high homocysteine level

hi

i am 30/m. i am a pure vegetarian.
my lipid profile test is normal.
serum cholesterol is 177
ldl cholesterol is 118
hdl cholesterol is 46
vldl is 14.
but my plasma homocysteine is 28.44 µmol/l
what should i do?
i am really shocked to see this report.
i dont drink .
i had my tmt done six months back and report was tmt negative.
so what should i do?

[gymdandee]

A study reported in the New England Journal of Medicine showed that a homocysteine level above 15 increased the risk of death in patients with heart disease an incredible 6.47 times! And it’s even worse for smokers: Another study showed a 12 times higher risk for heart disease in smokers who have a level above 12. The homocysteine link was actually discovered about four decades ago thanks to the pioneering work of Dr. Kilmer McCully. But that discovery actually got him blacklisted for a time! Dr. McCully was a scientist on research fellowships at Harvard Medical School and Massachusetts General Hospital. In 1969, he found a link between homocysteine and heart disease in two different cases involving a rare genetic disease called “homocystinuria,” which causes unusually high levels of homocysteine in the blood.

Dr. McCully was drawn by these two cases, which involved children, both of whom died of severe atherosclerosis normally seen only in elderly people. He thought maybe the homocysteine was what caused the arterial damage. And if this was so, then maybe high homocysteine went beyond this rare genetic disorder and was a factor for the same type of damage in the population at large. he theorized that the most likely cause of high homocysteine levels in the wider population was due to a nutritional deficiency! Specifically B6, B12, and folic acid.  the way you get your level below 7.5 is by taking folate, anywhere from 1 mg to 5 mg per day. The key is to push the dose up to achieve the treatment goal of 7.5 or below. You’ll want to work under the patient supervision of a willing doctor. For B6, 50 to 100 mg is usually enough. For B12, up to 1,000 mcg may be necessary. I recommend the sublingual form, which is better absorbed.

Along with supplementation, I recommend you include folate-rich foods in your diet to achieve your goal. Foods high in folate (by microgram)
Spinach 1 cup 263, Broccoli ½ cup 128, Sunflower 4 tbsp. 82 seeds, Avocado 1 cup 81,
Romaine lettuce  1 cup 64lettuce,  Walnuts ½ cup 57, Orange juice 6 oz. 54

Top 10 Food additives to avoid
Sodium nitrate, Potassium bromate, Food coloring, MSG (monosodium glutamate),
Aspartame, Olestra, Hydrogenated fats, Saccharin, Dextrose, Sorbitol,

[remar]

Great information Gymdandee!
It can be very hard for us vegetarians to get enough B vitamins and this does effect the homo-cysteine levels.  
Thanks again. I'm always learning new things from this site.    Remar