Friday, October 25, 2013

MTHFR & Homocysteine - Where's The Fire

MTHFR & Homocysteine – Methylation Malfunction 

Inflammation & Methylation 

As discussed in a previous post, MethylenetetrahydrofolateReductase (MTHFR) is an inherited genetic variant that researchers call a polymorphism (SNP). Growing research demonstrates that up to half of all Americans may carry at least one genetic variation (C677T & A1298C) known as MTHFR. This variation prevents the body, including the brain, from being able to properly use folic acid, which disrupts a process known as Methylation.

Methylation is a critical biologic process that requires adequate amounts of folic acid, Vitamin B6 and Vitamin B12 which act as cofactors in key enzymes that produce and balance neurotransmitters such as serotonin. Methylation is also extremely important for other bodily functions such as detoxifying homocysteine.

Homocysteine is a byproduct of cellular metabolism and is generated when methionine (amino acid found in fish, meats and dairy) is metabolized to help make proteins and to maintain tissues. When adequate levels of B Vitamins are available, they recycle left over homocysteine into methionine and the cycle repeats itself. If the Methylation process in not working correctly (MTHFR +/+), elevated levels of homocysteine may occur and become a risk factor for many chronic diseases such as heart disease, Alzheimer’s disease, Parkinson’s disease, stroke and debilitating migraines. So what’s in common with all of these health challenges?

                                                      INFLAMMATION   


Simply put, elevated levels of homocysteine accelerate inflammatory disease processes.
Increased inflammation translates to an accelerated aging process!

Research has demonstrated that an elevated homocysteine levels have been linked to telomere damage. (Telomeres are protective caps at the end of the chromosome that shorten with age). Research has also shown a direct link to elevated homocysteine levels and damage to the hippocampus, the area of the brain that plays a crucial role in memory formation. It is well documented that elevated levels of homocysteine may be related to a deficiency of three necessary B Complex Vitamins B6, Folic Acid & B12. This deficiency inhibits the body's ability to process dietary protein. The typical American diet is filled with nutrient deficient foods. Taking B vitamins may not lower homocysteine levels, however they play a critical role in balancing homocysteine levels.

What You Can Do: Right Now


  • Lifestyle habits such as smoking and alcohol consumption may also affect homocysteine levels. Changes in these life style factors may reduce homocysteine levels and hopefully reduce the threat to cardiovascular health.

  • Test Your Self: If you are interested in testing without a doctors visit or would simply like to learn more, click here: www.mylabsforlife.com


RESOURCES

Homocysteine levels and leukocyte telomere length

Effect of lifestyle factors on plasma total homocysteine concentrations in relation to MTHFR (C677T) genotype.

Changes in lifestyle, biological risk factors and total homocysteine in relation to MTHFR C677T genotype: a 5-year follow-up study.

Plasma Homocysteine Concentration, C677T MTHFR Genotype, and 844ins68bp CBS Genotype in You Adults With Spontaneous Cervical Artery Dissection and Atherothrombotic Stroke.

Migraine Mediates the Influence of C677T MTHFR Genotypes on Ischemic Stroke Risk With a Stroke-Subtype Effect.




Disclaimer

The statements on this site have not been evaluated by the Food and Drug Administration. Any products mentioned or discussed on this site are not intended to diagnose, treat, cure, or prevent any disease. The information on this site is not intended to be a substitute for professional medical advice. The health related and medical information and on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician, client-nurse practitioner or patient-pharmacist relationship, and should not be used as a substitute for professional diagnosis and treatment. It is recommended the reader of this site consult with a qualified health care provider of their choice when using any information obtained from this site and affiliate sites. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition.

In concert with evidence-based information, this site proposes certain theoretical methods of functional and nutritional support that may not be supported by conventional or mainstream medicine. Any information obtained from this site is left to the discretion and is the sole responsibility of the user of this site. 

The contributors of this site cannot be held responsible for the information or any inadvertent errors or omissions of the information. By visiting this site you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented. If you do not agree to the foregoing terms and conditions, you should not enter this site. The contributors of this site shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. 

Saturday, October 12, 2013

Thyroid and Blood Testing - It's Not Just About a TSH!


Introduction to Thyroid Health & Blood Testing

The thyroid gland is one of the largest endocrine glands. It is a butterfly shaped gland that is wrapped around the windpipe. The ancient Greeks named the thyroid gland 'thyreos' which means shield.  It is composed of two parts and produces many hormones that are frequently grouped together. Thyroid metabolism is a multi step process which begins in the hypothalamus which sends Thyroid Releasing Hormone (TRH) to the pituitary gland. Next, the pituitary gland produces Thyroid Stimulating Hormone (TSH) which stimulates the production of Thyroxine (T4) and Triiodothyronine (T3). Thyroid hormone is required for metabolism in every cell, for every organ in the body.

Symptoms of a dysfunctional thyroid may be fatigue, weight gain, cognitive impairment and depression and are often overlooked. Appropriate blood testing for thyroid function may identify thyroid dysfunction so appropriate and effective interventions can be implemented. Thyroid function can be impacted by many things such as toxins, infections  and allergies to name a few which is why you will see more than the usual list of thyroid lab tests listed here.

Estimates show that approximately Thirteen million Americans have a thyroid imbalance known as hypothyroidism, which is characterized by the thyroid gland producing too little of the various thyroid hormones. The thyroid gland is one of the largest endocrine glands in the body. It is a small butterfly shaped mass wrapped around your windpipe. Composed of two parts, it produces an assortment of hormones that people commonly group together as “thyroid hormone.” These hormones carry out a number of crucial functions in order to sustain overall health and wellness. Thyroid hormones control the growth and development of the body, the brain and regulates metabolism of every cell, tissue, and organ in our body. Another way to think about metabolism is to think of it in terms of ‘life force'. If your thyroid were simply removed without supportive measures, all metabolic processes would come to a screaming halt - and so would You!

Thyroid Testing From a Functional Perspective

As stated above,over 27 million Americans suffer from thyroid related imbalances. 
If thyroid function is compromised or said another way, your thyroid is functioning at 40% (for example), imagine 27 million American's functioning at 40% overall. Now think of the impact that has on society as a whole? No wonder there is a Zombie craze! 

Certain thyroid imbalances have been directly associated with internal as well as external factors to include infectious diseases (H.Pylori…) and ever increasing toxins (fluoride & glyphosate…) which are negatively impacting our cells as well as our environment. Did you know that thyroid hormone is required by every cell on our body in order to function optimally? This means thyroid function directly impacts gastrointestinal function, liver detoxification, our adrenal hormones, brain function (there is an association between Alzheimer's disease) and bone health to name a few. Reviewing thyroid health from a functional medicine perspective can help you identify thyroid hormone imbalances as well as factors that may directly or indirectly impact thyroid function in a negative way. We would like to thank you for reading along this far. Our hope is to help you understand how critical thyroid function is to you in everything you do. Sluggish thyroid means sluggish feelings towards work, community and family. A sluggish you means an unhappy you. Please keep reading.

Thyroid Testing - The Basics




The most commonly (and “Only”) reviewed blood test to evaluate thyroid function is a test known as a TSH (Thyroid Stimulating Hormone).Thyroid Stimulating Hormone or thyrotropin really is the most common reviewed marker of thyroid function. It is a hormone that is secreted by the pituitary gland to stimulate thyroid activity. An elevated TSH level may indicate that the thyroid gland is unable to respond appropriately. Conversely, when the TSH level is low, this indicates that the thyroid is producing too much thyroid hormone. A decreased level of TSH may be related to an abnormality in the pituitary gland, causing an inadequate amount of TSH to stimulate the thyroid. Many factors may disrupt the balance of thyroid hormones production, such as, medications, allergies (wheat & gluten), anemia, gastrointestinal function, insulin resistance, bone metabolism, hormone imbalances, nutrient deficiencies such as selenium and Vitamins A & D and metabolic disruptors such as PCB’s to name a few.

A more comprehensive view is used when a functional medicine perspective is applied when evaluating thyroid function. A compressive review will include:

Total Thyroxine (T4) is a hormone produced by the thyroid gland.  It receives its name for its four molecules of iodine. It measures the amount of T4 in the blood is a way to see how well the thyroid gland is working. It is usually decreased in hypothyroidism and in the first stage of thyrotoxicosis due to Hashimotos Disease. It may also be elevated due to increased intake of iodine or use of thyroxine.

Free T4 (FT4) is used to evaluate measure the amount of unbound or active T4 in circulation. It is used to evaluate thyroid function and monitor replacement and suppressive therapy.

Free T3 (FT3) is used to measure free T3 Hormone and is an excellent marker to measure the amount of active thyroid hormone that is available to bind with thyroid receptor sites. It is typically used to diagnose hyperthyroidism. It is also used to assess evaluate thyroid replacement and suppressive therapy.

Thyroid Antibodies (TPO & Ab) is a test that is frequently missed when thyroid function is being evaluated. You will notice this test is a combination test, meaning it will be used to evaluate “both” the thyroid autoantibodies (TAA) and the thyroid peroxidase antibodies. It is more common to see only the TPO ab looked for. The Thyroid autoantibody (TAA) is a test is a test that helps to determine if the body’s immune system has turned against itself. Thyroglobulin is a protein usually confined to the thyroid gland. It is the source of the thyroxine and triiodothyronine hormones in the body. The presence of autoantibodies to thyroglobulin may lead to the destruction of the thyroid gland. Such antibodies are more likely to appear after trauma to, or inflammation of, the thyroid gland.Thyroid Peroxidase antibodies (TPO ab) is a crucial antibody test related to the thyroid gland because the TPO is the enzyme that is responsible for the production of thyroid hormones. The TPO gene provides instructions for making an enzyme called thyroid peroxidase. This enzyme plays a central role in the function of the thyroid gland. Thyroid peroxidase assists the chemical reaction that adds iodine to a protein called thyroglobulin, a critical step in generating thyroid hormones. Thyroid hormones play an important role in regulating growth, brain development, and the rate of chemical reactions in the body (metabolism).

Reverse T3 (rT3) measures the amount of rT3. It is typically elevated when there is stress to the body such as trauma, surgery or during periods of chronic stress. Reverse T3 does not stimulate metabolism. It maybe elevated due to an inability to clear rT3 and may also be elevated due to elevated levels of cortisol. There is a lot of differing opinions about what this test means, so remember to do some of your own research!

There are many cofactors that should be evaluated when assessing thyroid function such as ferritin, Vitamin B12 and Zinc to name a few.


Symptoms Associated (and overlooked) with Thyroid Imbalance



• Sudden unexplained weight gain or great difficulty losing fat
• Severe fatigue and frequent exhaustion 
• Depression and gloominess 
• Frequent constipation 
• Menstrual irregularities — especially heavy bleeding with periods  
• P.M.S. & Infertility
• Dry, coarse skin that is pale and itchy
• Puffiness of the face, especially in post-menopausal women 
• Dry, coarse, thinning hair (thinning of the outer third of both eyebrows) 
• Intolerance to heat & or cold 
• Decreased sex drive 
• Candida (yeast infections) & Repeated Bacterial & Viral Infections 
• Premature aging 
• Sleep Apnia
• Headaches 
• Hypertension 
• Brittle nails 
• Diabetes 
• MS 
• Heart attack/stroke 
• High cholesterol  
• Muscle weakness 
• Weak immune system 
• Arthritis/Gout 
• Low blood pressure 
• Osteoporosis
• Joint/muscle pain
• Heart palpitations …….to name a few

Obtain Testing Without a Doctors Visit -



MyLabsForLife.com offers labs as individual tests or in strategically constructed panels to not only offer a more comprehensive view of thyroid function, cofactors that affect thyroid function. The list of lab tests below may look long and cumbersome – it is. That is because thyroid function is complicated because every cell in the body needs thyroid hormone in order to function optimally. 

Identify Health Challenges That Impact Thyroid Function 




Alkaline Phosphatase - This blood test measures Alkaline Phosphatase levels. Alkaline phosphatase is a group of enzymes found throughout the body, specifically in the bone, liver, placenta and intestine.

Candida Antibodies (Qualitative) - This blood test is used to detect systemic Candidiasis. Candida albicans is a common strain of yeast that normally occurs in the mouth, vagina, or gastrointestinal tract.

Candida Antigen / Antibody Profile - This blood test is used to detect antigens and antibodies (IgG, IgM, IgA) to Candida Albicans. Candida causes infections such as thrush, and is frequently an issue for people who have difficulty controlling their blood sugar (diabetes) and may be life threatening to those who have weakened immune systems. Test Code: 163178 Purchase or learn more here.

Celiac Disease (CD) Antibody Profile - This blood test is known by several names: Deamidated Gliaden Antibodies (DGP) and Gliaden, Tissue Transglutaminase (tTG) antibodies. This blood test includes deamidated gliadin IgA; tissue transglutaminase IgA and serum IgA quantitation.

Celiac Disease (CD) Complete Panel - This blood test is used to aid in the diagnosis of Celiac Disease. The test includes deamidated gliaden IgA, deamidated IgG, tissue transglutaminase IgA, tissue transglutaminase IgG and serum IgA quantitation. Test code: 341142. Purchase or learn more.

Celiac Disease (CD) Comprehensive Antibody Profile - This blood test includes deamidated gliaden antibodies (DGP), endosymial antibodies, tissue transglutaminase (tTG) antibodies and total IgA. This test is used to aid in the identification of gluten sensitivity.

Celiac Disease (CD) HLA DQ Association - This blood test is also knows as: HLA DQ2, DLA DQ8, HLA Typing, DQ2 and DQ8 and may be of statistical significance when looking for Celiac disease.

Ceruloplasmin - This blood test measures Ceruloplasmin levels. About 95% of the copper in the blood is bound to ceruloplasmin. 

Coenzyme Q10 (CoQ10) - Coenzyme Q10 is also known as Ubiquinone. This blood test is used to measure blood levels of CoQ10. CoQ10 is critical for the basic functioning in all cells and specifically to cardiac tissue due to the high-energy demands of cardiac cells. 

Copper - This blood test is used to measure copper levels. Adequate levels of copper are critical for the production of neurotransmitters, energy, myelin, bone and connective tissue production, immune function and the production of blood.

Hereditary Hemochromatosis - This test is used to evaluate individuals with elevated transferrin levels and to further evaluate those who may be at risk for Hereditary Hemochromatosis (HH). 

Lead (Blood) - This blood test used to measure lead levels. Lead is the main cause of childhood heavy metal poisoning, so it is important to consider the environment you grew up in.

Lead (Urine) - This 24-hour urine test is used to measure lead levels. Lead is the main cause of childhood heavy metal poisoning, so it is important to consider the environment you grew up in. 

Lyme Disease & Total Immunoglobulin’s - This blood test is used to assist with the diagnosis of acute and later stages of infection by B. burgdorferi. In 2010, the CDC reported 94% of Lyme disease cases were reported from 12 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Hampshire, New York, Pennsylvania, Virginia & Wisconsin. Lyme disease has exceeded AIDS as one of the fastest growing infectious epidemics in our nation, with a cost to society measured at approximately $1 billion annually.

Lyme Disease & Western Blot - This blood test is used to identify antibodies specific for B. burgdorferi proteins. This test provides both IgM and IgG Western blot results. In 2010, the CDC reported 94% of Lyme disease cases were reported from 12 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Hampshire, New York, Pennsylvania, Virginia & Wisconsin. Lyme disease has exceeded AIDS as one of the fastest growing infectious epidemics in our nation, with a cost to society measured at approximately $1 billion annually.

Lyme Disease (Borrelia burgdorferi) PCR - This blood test is used to aid in the detection of Borrelia burgdorferi (Lyme disease). In 2010, the CDC reported 94% of Lyme disease cases were reported from 12 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Hampshire, New York, Pennsylvania, Virginia & Wisconsin. Lyme disease has exceeded AIDS as one of the fastest growing infectious epidemics in our nation, with a cost to society measured at approximately $1 billion annually. 

Lyme Disease Antibodies, Including Reflex to Western Blot on Positives - According to Lab Corp, this blood test is the most analytical and comprehensive approach available for detecting antibodies specific for Lyme disease and provides the broadest time window for detection and confirmation. 

Lyme Disease Antibodies, Total & IgM Responses - This blood test is used to aid in the diagnosis of acute or chronic infection with Lyme disease. In 2010, the CDC reported 94% of Lyme disease cases were reported from 12 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Hampshire, New York, Pennsylvania, Virginia & Wisconsin. Lyme disease has exceeded AIDS as one of the fastest growing infectious epidemics in our nation, with a cost to society measured at approximately $1 billion annually.

Manganese (Blood) - This blood test used to measure Manganese levels. Manganese is a cofactor in many enzyme systems involved in blood sugar control, energy metabolism and pituitary thyroid axis hormone function. 

Manganese (Urine) - This urine test is used to measure Manganese levels. Manganese is a cofactor in many enzyme systems involved in blood sugar control, energy metabolism and pituitary thyroid axis hormone function.

Methylenetetrahydrofolate Reductase (MTHFR) - Methylenetetrahydrofolate Reductase (MTHFR) is a blood test that checks for an inherited genetic variant that researchers call a polymorphism (SNP). This test checks for the two most common mutations: C677T and A1298C. Growing research demonstrates that up to half of all Americans may carry at least one genetic variation known as MTHFR.Test Code: 

Parathyroid Hormone (PTH) Intact - This blood test measures Parathyroid Hormone (PTH) levels. Parathyroid hormone regulates the concentration of calcium and phosphorus in the blood and helps in the synthesis of Vitamin D.

Polychlorinated Biphenyls (PCBs) Chlorinated Pesticide Exposure Profile - This blood test is also known as Organochlorine Pesticides and PCB/Pesticide Exposure Profile and is used to monitor exposure to PCBs (polychlorinated biphenyls) and chlorinated pesticides. 

Reverse Triiodothyronine (rT3) - This blood test measures levels of Reverse T3 (rT3). A Reverse Triiodothyronine (rT3) is a thyroid hormone that disrupts the activity of the active the form of thyroid hormone, triiodothyronine (T3). 

Selenium (Blood) - This blood test measures selenium levels. Selenium protects genes from inflammatory disease processes such as dementia, stroke, heart disease, diabetes and asthma.

Selenium (Urine) - This 24-hour urine test measures selenium levels. Selenium is widely recognized as a key nutrient in cancer prevention and is a crucial cofactor for the conversion of T4 to T3 in healthy thyroid function. 

Sex Hormone-Binding Globulin (SHBG) - This blood test measures Sex Hormone-Binding Globulin levels. Sex Hormone-Binding Globulin is also known as SHGB and Testosterone-binding Globulin (TeBG).

T-3 Uptake - This blood test measures T-3 Uptake levels. The results of a T-3 uptake are used as an indirect measure of bioavailable binding sites for the thyroid stimulatory hormones from the brain. T-3 uptake is not a measurement of T3 and should never be used alone. 

Thyroglobulin, Quantitative - This blood test is used to measure thyroglobulin levels. Thyroglobulin is a protein that helps synthesize the production of thyroid hormones. Thyroglobulin may be used to help establish the cause of hyperthyroidism or to monitor the effectiveness of treatment for certain thyroid disorders. 

Thyroid Antibodies: Combined Ab & TPO - This blood test is a combination test used to evaluate both, Thyroid Autoantibodies (TAA) and Thyroid Peroxidase Antibodies (TPO ab). 

Thyroid Stimulating Hormone (TSH) - This blood test measures Thyroid Stimulating Hormone (TSH) or thyrotropin levels. Thyroid Stimulating Hormone (TSH) is the most common and sensitive marker of thyroid function.

Thyroxine (T4) - This blood test measures Thyroxine (T4) levels. Thyroxine (T4) is the major hormone produced and secreted by the thyroid gland.

Thyroxine (T4) Free, Direct (FT4) - This test measures Thyroxine T4 (Free). Thyroxine (T4) Free measures the free or unbound (bioavailable) thyroxine levels in the bloodstream. 

Thyroxine Binding Globulin (TBG) - This blood test measures Thyroxine Binding Globulins (TBG) levels. Thyroxine Binding Globulins (TBG) are proteins used to transport thyroid hormones in the bloodstream. 

Tissue Transglutaminase (tTG, IgA) - Transglutaminase IgA test is a highly specific blood test used to help identify Celiac disease. 

Triiodothyronine (T3) - This blood test measures Triiodothyronine (T3) levels. Triiodothyronine is the most active form of the thyroid hormone and is primarily produced from the conversion of thyroxine in the peripheral tissue. 

Triiodothyronine Free (FT3) - Triiodothyronine Free (FT3) is a blood test that measures the free or unbound (bioavailable) Free T3 hormone available to receptor sites. Free T3 is the most active form of the thyroid hormone and is primarily produced from the conversion of thyroxine in the peripheral tissue. 

Vitamin A - E - Beta Profile - Vitamin A and E are both powerful antioxidants. Research continues to support the importance of adequate levels of antioxidants needed for healthy brain function.

Vitamin A & Carotene - This fasting blood test is used to evaluate Vitamin A & Carotene levels. Vitamin A is a fat-soluble vitamin also known as retinol. Vitamin A supports vision, skin growth and repair and bone growth. It also provides protection from diseases such as cancer, macular degeneration, atherosclerosis and Alzheimer's disease. 

Vitamin A & E (Tocopherol) - Vitamin A & E are both fat-soluble vitamins. Vitamin A is also known as retinol. Vitamin A supports vision, skin growth and repair, as well as bone growth. It also provides protection from diseases such as cancer, atherosclerosis and macular degeneration. Vitamin E is an antioxidant that deactivates free radicals and is needed for circulation, tissue repair and healing. 

Vitamin B12 - Vitamin B12 is necessary for red blood cell production and neural function. A Vitamin B12 deficiency can cause anemia, neurologic disorders and an elevation in the inflammatory marker homocysteine, which has been implicated in Alzheimer's disease. 

Vitamin B12 & Folate - This blood test measures both Vitamin B12 and Folate levels. All of the water-soluble B vitamins work as a team to help promote healthy nerves, skin, eyes, hair, liver, muscle tone and cardiovascular function. Adequate levels help to protect from the mental strain caused by depression and anxiety. 

Vitamin B6 (Pyridoxine) - This blood test measures Vitamin B6 (Pyridoxine) levels. Vitamin B6 is needed to make red blood cells and maintain a healthy immune and nervous system. 

Vitamin C - This blood test measures Vitamin C levels. Vitamin C is a powerful water-soluble antioxidant that boosts the immune system by offering protection to proteins, carbohydrates, and helps shield DNA from free radical damage. 

Vitamin D 25-Hydroxy - This blood test measures Vitamin D 25 (OH) levels. Vitamin D is needed for strong bones and teeth, Vitamin D helps your body absorb the amount of calcium and phosphorus it needs. It also has other roles in the body, including modulation of cell growth, neuromuscular and immune function, and reduction of inflammation.

Vitamin K1 - This blood test measures Vitamin K1 levels. Vitamin K1 is also known as phylloquinone or phytomenadione. Vitamin K1 is necessary for the production of circulating coagulation factors. 

Zinc - This blood test measures Zinc levels. Zinc is a crucial trace element required for the growth and healthy development of all living organisms. Zinc deficiency can lead to immune system dysfunction and impairments in growth, cognitive dysfunction, poor carbohydrate metabolism and hormonal function.


Basic Food Sensitivity and Allergy (IgG) Panel - Certain proteins in foods may cause an immune response, commonly known as an allergy or intolerance. This test is used to detect allergen specific IgG antibodies to 8 common foods known to instigate an immune response: Wheat, Gluten, Milk (Cow), Eggs (Whole), Soy, Almond, Peanut and Corn. 


Resources

Izabella Wentz, Pharm.D., FASCP is a passionate, innovative and solution focused clinical pharmacist.  She has had a passion for health care from a very early age, inspired by her mother, Dr. Marta Nowosadzka, MD. Izabella has recently published a book and is available through Amazon.com. The title of her book is "Hashimoto's Thyroiditis: Lifestyle Interventions for Finding and Treating the Root Cause".  Izabella's book is a groundbreaking manual that provides an up to date roadmap to help identify and remove the triggers associated with causing thyroid autoimmunity. Izabella is available for personal consultations and can be contacted through her web site and blog listed below:

www.thyroidpharmacist.com 

Disclaimer

The statements on this site have not been evaluated by the Food and Drug Administration. Any products mentioned or discussed on this site are not intended to diagnose, treat, cure, or prevent any disease. The information on this site is not intended to be a substitute for professional medical advice. The health related and medical information and on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician, client-nurse practitioner or patient-pharmacist relationship, and should not be used as a substitute for professional diagnosis and treatment. It is recommended the reader of this site consult with a qualified health care provider of their choice when using any information obtained from this site and affiliate sites. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition.

In concert with evidence-based information, this site proposes certain theoretical methods of functional and nutritional support that may not be supported by conventional or mainstream medicine. Any information obtained from this site is left to the discretion and is the sole responsibility of the user of this site. 

The contributors of this blog cannot be held responsible for the information or any inadvertent errors or omissions of the information. By visiting this blog and affiliate websites, you agree to the foregoing terms and conditions, which may from time to time be changed or supplemented. If you do not agree to the foregoing terms and conditions, you should not enter this site. The contributors of this site shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site. 
Please Note: Due to state billing laws, at this time, My Labs for Life LLC cannot provide service to residents of MD, NY, NJ, RI or MA.


Last Reviewed on 10/12/2013


Methylenetetrahydrofolate Reductase (MTFHR) - Genetic Testing


Methylenetetrahydrofolate Reductase (MTHFR) - The Future is Here

Learn More About Online Blood Testing Without a Doctors Visit - Click Here


For the past ten years, genetic research continues to uncover incredible information that will have a profound affect on overall health and wellness. Studies have predicted that over 40% of the world’s population has this known genetic defect called MTHFR. The Human Genome Project continues to shed light on the MTHFR gene, which stands for Methylenetetrahydrofolate Reductase. The MTHFR gene provides instructions for making an enzyme called Methylenetetrahydrofolate Reductase. Methylenetetrahydrofolate Reductase (MTHFR) is a key regulatory enzyme in folate and homocysteine metabolism.  An MTHFR mutation causes this enzyme to function at a less than optimal rate, which over time can lead to a myriad of health challenges. There are over 50 known MTHFR variants, but the two prime variants are called 677 and 1298, the numbers refer to their location on the gene. Currently, the routine lab test for MTHFR variant only reports on 677 and 1298, as these are the most studied.  
The 677 variant is associated with early cardiovascular disease and stroke. The 1298 variant is associated with a variety chronic illnesses such as fibromyalgia and depression. The MTHFR is reported out as heterozygous or homozygous.  Heterozygous that means one affected gene and one normal gene.  The MTHFR enzyme will function approximately 55% to 70% efficiency compared to a normal MTHFR enzyme. Homozygous means two genes are affected and enzyme efficiency decreases to approximately 7% to 10% when compared to normal. Many chronic illnesses are linked to this anomaly.  Research has demonstrated that 98% of autistic children have an MTHFR anomaly. Fibromyalgia, irritable bowel syndrome, migraines, and depression are all conditions associated with MTHFR anomaly."

What is a Methylenetetrahydrofolate Reductase 
(MTHFR) Mutation?  


Methylenetetrahydrofolate Reductase (MTHFR) is an inherited genetic variant that researchers call a polymorphism (SNP). Growing research demonstrates that up to half of all Americans may carry at least one genetic variation (C677T & A1298C) known as MTHFR. This variation prevents the body, including the brain, from being able to properly use folic acid. The MTHFR gene mutation affects a process known as methylation, which means how the body process B vitamins. B vitamins act as co-factors in key enzymes that produce and balance neurotransmitters such as serotonin. It also means that major cellular detoxification pathways are compromised.

To date, there are more than 50 known MTHFR variants, but the two prime variants are called 677 and 1298. The numbers refer to their location on the MTHFR gene. The letters refer to the amino acid position on the MTHFR. The MTHFR is reported as either heterozygous or homozygous. If your test results are “heterozygous” it means you have an affected gene and one normal gene. The MTHFR enzyme will function at approximately 55% to 70% efficiency compared to a normal MTHFR enzyme.  If your test results are “homozygous” then enzyme function falls to approximately 7% to 10% of normal levels, which has a profound affect on the body. As we age, the effects of the MTHFR deficiency can become worse due to the accumulation of toxins and the cumulative effect of oxidative stress, which research shows can accelerate the aging process. Health challenges will vary based on the type of mutation identified. Currently, the routine lab test for MTHFR variant reports only on 677 and 1298 because these two mutations have been most studied. Mutation variants are described as being "heterozygous," "compound heterozygous," or "homozygous." 

• C677T & C677T (Two C Copies - C677T Homozygous) 
• C677T & A1298C (One Copy of Each The C & A - Compound Heterozygous)
• C677T (One C Copy - C677T Heterozygous)
• A1298C & A1298C (Two A Copies - A1298C Homozygous)
• A1298C (One A Copy - A1298C Heterozygous)

Simply put, the Methylenetetrahydrofolate Reductase (MTHFR) is an enzyme whose function is to convert one form of folate (5,10 Methylenetetrahydrofolate) in to the biologically user-friendly form of folate (5- Methyltetrahydrofolate). Then, 5-Methyltetrahydrofolate converts homocysteine to methionine (another amino acid). If homocysteine is not converted to methionine, homocysteine may elevate in the plasma (blood), which may compromise overall health and wellbeing. 

Think of the MTHF as the metabolic super highway in your body that breaks down folic acid properly so the body can use it to help protect and energize every cell. This super highway enables cells to get rid of toxins that could otherwise lead to a multitude of health challenges. If this super highway is disrupted or blocked for any reason (genetic inheritance, toxic overload, medications, chronic stress), the body loses its ability to make bioactive (useable) folic acid. This compromises the body's ability to effectively remove toxins, both naturally occurring and environmental exposure to certain heavy metals. In other words, people that have this genetic polymorphism have a difficult time clearing heavy metals out of their cells and corresponding body systems. An increase in toxic overload at the cellular level predisposes people with the MTHFR polymorphism to have an increased risk of breast, colon, and gastric cancers. Research is also suggesting that those who have this polymorphism may be more susceptible to problems with addiction. It has been estimated that 98% of children with Autism Spectrum Disorder have at least one of the MTHFR gene mutations. Autism rates were 1-2 in 100,000 in 1960. The rates for Autism were 1 in 88 two years ago. The rates this year are 1 in 50. It has been projected that in 7 years time, 1 in 2 children born will be on the Autism Spectrum Disorder.  Research is leading some scientists to believe that this genetic polymorphism (SNP) may be linked with an increased risk of childhood leukemia, Down's Syndrome, miscarriage, infertility, dementia, Alzheimer's & Parkinson's disease, migraines, depression, bipolar disorder, schizophrenia, liver & kidney problems, cardiovascular disease, stroke, blood clots, macular degeneration, osteoporosis, thyroid dysfunction, chronic fatigue, IBS and celiac disease. An elevated homocysteine has been linked with a dysfunctional MTHF metabolic pathway.

Having an MTHFR mutation can compromise overall health and wellness because the MRHFR pathway is the main source of intracellular glutathione production. Glutathione is the body's primary antioxidant and detoxifier.  People with MTHFR anomalies usually have low glutathione, which makes them more susceptible to health challenges related to stress and they are have a more difficult time detoxifying heavy metals and other toxins. The immune system can react to dental materials as if they were infections or just toxic substances, adding to the body burden of an already toxic client. Also, as we age health challenges associated with the MTHFR mutation increase due to heavy body burden of toxins and the cumulative effect of oxidative stress, which accelerates the aging and other autoimmune processes. Research has shown, there are certain medications that should not be given or be given with extreme precaution to someone if they have an MTHFR mutation. 

Who Should Be Checked For 

Methylenetetrahydrofolate Reductase Deficiency


The C677T variant of the mutation is associated with early heart disease and stroke and the A1298T variant of the mutation is associated with a variety of chronic illnesses. Research has documented that those with a variant of the MTHFR mutation along with elevated homocysteine levels have and increased incidence of these dealing with these health challenges (citations for some of these conditions):

Conditions that may be associated with MTHFR gene mutations


  • Nitrous Oxide Toxicity (laughing gas) - http://www.ncbi.nlm.nih.gov/pubmed/17683399
  • Methotrexate Toxicity – http://www.ncbi.nlm.nih.gov/pubmed/23252949 
  • Mercury Toxicity - http://66.39.146.92/pdf/hyman_at.pdf
  • Drug Sensitivity – Pts need to be effectively screened
  • Chemical Sensitivity – Frequently seen in those with dental infections
  • Thyroid Disorders 
  • Alzheimer’s
  • Autism – 98% on Spectrum have at least one mutation 
  • Atherosclerosis (hardening of the arteries)
  • Addictions: smoking, drugs, alcohol
  • Down’s syndrome
  • Frequent miscarriages
  • Male and female infertility
  • Pulmonary embolism 
  • Depression and anxiety
  • Mood Disorders - http://www.ncbi.nlm.nih.gov/pubmed/23586533
  • Schizophrenia 
  • Fibromyalgia
  • Chronic Fatigue Syndrome
  • Parkinson’s disease
  • Irritable Bowel Syndrome  
  • Spina bifida
  • Migraines
  • Hyperhomocysteinemia
  • Breast cancer
  • Multiple Sclerosis
  • Myocardial Infarction (Heart Attack)
  • Thrombosis (blood clots)
  • Cancer
  • Migraines
  • Osteoporotic Fractures

The MTHFR has also been linked to an increased risk of spina bifida, neural tube defects, Down's Syndrome. For women with the MTHFR mutation in their child bearing years, research has documented there is an increased incidence in complications during pregnancy such as miscarriage, stillbirth, placental abruption and preeclampsia. 

Symptoms Which May be Related to Both C677T & A1298T Defect 
(One C677T gene and one A1298T gene):

(Symptoms of both defects maybe be more severe and complications from blood clots more prevalent)


  • Unable to clear heavy metals
  • Symptoms worsen over time
  • Cancer risks increase
  • Increased Risk of Renal failure
  • Addiction Potential (Drugs/ Videogames/Pornography)
  • If both genes are defective the pathway functions at about 10-15% at best.

Symptoms associated with Heavy Metal Body Burden:


  • Changes in social behavior (withdrawal)
  • OCD, Depression, Bipolar, Suicide
  • Schizophrenia, Aggression, Tantrums
  • Chronic Fatigue & Fibromyalgia
  • Poor Concentration & Memory Deficits
  • Hearing Loss, Seizure, Strokes
  • Peripheral Neuropathy & Parathesia
  • Nausea, Diarrhea, Abdominal Pain
  • Colon Cancer, Pancreatic Cancer
  • Liver & Kidney Dysfunction
  • Hypertension
  • Tachycardia
  • Pulmonary Firbrosis & Asthma
  • Immune Deficiency – Low White Blood Cell (WBC)
  • Hair Loss – premature graying
  • Nail changes – ridges/thin nails

Medications that may aggravate MTHFR deficiency


  • Glucophage - Diabetes 
  • Levodopa - Parkinson’s
  • Nitrous Oxide - Anesthesia - If Nitrous Oxide is administered to people with MTHFR, the production of methionine is hindered or blocked. Methionine plays a crucial role in the DNA synthesis of neurotransmitters and myelin sheaths (the insulating material that covers and protects nerves).  http://www.fertilethoughts.com/forums/genetic-issues/375471-mthfr-nitrous-oxide.html


Medications that Increase Homocysteine Levels



  • Antiepileptic medications
  • Clioquinol
  • Cyclosporine
  • Diuretics
  • Antihypertensives
  • Medications that increase gastric pH
  • Erythropoietin
  • Isoniazid
  • Levodopa
  • Lipid Lowering Meds
  • Lithium 
  • Methotrexate
  • Neuroleptic
  • Nitroglycerin
  • Nitrous Oxide
  • Oral Antidiabetic Meds
  • Oral Contraceptives
  • Sulphasalizine
  • Trimethroprim

Effects of Low Methylfolate


  • Low Serotonin, Dopamine, Norepinephrine (why depressed for a lifetime)
  • Low Glutathione, a crucial intracellular antioxidant needed for removal of toxins and to support memory function 
  • Low Tetrahydrobiopterine (BH4) - critical for nerve protection and neurotransmitters and for removal of NH4 (Ammonia)

Factors That May Aggravate Those with a Methylation deficiency


  • Heavy body burden of heavy metals found in our water,food, medicine, vaccines  & personal care products
  • Poor dietary habits - Highly processed foods 
  • Wheat / Gluten / Dairy / Soy / Corn
  • GMO’s & Herbicides (Glyphosate)
  • Medications – Glucophage, Metformin, Levodopa, Birth Control, Cholesterol Meds & Sulphsalazine
  • Anesthesia – Nitrous Oxide (depletes the body of Vitamin B 12)
  • Other enzyme defects need to support Vitamin B6 Conversion
  • Chronic Diseases – Diabetes, Obesity, Cancer
  • Life Style Choices such as Tobacco and Alcohol use


Lifestyle Changes That May Help Support Methylation

  • Dietary changes to include vegetables, berries, fruits (better if fresh). Berries have the active form of folic acid 
  • Engaging in activities such as: Mathematics, Accounting, Knitting, Playing a musical instrument
  • Regular Exercise – To make more Mitochodria – You Must MOVE!
  • Removal of mercury fillings (recommend using a biologic dentist if MTHFR deficient)
  • Drink / Cook / Bath in filtered (purified water). If you are not sure what purifier to use, look into the pH Prescription from Senergy Medical Group. http://www.senergy.us. We need a consistent and stable pH for “Life”, when our pH levels are out of balance, life cannot be sustained. It is that simple. Water must be Alkaline to optimize health and facilitate release intracellular toxins.
  • Consider Food Allergy, Intolerance and Sensitivity Screening 
  • AVOID GLUTEN and GMO foods and Pesticides
  • AVOID artificial sugar (Splenda, Aspartame)
  • AVOID Canola Oil
  • Focus on rebuilding the ‘gut’ – ProBiotics, inulin, enzymes, naturally cultured foods
  • Air purifier – in home, in office (Recommend Odorox from Senergy Medical Group) http://www.senergy.us
  • Keep cell phone and computers away from the head. Turn off at night. 
  • “DO NOT SLEEP WITH TECHNOLOGY” on or near your head – research demonstrates EMF’s destroy melatonin levels in the body
  • Minimize electrical gadgets in the bedroom. Use a wind up or battery powered alarm clock or get a rooster – they disrupt WBC integrity and productivity
  • Avoid household cleaners, perfumes, carpet cleaners, and dry-cleaned clothing
  • Avoid artificial scents

What You Can Do Right Now

  • Online Testing "Without" a Doctors Order:Click Here 
  • Educate Yourself! 
  • Check your resources
  • Don’t listen to Urban Legends
  • Start your day off with a feeling of gratitude. When you wake up in the morning, let your eyes greet the sun. Simply open your eyes say “Thank You
  • No matter what your belief system is, your cells need the sun to function at their fullest! Before you close your eyes to sleep, simply whisper in your mind “Thank You” – let that thank you seep into everyone of your cells. Collectively they helped you to experience  another day. 


Resources


When nitrous oxide is no laughing matter: nitrous oxide and pediatric anesthesia.

Genetic risk factors for drug-induced liver injury in rheumatoid arthritis patients using low-dose methotrexate.

Homocysteine and MTHFR Mutations: Relation to Thrombosis and Coronary Artery Disease http://circ.ahajournals.org/content/111/19/e289.full.pdf+html

THE IMPACT OF MERCURY ON HUMAN HEALTH
AND THE ENVIRONMENT
http://66.39.146.92/pdf/hyman_at.pdf

Depression: the nutrition connection
Patrick Holford BSc (Psych) Dip ION
Founder of the Institute for Optimum Nutrition, Director of the Mental Health Project, Clinical Director of the Brain Bio Centre, London, UK

Association of MTHFR gene polymorphisms with breast cancer survival.

Modulation of the homocysteine-betaine relationship by Methylenetetrahydrofolate Reductase 677->t genotypes and B-vitamin status in a large-scale epidemiological study.

Association of polymorphisms in DNMT1, DNMT3A, DNMT3B, MTHFR and MTRR genes with global DNA methylation levels and prognosis of autoimmune thyroid disease.

The association between plasma homocysteine and coronary heart disease is modified by the MTHFR 677C>T polymorphism

Tetrahydrobiopterin, L-Arginine and Vitamin C Act Synergistically to Decrease Oxidative Stress, Increase Nitric Oxide and Improve Blood Flow after Induction of Hindlimb Ischemia in the Rat

Glysphosate’s Suppression of Cytochrome P450 Enzymes and Amino Acid Biosynthesis by the Gut Microbiome: Pathways to Modern Diseases.
Entropy 2013, 15, 1416-1463; doi:10.3390/e15041416

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Last Reviewed on 10/12/2013