Do You Need A Health Detective

... Call your RN Patient Advocate!

Reduce Your Risk of Medical Error

iRNPA Patient Support Medication Support


iRNPA Patient Support MediKey

RNPA Intensive - Learning Experience

“In a year’s time after taking the RNPA Learning Intensive, my career, my health, my family, my very life has been transformed. I am forever grateful” — Karen DiMarco, RN, iRNPA

“The way of the future of absolute must if you want to make and be the difference in righting the wrongs of healthcare. Kare is a wonderful mentor who has put her soul into this program. Passion, Vision, Perseverance.” — Lana Benton, RN, iRNPA

“The forethought, experience, openness, philosophy and preparation provides all the tools, thought process, and confidence to begin and succeed as an iRNPA.” — Leta Gill, RN, iRNPA

“My experience attending the iRNPA program was a refreshing one, to say the least. This program was packed with life changing information that is not readily taught or available to RN's. This program equipped me with the tools I need to be an iRNPA!  If you are ready for a change after working for many years in the clinical setting, and are driven to help patients and families, this is the program for you!  Karen is a wealth of knowledge that is unmatched in the advocacy process.” — Jamie Long

“Thank you so much for putting together such an incredible RN PA intensive course!  It is truly intensive but so worth it!  I learned a lot and will be using the Medical Time Line and lab spreadsheet with as many clients as i can.  All great information and can’t wait to get my speaking engagements lined up now that I have your fantastic power points!” —  Nan Wetherhorn, Health Care Advisor,

Homocysteine – what is it? Why do we need to know? Ask your heart.


homocysteine2Since 1990, the National Library of Medicine has posted thousands of scientific studies showing that homocysteine is a significant risk factor for disease.

What disease?  Higher levels of homocysteine raise the risk of premature cardiovascular disease affecting the heart, brain, and peripheral blood vessels.  Elevated homocysteine may speed the progression of atherosclerosis (hardening of the arteries) in the arteries in your heart and the rest of your body. 

Osteoporosis: Women with high homocysteine levels were found to have significantly lower bone mineral density in the hip than control subjects.

Alzheimer’s Disease: Rising levels of homocysteine may predict impending cognitive decline and Alzheimer’s disease.

Depression and elevated homocysteine appear to be related as well.

Elevated homocysteine levels have now been correlated with a wide array of illnesses, including the ones listed here as well as stroke, schizophrenia, macular degeneration, cervical cancer, and birth defects.

homocysteineSo what is it?  Homocysteine is an amino acid (protein) that your body makes from another amino acid called methionine – found in protein-dense foods that you eat on a regular basis, such as sunflower seeds, eggs, and fish.

Normally, homocysteine gets converted into two really helpful compounds: SAMe (S-adenosyl methionine- you may have read about the use of SAMe in treating depression) and glutathione, your body’s master antioxidant. 

Sounds good, right?  However, in order to convert the homocysteine to these helpful compounds, you need sufficient folate, B12, Vitamins B 2 and 6, zinc, trimethyglycine and magnesium.

What can we do? Step one: ask your doctor about checking your homocysteine level.   Step two:  if your homocysteine level is high, ask to have the levels of folate, B12, B2, B6, zinc, magnesium (as RBC magnesium) and trimethylglycine checked.  If they are low, it is both simple and inexpensive to replenish your body’s stores of these nutrients.

Want to learn more? 

Contact us!

RN Patient Advocates, PLC

3400 West Goret Road
Tucson, AZ 85745
Phone: 520-743-7008
Home / Homocysteine – what is it? Why do we need to know? Ask your heart.

Copyright © 2017 Karen Mercereau, RN Patient Advocates, PLC. All rights reserved.