The clinical need must be considered in addition to any potential adverse outcomes for the infant
Indication: Vitamin B12 is indicated for debilitation by acute or chronic metabolism disorders that result from poor nutrition, inadequate management or disease (e.g
Water-soluble vitamins are transported to the bodys tissues and then eliminated in urine
They saved some cash on syringes and the nurses got to do more important activities they did routine monitoring of blood pressure
Why you need both for MTHFR: Taking only methylfolate without B12: May improve methylation initially Can deplete B12 stores over time May not fully lower homocysteine Neurological symptoms may persist Taking only B12 without methylfolate: Wont bypass MTHFR enzyme bottleneck Methylation remains impaired Homocysteine may stay elevated Less effective for MTHFR mutations Taking both together: Synergistic effect on methylation More effective homocysteine reduction Better symptom improvement Supports complete methylation cycle Other B vitamins that support the partnership: B6 (as P5P): Cofactor for homocysteine conversion to cysteine Supports transsulfuration pathway Helps prevent homocysteine buildup B2 (riboflavin): Required for MTHFR enzyme function Particularly important for C677T homozygous mutations Can improve MTHFR enzyme efficiency by up to 50% Choline or TMG (betaine): Alternative methylation pathway Provides methyl groups independently of folate Helpful backup when folate pathway is impaired Food sources to support both: B12-rich foods: Meat, fish, eggs, dairy Shellfish (especially clams, oysters) Liver and organ meats Fortified plant milks (for vegans) Folate-rich foods: Dark leafy greens (spinach, kale) Asparagus, Brussels sprouts, broccoli Legumes (lentils, chickpeas, black beans) Avocado Avoid synthetic folic acid (fortified breads, cereals) Signs youre taking the right amounts: Homocysteine normalizing (below 10 mol/L, ideally 6-9) Energy improving Brain fog clearing Mood stabilizing Sleep improving No adverse reactions MTHFR B Vitamin Checklist Use this quick reference guide to ensure youre supporting your MTHFR mutation with the right B vitamins in the optimal forms and doses
