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Specialty Testing

When a patient comes to me with a set of concerns, my passion and goal is to ask the right questions, and utilize the very best type of testing, in order to get to the root cause of their concerrns.

Traditionally, regular blood labs are run. In some cases those are very helpful, but in other cases they are not. I do my best to test as accurately as possible right up front, to figure out whether the patient has hormonal deficiencies or imbalances, or if they have infections and deficiencies in their gut, or whether they have food sensitivities, neurotransmitter deficiencies, or a combination of other things.

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Nearly 90% of our immune system resides in our gut, and hormones are made there as well, so there is a lot of crossover of symptoms. Most medical concerns are complex, and rarely just one thing contributes to their symptoms. People are very complex, so I do my best to get to the center, or root cause of your health and wellness concerns by considering Bio-identical hormone replacement, but also other nutritional deficiencies, gut deficiencies, infections, parasites, food sensitivities, neurotransmitter deficiencies and so much more during out initial visit.

ZRT Laboratories

ZRT Lab is just one of many highly specialized labs.  They are known as the GOLD STANDARD of hormone testing labs.  They test hormones by utilizing the absolute best type of testing all in one place. There are times when saliva is the best method, times when it is most ideal to test peripheral tissue/serum and times when we need to look at Urine for metabolites, and ZRT is a laboratory who truly does the most accurate testing possible, specifically hormone related testing.

When a patient comes into clinic, and has had their hormones tested using blood or serum sampling, possibly in a traditional office, it is important to consider that our sex hormones don’t live there.  Hormones are stored in our tissue, so if a provider is testing blood, they are looking at what is used, nearly 100% bound and on its way out of your system.  This is why testing saliva is considered the best, most accurate, gold standard testing, especially if you are currently on a cream hormone.  Salivary glands are tissue, and constantly cycling hormones, so the numbers are the most accurate in saliva in most cases.

Testing Methods

Saliva Testing

Saliva testing is a non-invasive collection method where patients collect their saliva in plastic tubes in order to measure hormones like cortisol, estrogens, progesterone, and Testosterone and more. This collection method is ideal for patients because it allows them to collect their sample in the privacy of their own home on the right day of the month.

Why do we test hormones in Saliva?

Steroid hormones in the bloodstream are 95-99% bound to carrier proteins, and when bound, they are unavailable to target tissues. In contrast, saliva testing measures the amount of hormone available to target tissues – the amount that is available for your body to use. For this reason, saliva testing better relates to specific symptoms of excess or deficiency and is the best option for monitoring hormone therapy.

Some specific hormones cannot be tested using immunoassays, which is the methodology used for most of our saliva testing, so for that reason, ZRT developed an LCMS Saliva Steroid Profile using liquid chromatography/tandem mass spectrometry (LC-MS/MS). This profile tests a broad range of bioavailable hormones and hormone metabolites in one convenient saliva sample collection. LCMS testing allows for accurate reporting of estrogens down to extremely low levels, such as those seen in men, children, and people using aromatase inhibitors, and includes a test for ethinyl estradiol, 3 hormone blockers, and melatonin. To learn more about what you can test with our LCMS Saliva Steroid Profile

ZRT is one of the first labs to measure hormone levels in saliva, and helped establish the method that made saliva hormone testing commercially viable for health care providers and patients around the globe.

Best Practices for Saliva Testing

ZRT measures hormones from a single morning sample, which represents the peak of daily hormone production – which is the optimal time to measure, and Michelle, NP will make sure you know which day to do your testing on for optimal accuracy.

Today’s Most Advanced Saliva Testing

Each patients range is adjusted specifically for them based on their specific supplementation, or current hormone dosing:

Unlike other labs, patients do not need to stop hormone supplementation to use ZRT’s testing because we have ranges adjusted for age, menstrual status and supplementation types. This is the ideal method for tracking the effectiveness of the patients current hormone treatments.

  • No Pooling: ZRT does not pool patient samples, meaning that we don’t mix multiple daily samples together to get an average hormone level. Instead we measure hormones from a single morning sample, on a very specific day of the month, which represents the peak of daily hormone production – the optimal time to measure.
  • Extraction: ZRT is the only lab to perform an extraction process for saliva testing, which separates hormones from background contamination. This is the only way to assure the most accurate test results for low-concentration hormones such as estradiol.
  • ZRT Lab sets the  Industry Standards: ZRT initiated and manages the industry-wide standards program called the Saliva Proficiency Inter-laboratory Testing Program – which enables laboratories to regularly evaluate and improve saliva testing accuracy.

Today’s Most Advanced Saliva Testing

Each patients range is adjusted specifically for them based on their specific supplementation, or current hormone dosing:

Unlike other labs, patients do not need to stop hormone supplementation to use ZRT’s testing because we have ranges adjusted for age, menstrual status and supplementation types. This is the ideal method for tracking the effectiveness of the patients current hormone treatments.

  • No Pooling: ZRT does not pool patient samples, meaning that we don’t mix multiple daily samples together to get an average hormone level. Instead we measure hormones from a single morning sample, on a very specific day of the month, which represents the peak of daily hormone production – the optimal time to measure.
  • Extraction: ZRT is the only lab to perform an extraction process for saliva testing, which separates hormones from background contamination. This is the only way to assure the most accurate test results for low-concentration hormones such as estradiol.
  • ZRT Lab sets the  Industry Standards: ZRT initiated and manages the industry-wide standards program called the Saliva Proficiency Inter-laboratory Testing Program – which enables laboratories to regularly evaluate and improve saliva testing accuracy.

Blood Spot Testing

Dried blood spot testing is a form of collection where patients get a finger poke and the blood is placed on a card.  Once dry, blood spot cards are extremely stable for shipment and storage, and the dried blood format offers excellent correlation with regular blood serum tests.

Why measure in blood spot?

Blood spot is ideal for measuring hormones and other analytes such as insulin, blood lipids, Vitamin D, thyroid hormones, and elements like magnesium. It offers distinct advantages over serum because it eliminates the need for a blood draw – saving patients time and money.

ZRT developed the science for accurately measuring hormones in dried blood spot testing,  and is currently one of the only labs to offer this method commercially.

Dried Urine Testing

Dried urine is a form of collection where patients saturate a filter card with a urine sample. Once dry, urine cards are extremely stable for shipment and storage.

Why measure in urine?

Urine testing is the best way to measure adrenal and sex steroid hormone by-products and their respective metabolic pathways, providing a gauge for understanding the body’s hormone metabolism. Urine testing is also the preferred method for testing elements like iodine and heavy metals like arsenic and cadmium. Additionally, it’s the most common method for testing neurotransmitters.

Accurately measuring hormones in dried urine is another scientific first pioneered by ZRT.

Easiest Method for Urine Testing

ZRT’s dried urine method offers a discreet, at-home testing alternative and eliminates the hassles of all-day jug urine collection. Patients collect urine on a filter strip up to four times during the day. Dried strips are shelf-stable for 30 days and easy to mail back to the lab for analysis.

Patients do not need to stop hormone supplementation to use ZRT’s testing because we have ranges adjusted for age, menstrual status, and supplementation dosing and type. This is the ideal method for tracking the effectiveness of hormone treatments.

Urine Hormones & Estrogen Metabolites Test

Hormones that don’t break down properly in the body can increase the risk for certain cancers – like breast cancer.

Urinary hormone metabolites testing provides a unique diagnostic view that no other hormone testing offers.

Because it assesses both parent hormones and their corresponding metabolites, it reveals how the body is breaking down key hormones like estrogens, progestogens, androgens, cortisol, and melatonin.

This testing gives insight into whether we are fully detoxifying our hormones, which is important because some hormones can be carcinogenic if they don’t break down properly – leaving us more at risk for a variety of diseases, like cancer.

Why the focus on estrogen metabolism?

A growing conversation in the medical community centers on estrogen metabolism and the risk for hormone-driven cancers. With every published study, there is increasing evidence that the amount of estrogen we make and how our bodies process (metabolize) this estrogen has significant implications for cancer risk. In women, this is breast cancer. In men, it’s prostate cancer.

Measuring hormone levels, as well as the resulting by-products (metabolites) is a simple, non-invasive way to better understand our risks.

When is it a good idea to consider urinary hormone metabolite testing? In cases where someone has:

  • Family history of hormone-dependent cancers – like breast or prostate cancer
  • Normal saliva cortisol levels but still experiencing symptoms of adrenal dysfunction.
  • Symptoms of hormonal imbalance such as weight gain and insomnia
  • Symptoms of PCOS, such as acne and excess facial hair
  • Symptoms of menopause and ready to begin hormone replacement therapy.
  • Symptoms of estrogen dominance while on physiological replacement dosages of therapy

Most Focused Assessment

ZRT’s heavy metals and essential elements testing provides the most accurate test results.

Neurotransmitters Testing

86% of Americans have suboptimal neurotransmitter levels. Neurotransmitters are chemical messengers used by the nervous system to relay information from one nerve to another.

Optimal neurotransmitter balance is required to maintain proper health. Imbalances can cause the brain and the body to be over- or under-stimulated, producing neurological or psychological symptoms.

The provider must look at proper testing so that we evaluate the  parent neurotransmitters with downstream metabolites so that you can tell whether there is a systemic pattern of deficiencies.

ZRT Laboratory includes a range of 14 neurotransmitters and metabolites in its testing. This essential collection of tests is available only from ZRT LAB– and not from any other lab.

How can a dysregulated nervous system impacts health?

Genetics, environment, chemicals, MTHFR gene mutations and nutritional deficiencies are a few factors that can impact neurotransmitter production. Once out of balance, the nervous system begins to compensate – which, in time, can lead to neurological or psychological symptoms.

Some of the more common psychological conditions today are known to be accompanied by neurotransmitter imbalances. However, it’s also possible for individuals to present with similar symptoms yet have unique foundational imbalances. Testing helps clarify these root issues.

Common neurotransmitter-related causes of health issues often involve the following scenarios:

  • Anxiety & Depression: Neurotransmitter imbalances are often associated with anxiety and depression, specifically Glutamate (panic attacks), PEA, Histamine, Serotonin, as well as Epinephrine & Norepinephrine.
  • Chronic Fatigue: An imbalance between excitatory and inhibitory neurotransmitters can lead to persistent fatigue.
  • Impulsivity: GABA, Dopamine and Serotonin are three chemical messengers commonly linked to disorders like ADD, ADHD & OCD.
  • Insomnia: Imbalances in Glutamate, Histamine, Dopamine, GABA and Serotonin are often linked to sleep disturbances and insomnia.
  • PMS or PMDD: Imbalances in Serotonin, Dopamine, Norepinephrine and GABA are often involved in cases of PMDD (pre-menstrual dysphoric disorder) and severe PMS.

Heavy Metals & Essential Elements Testing

Heavy metal exposure is on the rise. Common sources include cigarettes, seafood, rice, well water & dental fillings.

These toxic elements can significantly increase our risk of developing conditions like dementia, infertility, diabetes and cancer. They are also known to damage your liver, kidneys and brain, as well as the cardiovascular, nervous and endocrine systems.

Essential elements are tested too, and only healthy when they are within optimal ranges. Nutrients like copper, iodine, magnesium, selenium and zinc are critical for enzymes that synthesize neurotransmitters and activate hormones. Bromine and lithium, while not currently classified as “essential” elements, have been shown to play a positive role in health but are also potentially toxic at excessive levels.

Why test heavy metals & essential elements?

Getting too much, and sometimes too little, of various elements has consequences for our overall health.

Who should consider heavy metals and essential elements testing? Anyone who:

  • Smokes
  • Has exposure to private well water or aging pipes.
  • Is concerned about heavy metals in foods like vegetables, rice and seafood.
  • Has mercury dental work.
  • Lives in an older home or near an industrial area
  • Has thyroid-related health issues.

Urine Hormones & Estrogen Metabolites Testing:

When hormones don’t break down properly in the body, it can increase the risk for certain cancers – like breast cancer. Urinary hormone metabolites testing provides a unique diagnostic view that no other hormone testing offers.

Because it assesses both parent hormones and their corresponding metabolites, it reveals how the body is breaking down key hormones like estrogens, progestogens, androgens, cortisol, and melatonin.

This testing gives insight into whether we are fully detoxifying our hormones, which is important because some hormones can be carcinogenic if they don’t break down properly – leaving us more at risk for a variety of diseases, like cancer.

Why should you focus on estrogen metabolism?

A growing conversation in the medical community centers on estrogen metabolism and the risk for hormone-driven cancers. With every published study, there is increasing evidence that the amount of estrogen we make and how our bodies process (metabolize) this estrogen has significant implications for cancer risk. In women, this is breast cancer. In men, it’s prostate cancer.

Measuring hormone levels, as well as the resulting by-products (metabolites) is a simple, non-invasive way to better understand our risks.

When is it a good idea to consider urinary hormone metabolite testing? In cases where someone has:

  • Family history of hormone-dependent cancers – like breast or prostate cancer
  • Normal saliva cortisol levels but still experiencing symptoms of adrenal dysfunction.
  • Symptoms of hormonal imbalance such as weight gain and insomnia
  • Symptoms of PCOS, such as acne and excess facial hair
  • Symptoms of menopause and ready to begin hormone replacement therapy.
  • Symptoms of estrogen dominance while on physiological replacement dosages of therapy

Why is ZRT the most complete urine hormone testing?

While other labs offer similar testing, ZRT’s urine hormone testing is the most complete testing available.

  • More Tests: With 44 unique markers, ZRT’s urine hormone profiles are more comprehensive than any other lab’s.
  • More Estrogens: ZRT assesses a total of 13 estrogens, including 2-Methoxy and 2-Hydroxy, 4-Hydroxy and 4-Methoxy and 16a-Hydroxy estrogens. We test more 4-Hydroxy metabolites than any other lab.
  • More Androgens: ZRT assesses a total of 8 androgens, which is more than most labs offer.
  • BPA: ZRT is one of few labs to include an assessment of BPA in its urine hormone testing.
  • Diurnal Cortisol: ZRT provides diurnal patterns for both cortisol and cortisone, which help get to the root of stress-related issues. It’s also ideal for those unable to collect a saliva sample for diurnal cortisol.
  • Diurnal Melatonin: Diurnal Melatonin: ZRT is the only lab to include a diurnal pattern for melatonin, which helps evaluate sleep-related issues.

GI Map Testing

Digestive Health/DNA of your guts Microbiome

Research overwhelmingly indicates that gut health impacts overall health. The gut microbiome, in particular, plays a critical role on health, including digestive, immune, metabolic and neuroendocrine functions. Assessing GI health with the proper tools can help providers to get to the root cause of chronic illness.

The GI-MAP is unique in the field of comprehensive stool testing. It relies exclusively on quantitative polymerase chain reaction (qPCR) technology to detect infections, deficiencies, parasites, bacteria, fungi, and more, by targeting the specific DNA of the organisms tested. The test also fives actual numbers of how many bugs the patient has which is required for proper treatment.

The Industry’s Leading Comprehensive Stool Test Just Got Better!

Why Is quantification using qPCR technology so important?

Unlike other comprehensive stool tests on the market, the GI-MAP can provide practitioners with truly quantitative results. qPCR offers a much more accurate way to detect and quantify clinically relevant organisms. Accurately assessing how much of an organism’s DNA is present in a patient’s stool sample is essential for helping providers to determine the clinical significance of pathogenic organisms and dysbiosis patterns.

The GI-MAP also provides consistently reproducible results. Reproducibility is of vital importance to the practitioners and patients that rely on the efficacy of the GI-MAP. To achieve it, we perform rigorous quality control, and have validated all molecular target quantification assays to meet or exceed FDA standards.

GI-MAP Allows for the Personalized Treatment Plans and Informative Retests

The GI-MAP’s accuracy and reliability allows practitioners to create personalized treatment protocols to address gut dysfunction based on which infections are urgent, which areas of the gut are already optimized, and which areas should be addressed after an infection is resolved.

Additionally, the quantification offers a remarkable ability to see how treatment modalities are working because a retest after treatment can show whether a parasite has resolved, dysbiosis has improved, and if there is any further need for treatments.

Who should have the GI-map comprehensive stool analysis done?

Ask your provider about GI-MAP testing. Almost every patient can benefit from a GI-MAP gut health assessment. Some patients are looking to achieve optimal health, while other patients have been chronically ill and frustrated without a diagnosis for months or even years.

Some conditions that warrant testing are:

  • Autoimmune diseases
  • IBS/IBD
  • Digestive complaints, diarrhea, or constipation
  • Brain fog
  • Skin problems, like acne and psoriasis
  • Mood disorders, depression, and anxiety
  • Diabetes and weight loss issues

Do infants and children benefit from the GI-map?

Yes, absolutely. The GI-MAP is commonly used in infants and children and can provide insight into conditions related to Attentional Deficit Hyperactivity Disorder, Autism, and digestive complaints.

Allergy Testing:

IgE Allergy Explorer Provides Data Into the Following Categories That Are Associated With IgE

Reactions

  • Pollen, including grass, trees, and weeds.
  • Mites
  • Microorganisms and Spores, including yeast and mold.
  • Plant foods
  • Cereals, including wheat, rye, barley, and more.
  • Fruits and Vegetables
  • Nuts and Seeds, including component testing for peanuts, pecans, walnuts, poppy seeds.
  • Animal Food, including milk, eggs, seafood, and meat.
  • Insect Venoms, including component testing for wasps and honeybees.

Usually, environmental and food allergy tests are broken down into different food allergy tests. IgE Food Explorer provides the most extensive insight into both extracts and components using a simple at-home collection. It offers practitioners a new and robust tool for effective allergy management.

Who can benefit from IgE allergy explorer?

The IgE Allergy Explorer can benefit patients with any of the following symptoms could benefit from allergy testing:

  • Itchy mouth or oral irritation
  • Hives or eczema
  • Itching or swelling of skin
  • Nasal and sinus congestion
  • Wheezing or shortness of breath
  • Abdominal pain, diarrhea, nausea, or vomiting
  • History of allergic reaction
  • Fluctuations in heart rate

Can IgE Allergy Explorer be Used in Pediatrics? (Infants and Children)

Yes, blood testing for IgE antibodies is safe in children and often preferable to a scratch test or a food challenge test that may evoke a reaction. IgE Allergy Explorer evaluates both environmental and food sensitivities that are particularly useful when managing pediatric patients who are exhibiting allergic reactions.

Food Sensitivity Testing:

Elevated IgG antibodies, or food sensitivities can cause systemic (whole-body) inflammation, leading to a variety of unwanted symptoms.

IgG Food Explorer tests immunoglobulin (IgG) antibodies to a variety of common foods. This extensive food sensitivity test can help practitioners pinpoint which foods may be causing symptoms.

Usually, by eliminating foods that promote an IgG antibody response, it can reduce stress on the immune system, lower whole-body inflammation, and help heal the gut. This approach can greatly ease an  antibody-guided elimination diet making it much more simple and more reliable than a general elimination diet which is really stressful and difficult to do well.. IgG Food Explorer provides in-depth insight into adverse food reactions and the symptoms they create.

What food sensitivities does the IgG food explorer test look for?

IgG Food Explorer Tests Antibody Response to Over 250 Food Extracts.

Molecular antigens for over 250 foods as well as  wheat gliadin, eggs, nuts and cow’s milk are also included for enhanced insight into the sensitivity of those four potentially immunogenic foods.

What patients can benefit from food sensitivity testing?

Food sensitivities are common and on the rise. As a result, most people can benefit from food sensitivity testing. The IgG Food Explorer can help patients who wish to optimize their health and those who have experienced chronic symptoms for years to narrow down what food is causing their symptoms..

The range of symptoms related to food sensitivities is vast and varies for each patient.

List of Food Sensitivity Symptoms:

Many Symptoms May Be Gut-Related Symptoms or Extraintestinal, but Are Not Limited to the Following:

Gut-Related Symptoms

  • Bloating
  • Diarrhea
  • Nausea
  • Constipation
  • Reflux
  • Irritable Bowel Syndrome (IBS)

Extraintestinal Symptoms

  • Autoimmune conditions
  • Skin symptoms, including:
  • Eczema
  • Atopic dermatitis
  • Rashes and urticaria
  • Bags under eyes
  • Headaches/migraines
  • Blood sugar imbalances
  • Musculoskeletal/Joint pain
  • Food Cravings
  • Behavioral symptoms, including:
  • Anxiety
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Mood swings
  • Autism Spectrum Disorder (ASD)

Understanding Food Sensitivities vs. Food Allergies

Food sensitivities and food allergies are not the same thing. Different arms of the immune system facilitate both conditions.

Food sensitivities are delayed reactions and elicit IgG antibodies, while food allergies are immediate, potentially life-threatening, mast-cell mediated, and often involve IgE antibodies.

It is best practice to measure IgG and IgE antibodies together as they independently create inflammation and play key roles in symptoms driven by food. A food can elicit an IgG sensitivity response, and an IgE antibody response, or both.

By understanding a patient’s food sensitivities, practitioners can tailor dietary protocols that can help resolve uncomfortable symptoms.

SpectraCell Micronutrient Testing:

SpectraCell’s Micronutrient test provides the most comprehensive nutritional analysis available by measuring functional deficiencies at the cellular level. It is an assessment of how well the body utilizes 31 vitamins, minerals, amino/fatty acids, antioxidants, and metabolites, while showing the body’s need for these micronutrients that help the body to produce enzymes, hormones, and other substances essential for proper growth, development, and good overall health. Replacement recommendations are made based on the patient’s individual need.

Why use the SpectraCell micronutrient test?

What truly makes this test unique is that it measures the functional  level and capability of micronutrients present within white blood cells, where metabolism takes place and where micronutrients do their job—thus taking a person’s biochemical individuality into account. Unlike serum measurements, which only assess the concentration of nutrients present outside of the cell (extracellular) and only provide a glimpse of your health, SpectraCell’s Micronutrient test is a long term assessment (4-6 months) that addresses the functional impact (performance) of micronutrients—what really matters.

Why is nutrient status important?

Virtually all metabolic and developmental functions that take place in the body require micronutrients, and strong evidence suggests that subtle vitamin, mineral, and antioxidant deficiencies can contribute to degenerative processes such as arthritis, cancer, cardiovascular disease, and diabetes.

Evaluating micronutrient status can therefore be the first step in identifying metabolic deficiencies while showing us  the possible underlying causes of complex chronic conditions.

When should a micronutrient test be considered?

Virtually all metabolic and developmental functions that take place in the body require micronutrients, and strong evidence suggests that subtle vitamin, mineral, and antioxidant deficiencies can contribute to degenerative processes such as arthritis, cancer, cardiovascular disease, and diabetes.

Evaluating micronutrient status can therefore be the first step in identifying metabolic deficiencies while showing us  the possible underlying causes of complex chronic conditions.

Clinical Applications:

  • Cancer
  • Cardiovascular disease
  • Diabetes
  • Neurological disorders/Alzheimer’s
  • Autism and other spectrum disorders
  • Mood disorders
  • Fatigue
  • Osteoporosis
  • Fertility issues
  • Weight issues
  • Sports performance optimization

What micronutrients are measured?

Vitamins

  • Vitamin A
  • Vitamin B1
  • Vitamin B2
  • Vitamin B3
  • Vitamin B6
  • Vitamin B12
  • Biotin
  • Folate
  • Pantothenate
  • Vitamin C
  • Vitamin D3
  • Vitamin K2

Minerals

  • Calcium
  • Magnesium
  • Manganese
  • Zinc
  • Copper

Essential Amino Acids

  • Asparagine
  • Glutamine
  • Serine

Fatty Acids

  • Oleic Acid

Antioxidants

  • Alpha Lipoic Acid
  • Coenzyme Q10
  • Cysteine
  • Glutathione
  • Selenium
  • Vitamin E

Carbohydrate Metabolism

  • Chromium
  • Fructose Sensitivity
  • Glucose-Insulin Metabolism

Metabolites

  • Choline
  • Inositol
  • Carnitine
  • Spectrox®
    Total Antioxidant Function
  • Immunidex
  • Immune Response Score

MTHFR Testing

MTHFR gene mutation is actually a very common genetic defect that affects nearly 50% of people mildly and approximately 25% of the human population seriously. People who have the genetic mutation can have 1-4 alleles that they inherit from each parent. The MTHFR gene mutation test is quite important. If you have done genetic testing in the past it typically shows up, or we can run the test through a regular medical lab. The lab tells us which alleles you inherited and how many of each allele you have.

Having this genetic mutation essentially means you are unable to bring in proteins, and break them down into amino acids, and it means you are much less likely to be able to use B vitamins. MTHFR also means you lack the methyl donor required for most cellular function, including your Methylation cycle, citric acid cycles, as well as neurotransmitters and hormonal cycles. People who have the MTHFR gene mutation are much more likely to suffer from Polycystic ovarian syndrome or PCOS, typically frontal/center hair loss, metabolic syndrome, tingling fingers and toes etc.

MTHFR can cause a wide array of health conditions, ranging from blood clots and cancer to autism and migraines. It is vital that you are seen by a provider who routinely treats MTHFR gene mutations and that you are given proper treatment and care. You may have the mutation and not find out unless you undergo genetic testing or have a health issue.

MTHFR stands for methylenetetrahydrofolate reductase. It’s getting attention due to a genetic mutation that may lead to high levels of homocysteine in the blood and low levels of folate, B vitamins and other vitamins.

Its main function is to provide your body with instructions in how to create the MTHFR protein, which helps your body produce folate which is necessary in order for you to create DNA.

There’s been concern that certain health issues are associated with MTHFR mutations, so testing has become more mainstream over the years.

MTHFR gene variants

You can have either one or two mutations — or neither — on the MTHFR gene. These mutations are often called variants. A variant is a part of a gene’s DNA that’s commonly different, or varies, from person to person.

Having one variant (heterozygous) is less likely to contribute to health issues. Some experts believe that having two mutations (homozygous) may lead to more serious problems.

There are two variants, or forms, of mutations that can occur on the MTHFR gene. The specific variants are:

  • C677T: About 30-40% of the American population may have a mutation at gene position C677T. Roughly 25% of people of Hispanic descent and about 20% of Caucasian descent are homozygous for this variant.
  • A1298C: There’s more limited research regarding this variant. However, A1298C is found in 7 to 14 percent in North Americans, European, and Australian populations. In comparison, the variant is far less common in Hispanic and Asian populations.

It’s also possible to acquire both C677T and A1298C mutations and have one copy or two copies of each.

Gene mutations are inherited, which means you acquire them from your parents. At conception, you receive one copy of the MTHFR gene from each parent. If both have mutations, your risk of having a homozygous mutation is higher.

However, in cases where a person holds two copies of the C677T mutation or one copy of each mutation, they may be at risk of high homocysteine (an amino acid) levels, which may affect the body’s function.

Symptoms of an MTHFR mutation

Symptoms vary from person to person and from variant to variant. If you do a quick internet search, you’ll likely find many websites claiming MTHFR directly causes a number of conditions.

More than likely, unless you have problems or have testing done, you’ll never become aware of your MTHFR mutation status since sadly it is not typically checked.

Health conditions and MTHFR mutation

It’s worth noting that the health conditions linked to MTHFR depend on your type of mutation and how many copies you have.

Conditions that have been proposed to be associated with MTHFR include:

Testing for MTHFR mutations

Keep in mind that genetic testing is not likely covered by your insurance.

Other causes of high homocysteine include:

  • hypothyroidism
  • conditions like diabetes, high cholesterol, and high blood pressure
  • obesity and inactivity

From there, the treatment will depend on the cause and doesn’t necessarily take into account MTHFR. The exception is when you’ve been diagnosed with all the following conditions at the same time:

  • high homocysteine levels
  • a confirmed MTHFR mutation
  • vitamin deficiencies in folate, choline, or vitamins B12, B6, or riboflavin
  • Tingling fingers and toes
  • Typically, frontal/center hair-loss etc…

Your provider may suggest injectable supplementation to address deficiencies along with medications or treatments to address your specific health condition. You may also have additional antibodies against B vitamins, and this will be addressed in lab testing and you will most likely be given a compounded injection to introduce a methylation donor.  It is very unlikely that you will be able to take B vitamins orally.  You will notice that your brain actually turns on, and you will have a whole lot more energy. This condition is very treatable.