Thank you for taking so much time to explain your situation. Your documentation of your medical history, current status and medications was just excellent. Based on that I'm afraid you have a condition called hyperhomocysteinemia. Thankfully it is one of the easiest conditions to treat.
Homocysteine is a toxic metabolite of normal protein metabolism that builds up in everyone's body every day, but our body has a number of pathways to neutralize this substance. One of those pathways uses vitamin B12 and folic acid. People who don't get enough folic acid (like typical meat-eaters who don't eat enough fruits and vegetables) or people who don't get enough B12 (like most vegans) can get elevated levels of homocysteine in the blood, a condition called hyperhomocysteinemia. High homocysteine levels can cause high blood pressure and coronary artery blockage, and may also be tied to stroke and dementia.
Being a vegan with excellent cholesterol and exercise levels, and an extraordinarily healthy diet (keep eating those greens!), the most fitting explanation of your coronary blockage, especially given your veganism, would be too much homocysteine in the blood.
Homocysteine and B12 levels can be tested (by getting a blood test called a "serum homocysteine" and a urine test called a "urine MMA (methylmalonic acid)" respectively). But since the treatment has no recorded side-effects and would be beneficial for you in other ways, you may choose to just treat yourself without getting tested. The treatment is to take a regular and reliable source of vitamin B12. If you haven't been, I'd suggest taking 2000 micrograms of a sublingual vitamin B12 supplement (letting it dissolve under your tongue) every day for 2 weeks. This should get your B12 stores back up and knock down your homocysteine back to normal. Then as a maintenance dose, either 2000 micrograms of vitamin B12 once a week or 100 micrograms once a day. You can not overdose on this vitamin.
Based on recent studies of vegans, this one intervention may extend your life expectancy as many as four years.
In terms of your other health issues, I agree that you may have an ulcer - especially given your chronic reflux I think it would be a good idea to schedule an endoscopy.
The treatment of your iron deficiency should obviously focus on the primary cause, which sounds like loss of blood through your digestive tract. In the meantime, though, I encourage you to take 75 milligrams of vitamin C with every lunch and supper (so twice a day with the meals). Vitamin C enhances the absorption of the form of iron found in plant foods.
If you are deciding to take fish oil capsules, you should try to figure out a way to ensure you take them regularly. You definitely need a source of omega 3 fatty acids in your diet, which are found in fish oil, but are also found in flax seeds and flax seed oil. Although not enough research has been done to prove the equivalency of flax oil and fish oil, if for whatever reason you'd rather not take the fish oil, I'd encourage you to take get your omega 3's from flax every day. The best way to get your flax (better than the oil) is to eat two tablespoons of ground flax seed every day.
Information about vegans and homocysteine and omega 3 Fats can be found at http://www.veganoutreach.org/health.
I'd also suggest you increase your water consumption to 5 cups a day. Studies on Seventh Day Adventist vegetarians suggest that those who drink that much water a day halve their risk of dying from heart disease and stroke as well.
Thank you for letting us serve you! |