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Homocysteine

An elevated concentration of homocysteine is an independent risk factor for cardiovascular disease. When used in conjunction with methylmalonic acid (MMA), these tests are useful to diagnose and monitor vitamin B12 (cobalamin) and folic acid deficiency and are often useful in evaluating macrocytosis (an elevated MCV, an erythrocytic index).

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FAQ

Answers to your questions about lab testing and services.

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Stephanie Strudley

Stephanie Strudley, CNS, is a functional medicine nutritionist and the founder of Upstream Wellness. She helps driven, health-conscious adults who've done "everything right" and still don't feel like themselves — connecting the dots between symptoms, labs, and lifestyle to uncover what's actually going on. Her approach is shaped by an unconventional path: a background in ecology and systems biology, and her own experience navigating serious, unresolved health challenges before finding root-cause care herself. She doesn't believe in one-size-fits-all protocols or quick fixes — she believes health is more like solving a puzzle than following a formula, and her role is to help clients ask better questions, interpret their own data, and build a plan that fits their unique biology and life.

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Focus areas

  • Cardiovascular Health

  • Gastrointestinal Health

  • Metabolic Health

  • Women's Health

States of practice

  • California

  • Colorado

  • Maryland

  • Massachusetts

  • Oregon

  • Texas

  • Washington