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No significant effects were seen for cardiovascular death, all-cause death, nonfatal stroke, or unstable angina hospitalization

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Eating smaller meals and skipping greasy or fried foods can help reduce nausea

Uncontrolled cardiovascular disease: Blood pressure and heart rate effects pose additional risk

Weight change: 1-2 pounds this week (15-19 pounds total, approximately 8.7% of starting weight)

Studies show a clear benefit for lowering homocysteine by raising folate to adequate levels, but theres no additional benefit seen from adding more folate for people who already get plenty of folate.[ref][ref] Decreasing animal protein (maybe): Higher levels of dietary methionine, such as from a diet high in animal protein, can increase homocysteine levels.[ref] However, a high-protein diet usually contains more vitamin B12, vitamin B6, betaine, and folate, which may offset the increase in methionine in real life.[ref] In laboratory settings, people who eat foods high in methionine alone show an increase in homocysteine, but this is attenuated when the increased methionine is consumed along with other amino acids.[ref] Natural vitamins and supplements for decreasing homocysteine: Folate: Dozens of studies and placebo-controlled clinical trials show that increasing folate can lower high homocysteine levels