Doctor insights on:
Elevated Methylmalonic Acid Level
Not needed except ?: Renal disease can impair mma secretion, raising the serum levels. This test is not needed to assess B12 status unless renal insuffiency is present. Otherwise, the serum test is all that is needed! ...Read more
GP does not agree to a homocysteine serum Test or methylmalonic acid test.
GP explains B12 Normal not low in the Range130-800pg/L
My Result 155pg/L?
I agree: Testing involving homocysteine and one of the genes involved in its metabolism, and methylmalonic acid screens, have been heavily promoted to the public as tests that should be part of routine health care. Most of my fellow-pathologists are skeptical at best. I'd be thankful for good health as demonstrated in your serum B12 and look for some other explanation for whatever symptoms / signs you have ...Read more
My B12 is always at the lower normal limits. Methylmalonic acid blood is within normal limits. I am NOT anemic not a diabetic. why is that?
Moe: find foods rich in B12 for a young guy you are quite involved with your health you may not absorb B12 well take a suppliment ...Read more
I am a 43-year-old man. I have a high methylmalonic acid (691) but a normal B12 (406). Folate (folic acid) was normal a few months ago. I am not anemic and my renal function is normal. Advice re next steps?
Repeat.: There are a number of situations which may affect levels of mma. Elevated levels of mma can be found in patients with renal insufficiency. Suspect levels should be repeated. ...Read more
Methylmalonic acid was 115 nmol/mL and Folic acid was 24ng/mL. No reference ranges were listed. Are these normal? I have Fe deficiency anemia.
All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, The data you provided indicate that you do not have folic acid or B12 deficiency.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex.
Get HPV vaccine. ...Read more
See details: The level is elevated either because you produce too much or your kidneys excrete too little. There are several issues that can cause either of these situations. ...Read more
Are elevated B12 and folate (folic acid) levels bad? Cause of this? How to bring them down to normal levels?
High B12 & folate (folic acid) is not dangerous per se (these vits. Have no known toxicity)& may not be serious, but high B12 may paradoxically be a sign of B12 deficiency & may also be caused by acute or chronic liver disease or leukemia, so deserves further evaluation-see http://healthyeating.Sfgate.Com/high-vitamin-b12-serum-levels-6037.Html
high folate (folic acid) may be a sign of B12 deficiency or blind loop syndrome. ...Read more
Im 17 and my Uric Acid is slight elevated. My Uric Acid is 7.7 (the max. Uric acid level here is 7.2).What is wrong with me? Where doctor should I go?
FP follow-up: A high uric acid level may or may not cause gout. With gout you would typically see a complex form of arthritis with sudden severe attacks of pain, tenderness and redness in joints, often at the base of the big toe. There are other possible causes such as diuretic meds, genetics, alcohol. obesity, and purine rich foods such as certain meats, mushrooms, and gravy. I need more of a history from you. ...Read more
Is it true that elevated uric acid and gout can raise creatinine level? My nephro doctor told me so.
Yes: This happens when crystals of uric acid form in the kidney parenchyma -- "urate ephropathy". There is a severe acute form that is unmistakable; there's disagreement as to whether mild elevations of uric acid do this -- i'm a pathologist interested in kidney and haven't seen anatomic evidence that it's so. Consider adding a uric-acid lowering agent if you have clinical gout. ...Read more
Are elevated B12 and folate (folic acid) levels a problem? My most recent blood work showed these both to be high...Any danger?
How high?: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, it would have helped to have the actual values of the results. In general high values for folate and B12 are not a problem. ...Read more
My mom is 66 and has elevated homocysteine levels. B12 and folate (folic acid) are normal. On BP meds but systolic still high. Any thoughts or suggestions?
MTHFR: There are several causes for high homocysteine levels but the most common is the mthfr gene mutation. The mutation affects the metabolism of folic acid, which utilizes b12. Often, blood levels look normal but the body is actually not able to process the vitamins so the homocysteine remains elevated. Also, the B12 and folate might look "normal" but might not be optimal. More tests are needed. ...Read more
Can elevated uric acid cause pain even without all-out gout? I have high levels and finger and foot pain, but little swelling and no tophi! thanks!
Yes: It could be related, and it may exacerbate arthritic symptoms even without noticeable swelling. Hope this helps. ...Read more
Inflamed gallbladder. Hida scan shows 29%. No gallstones. Symptoms are not severe, minor back pain, nausea, elevated pancreas levels (301), acid reflux. Any other option besides surgery? If so, what?
Why do you ask?: If it's just from bodybuilding, ignore it. When I was lifting weights daily, I ran 1.6-1.8. Same applies if you've got a lot of muscle because you're overweight. Otherwise, get with your physician about why your kidneys may not be working to capacity. Very often it's meds -- ibuprofen is infamous. How's your BUN and urinalysis? Best wishes. ...Read more
Yes: Any time blood is degraded or metabolized, urobilinogen is created. More importantly, it is the reason why it is elevated that is more important. Do you have hemolytic anemia, liver disease, liver infection, liver poisoning or even cirrhosis, or perhaps a large clot, etc. A clot would not cause you to be ill. You need to know what it is elevated (gender is not stated: abnormal menstruation?). ...Read more
Treat the number?:
Advice: doctors treat patients and not numbers.
A slightly elevated crp" without the clinical context, is like a fish out of water. You need more information...Was an infection or a heart problem suspected? How were you feeling? The CRP mentioned can be bad if it's in the context of a heart attack, or not really bad if an infection was suspected. ...Read more
Uric acid: Whether or not you need to lower your uric acid level depends on whether it is causing problems. The main issue with a high uric acid level is the possibility of having gout attacks. If you are not having negative effects from the elevated uric acid then it is called "asymptomatic hyperuricaemia" and it is generally not felt to be necessary to treat it. Follow-up with your doctor to discuss. ...Read more
Diet and medications: Uric acid is a natural digestive product of protein eating less protein, especially red meat and shellfish is helpful alcohol also is important as it directly inhibits the kidney from excreting uric acid so avoiding alcohol intake is important. Certain medications, like water pills, can raise uric acid levels, if possible avoid their use. Lastly, there are medications like allopurinol or culprit t ...Read more