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    Methylated Folate + B12

    Methylated folate (5-MTHF) and methylcobalamin are the bioactive, coenzyme forms of folate and vitamin B12 respectively. Unlike synthetic folic acid or cyanocobalamin, these methylated forms bypass several enzymatic conversion steps, making them particularly valuable for individuals with genetic polymorphisms in the MTHFR gene that impair folate metabolism. Together, they are best known for supporting methylation — a fundamental biochemical process involved in DNA synthesis, neurotransmitter production, and homocysteine clearance.

    Research Evidence
    Lowers elevated homocysteine levels
    Strong
    Supports cardiovascular health through homocysteine clearance
    Moderate
    May improve outcomes in depression when used adjunctively
    Limited
    Reduces neural tube defect risk during pregnancy
    Strong
    Bypasses MTHFR polymorphism-related conversion deficits
    Strong
    May support mood and cognitive function via methylation pathways
    Moderate

    Expert Evidence

    2 references from 1 expert

    Discusses

    “My mother-in-law is homozygous for MTHFR, her enzyme only works at about 10 to 20% efficiency. Nothing got her blood pressure into a normal range until we identified she had MTHFR and got her supplementing with 5-methylfolate and methylcobalamin.”

    Tim Ferriss on Ketosis, Microbiome, Lyme Disease, and Biomarkers

    10:03
    Rhonda Patrick

    2 references in 2 episodes from 2015

    AI-generated summary

    Rhonda Patrick recommends methylated folate (5-MTHF) and methylcobalamin (B12) specifically for individuals with MTHFR gene polymorphisms to lower homocysteine levels, citing both research and a personal family example where supplementation normalized her mother-in-law's blood pressure after other interventions failed. No specific dosing guidance, personal use, or cautions are discussed.

    2015
    Safety & Cautions

    Side Effects

    • Overstimulation or anxiety at high doses
    • Headache
    • Insomnia
    • Irritability
    • Nausea
    Methylated B vitamins are generally well-tolerated at standard doses. Individuals starting high-dose methylfolate should begin gradually, as rapid increases in methylation capacity can occasionally cause mood changes or restlessness, particularly in those with certain psychiatric conditions.
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