Are there safety concerns in supplementing in those with MTHFR polymorphisms? | Masterjohn Q&A Files #97

Are there safety concerns in supplementing in those with MTHFR polymorphisms? | Masterjohn Q&A Files #97

Author: Chris Masterjohn, PhD April 2, 2020 Duration: 2:06

Question: Are there safety concerns in supplementing cyanocobalamin rather methylcobalamin in those with MTHFR polymorphisms?

If you're concerned about methylation-related issues, you would want to be careful with methylcobalamin supplementation in a way that you would not need to be careful about hydroxocobalamin supplementation. If you don't have a specific methylation-related goal, then I think hydroxocobalamin is the default because that's the sort of like metabolically neutral B12 in that it's not predisposed to any particular system, and it's not going to affect any system in a specific way apart from just being nutritional B12.

Then the second thing is "if you had MTHFR, is it dangerous to supplement with cyanocobalamin?" It doesn't matter. I don't think MTHFR has anything to do with methylcobalamin really.

If you don't have malabsorption of everything else, you should look at the specific causes of B12 malabsorption, which are pernicious anemia and gastritis, including subclinical gastritis driven by H. pylori in the stomach.

This Q&A can also be found as part of a much longer episode, here: https://chrismasterjohnphd.com/podcast/2019/09/06/ask-anything-nutrition-march-8-2019

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Access the show notes, transcript, and comments here.

Chris Masterjohn, PhD, is the Founder and Scientific Director of the mitochondria test Mitome.


Chris Masterjohn, PhD hosts Mastering Nutrition, a podcast that digs into the science of how our bodies work at a fundamental level. The focus here is on mitochondrial health-the energy powerhouses within our cells-and how optimizing them forms the cornerstone of lasting vitality. Chris brings his background as a nutrition scientist and his experience founding BioOptHealth to these conversations, which move beyond generic diet advice. Instead, the podcast explores how individual differences, informed by tools like whole genome sequencing and detailed biochemical data, can reveal personalized paths to better metabolic function. Listeners will hear deep dives into cutting-edge research, practical interpretations of complex studies, and discussions on how to apply these insights in a real-world context. This isn't about quick fixes or trending superfoods; it's about building a coherent, scientifically-grounded understanding of nutrition from the cellular level up. Each episode aims to provide the kind of nuanced, evidence-based perspective that can help you make sense of conflicting health information. Whether the topic is a specific nutrient, a metabolic pathway, or a broader principle of wellness, Chris works to translate dense science into actionable knowledge. Tune in for a thoughtful, detailed exploration of what it truly means to master your own nutritional landscape.
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