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MTHFR, Fatigue and Supporting Nutrients

Methyl-Life® Product Help Guide

Fatigue is something we all face ...

but some of us have more genetic complications that cause tiredness to become so severe we cannot fully function throughout a normal day. There are usually many reasons why this fatigue gets so debilitating. As the founder of Methyl-Life® I have suffered from fatigue's extreme complexities myself, and so will NOT pretend like it’s easy to solve with one or two magic bullets.


But surprisingly, being able to incorporate the right nutrients that may be missing from your daily intake (because of diet, genetics, medications, environment, malabsorption, disease states or other reasons) can significantly help the fatigue factor.

Methylation nutrient combinations to consider

A suggested daily target might be somewhere between 1mg - 15mg of L-Methylfolate.


We base this on:

  • Dr. Neil Rawlins’ general recommendations
  • the wide range of symptoms the nervous system can manifest and 
  • the tolerance challenges that some have due to sensitivity and detoxification clearance


You may only be able to take half or less of the suggested amount, but that may be just right for you personally. Some people respond quickly (within weeks) and others may take a full 4 months before they respond favorably to the therapeutic methylfolate dosing.

Get one of our Free step-by-step Methylation Protocols

Consider getting your homocysteine levels checked by a healthcare practitioner. Lowering homocysteine levels may take additional nutrients and different dosing than what's suggested.


Start LOW with your initial dose and increase SLOWLY until you get to your targeted amount or reach tolerance.

Note about B12

Consider taking bioidentical B12 forms in conjunction with L-Methylfolate because they work synergistically together in the body on the methylation pathway and can amplify its benefits. Stay AWAY from cyanocobalamin in supplements and fortified foods! Methyl-Life® carries affordable, vegan versions of active B12 in a tasty sublingual tablet (some products even include L-Methylfolate).


Bioidentical Active B12 Forms:

  • Hydroxocobalamin - harder to find, expensive, typically well-tolerated and used for pernicious anemia among other things
  • Methylcobalamin - fairly available and found in some supplements. Note: it's not always well tolerated
  • Adenosylcobalamin - harder to find, expensive, the most well-tolerated and often used in muscle recovery


B12 does NOT absorb well via the gut, so be sure to get a product that allows you to dissolve the B12 under your tongue. Sublingual transport is the best way to get B12 absorption (research has proven it's even better than B12 injections for increasing B12 sufficiency). If B12 blood serum levels test "high", consider Methyl-Life®'s Non-Methylated Multivitamin.


Learn more about the best bioidentical B12 forms to take.

PREGNANCY ALERT

If you're trying to conceive or are already pregnant, talk to your healthcare provider about this dosage level. You will need methylfolate for the baby so there's no question that the nutrient is required. It's the dosage amount you'll simply want to ensure your doctor is in agreement with based on your personal background and medical history. 


If you are a depressed mom-to-be or are experiencing postpartum depression (PPD), then you will likely fall into this 'higher dose' category range for L-methylfolate supplementation.

SENSITIVE PEOPLE who should go VERY SLOW when methylating

  • Children
  • Those sensitive to medications and supplements
  • Those significantly impacted by trauma
  • Those with chronic or complex illnesses (i.e. chronic fatigue, fibromyalgia, MS, Lyme, chemical sensitivities, etc.)

Quick Personal Note from Methyl-Life® Founder, Jamie Hope

"I had my serotonin level tested before starting a methylfolate and active B12 regimen. My result was 85, significantly low (normal range for the test was 125-185).


3 months later after taking 5 mg of L-Methylfolate and 5 mg of active B12 each day, I had my level tested again and it came back at 136 (significantly improved and within normal range).


Not only did I feel so much better (my mood was lifted), but my IBS symptoms began to melt away (much to my surprise). As I continued taking the nutrients over the next 6-9 months many things just got so much better. It really was quite an amazing transformation for me, a slow but steady healing. So don't underestimate the power of bioidentical methylfolate and B12 nutrients for not only mood improvement, but also repairing the gut.


Find your own sweet spot, where the amount of methylfolate you take makes you feel better.


It is worth noting that some people may never feel a big change like I did right away. Dr. Neil Rawlins says it may take some as many as 4 months (at a therapeutic dose - for some that is as much as 15 mg) to notice that they are actually feeling better.


Some people may just take methylfolate because it is recommended for them and reduces their homocysteine as well as disease risks (i.e. heart attack, miscarriage etc.) and helps clear toxins/metals/BPAs out of their system via glutathione boosting. These folks may not notice as much of a difference in how they 'feel', everyone's experience is unique."

Additional Resources

7.5mg - 15mg has been shown in clinical studies to increase neurotransmitter levels (and is often used for depression)
1mg may suffice to help with your fatigue (if you have no MTHFR mutations and don’t tolerate higher doses)
5mg -15mg might be appropriate if you need serotonin boosting for mood or IBS relief or have symptoms like: migraines, fibromyalgia, chronic fatigue, brain fog, cerebral folate deficiency, ADD/ADHD, focus challenges, anxiety, etc.

Methylation Protocol designed to Increase Methylation for Sensitive Individuals

Methylation Protocol designed to Increase Methylation for optimal Mental Health

Some powerful nutrients for managing fatigue

Hydroxocobalamin (Active B12)

This is typically most well tolerated by all genetic mutations. As little as 500 mcg might be noticeable by some and as much as 5-10 mg might be required by others to get the boost they need. Check out more about what form of B12 might be best for you to take here.

L-Methylfolate

If you have a heavy toxic burden (i.e. metals, environmental toxins, molds, parasites, viruses, etc.), you will find this helpful, but you will probably need to start very low with your initial dosage and increase very slowly so as not to overwhelm your system with the detoxification process. I find that many start to feel better energy with as little as 2.5 mg and for some they need closer to 7.5 mg or more before they’re feeling more energetic (this is typically a personal determination that comes through experimenting with dosage levels and how you’re feeling based on those specific amounts and changes). Learn more about methylfolate dosage here.

MitoQ

Again this one is a mitochondria feeder helping you create ATP and therefore more energy as well as a powerful antioxidant for organ health. When you exercise, this one also helps greatly with muscle recovery. Lots of research behind this nutrient’s effectiveness.

Adrenal Cortex

This is often something to consider as a lot of the time thyroid can be tied up in fatigue and behind it often sit the forgotten adrenals. It can certainly be helpful to supplement with this if fatigue is one your enemies.

Methylfolate Ranges for Specific Health Conditions

If you’re targeting a particular condition, try a dosage level specific to that need. NOTE: L-Methylfolate crosses the blood-brain barrier, unlike folic acid.

Pregnancy/Fertility - target dosage is ~1-4 mg methylfolate per day

Diabetes/Cardiovascular Health - target dosage is ~3 mg methylfolate per day

Lowering Homocysteine levels - target dosage is ~3-7.5 mg methylfolate per day (NAC/NACET, TMG and Glutathione can also help with this)

ADD/ADHD/Focus and Attention - target dosage is ~1-5 mg methylfolate per day

Cognitive Health/Dementia/Alzheimer's - target dosage is ~5-6 mg methylfolate per day

Depression/Bipolar/Mental Health challenges - target dosage is ~7.5-15 mg methylfolate per day

Eye Health - target dosage is ~1 mg methylfolate per day

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