majority of people. I appreciate your sharing.
Jan 17, 2014
Dr. Bruce Rothschild
Rheumatology 48 years experience
Endocrinologist: If acth is too high, adrenal insufficiency should be evaluated, although pituitary could also be responsible.

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Last updated Sep 29, 2016

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