question: Hello doctor, My wife is 27 years old and 10 weeks pregnant now. Her last month period date (LMP) is 13/06/2015 and she had natural conception. This is her first pregnancy and she was operated for left ovarian dermoid cyst and left ovary was removed in the February 2013. As per the blood test report done on 3/08/15, her homocysteine level is 14.86 umol/L. She is taking the following tablets as of now: Tablet MCBM 69 1-0-1 from 3/8/15 till date. Tablet Duphaston 10 mg 1-0-1 from 3/8/15 till date. Thyronorm 50 mcg 1-0-0 (before food) from 7/8/15 till date. Also she was advised to take one Ecosprin tablet 75 mg (0-0-1) after food to avoid blood clotting and miscarriage, during our visit to the doctor on 18/8/15. Please advise on the below aspect: Is the value of Homocysteine (14.86) too high to take Ecosprin tablet now in the first trimester of pregnancy? Is MCBM 69 tablet sufficient enough to take care of Homocysteine level?