treatment
Last reviewed 01/2018
Patients may respond to treatment with vitamin B6 in doses of up to 500 mg/day. It may be necessary to add supplements of folate and vitamin B12.
If homocysteine levels do not fall then restriction of dietary methionine to 10-40 mg per day may be required.
The conversion of homocysteine back to methionine may be promoted by giving betaine or choline.