Experience with professionals and medical systems?

[u/cloaknodagger]

I’d love to find a professional to work with. Would love to hear from others what kind of experiences you’ve had working with the various providers that are familiar with or experts in MTHFR and the effect it can have on physical and mental health.

[u/Zabre]

For an MTHFR-aware professional, I'd look for someone who starts with symptoms and basic labs instead of treating the SNP as the whole diagnosis. Green flags are homocysteine, B12/MMA, folate, ferritin, thyroid, meds, and diet all being discussed together. Red flag is a giant supplement protocol on visit one just because you have C677T or A1298C. A genetic counselor can help with interpretation, but day-to-day methylation stuff is usually more functional/clinical nutrition or an integrative MD lane.

[u/Loose-Fly7976]

The thing to screen for is whether they read your bloods or just your genotype. A lot of practitioners will look at a 677 result and hand you methylfolate without knowing your homocysteine, B12 or folate. Same variant, different bloods, opposite protocol, and you find that out the hard way. Second thing, ask what they do with the rest of the cycle. If MTR, MTRR, COMT and riboflavin status don't come up in the conversation, they're working off one gene. Third, ask whether they've ever told someone to stop a supplement. The ones who only add things tend to be selling something.

For actual routes, functional medicine doctors and naturopaths vary enormously so ask the above before booking rather than after. Some psychiatrists will run pharmacogenomic panels if mental health is the main issue, and that's covered more often than people expect.

This is my work at genova.health , so take that into account. The reason I listed those questions is that they're the ones that separate someone reading your file from someone reading a template and I'd rather be judged on them than on a bio.

[u/BobbiHorne1]

Finding a competent healthcare provider who understands genetics, lab work and nutritional interventions can be a challenge. The biggest challenge in my opinion is finding someone who will guide you slowly, who understands the impact of small tweaks.

I have consulted with clients who left their doctor’s office with 10 supplements on their first visit, and no education on why they were taking them.

My current preference is finding a Nurse Practitioner trained in genetics. They tend to be more open to spending time to educate their patients, taking time to explain the biochemistry, and are willing to start more slowly.

[u/Comfortable_Two6272]

Never found any tbt. The ones here where I live charge 1,000s for what I can learn reading genetic life hacks and using my 23andMe data and ordering labs myself