Homocysteine is an endogenous metabolite involved in methylation processes in the body. Mildly elevated homocysteine appears to be an independent risk factor for both cardiovascular and atherosclerotic disease, where if the 8-10μM normal range is elevated by around 5μM, it is thought to confer 60-80% greater risk of atherosclerotic disease. Although it may not independently cause problems, it may play a causative role in the context of the whole body system, since it is atherogenic by augmenting LDL oxidation and promoting conversion of macrophages into foam cells.
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