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If you’ve ever heard someone mention they have an “MTHFR mutation” or wondered why your doctor recommended methylfolate instead of regular folic acid, you’re not alone. The relationship between MTHFR and folate is one of the most important—yet misunderstood—connections in functional wellness. Let’s break it down in a way that actually makes sense.

What Is MTHFR?

MTHFR stands for methylenetetrahydrofolate reductase—a mouthful, right? It’s actually an enzyme in your body that plays a critical role in processing folate (vitamin B9). Think of MTHFR as the key that unlocks folate’s full potential in your body. This enzyme converts folate from food or supplements into its active, usable form called methylfolate (or 5-MTHF). Your body needs this active form to:

  • Support healthy DNA production and repair

  • Regulate homocysteine levels (important for heart health)

  • Produce neurotransmitters like serotonin and dopamine

  • Support detoxification processes

  • Maintain energy levels

The MTHFR Gene Mutation: What Does It Mean?

Here’s where it gets interesting. Many people carry genetic variations (mutations) in the MTHFR gene. In fact, studies suggest that up to 40-60% of the population has at least one MTHFR variant. The most common variants are:

  • C677T

  • A1298C

If you have one or two copies of these variants, your body may not convert folate into its active form as efficiently. This can lead to:

  • Elevated homocysteine levels

  • Fatigue and low energy

  • Mood imbalances

  • Difficulty detoxifying

  • Increased risk for certain health conditions

Why Folate Matters—And Why the Type You Take Is Crucial

Folate is essential for life. It supports everything from energy production to brain health to cardiovascular function. But here’s the catch: not all folate is created equal. Folic Acid (the synthetic form found in most supplements and fortified foods) needs to be converted by your body into methylfolate before it can be used. If you have an MTHFR mutation, this conversion doesn’t happen efficiently—meaning you’re not getting the full benefit. Methylfolate (the active form) bypasses this conversion step entirely. It’s ready to use the moment it enters your body, making it the ideal choice for anyone with MTHFR variants—or anyone who wants optimal absorption.

Signs You Might Benefit from Methylfolate

While genetic testing is the most accurate way to know if you have an MTHFR mutation, certain signs may suggest you’d benefit from methylfolate supplementation:

  • Chronic fatigue or brain fog

  • Anxiety, depression, or mood swings

  • History of elevated homocysteine

  • Difficulty getting pregnant or recurrent miscarriages

  • Family history of heart disease or stroke

  • Poor response to standard B-vitamin supplements

How B12 RX & MORE® Can Support You

At B12 RX & MORE®, we understand that wellness isn’t one-size-fits-all. That’s why we offer targeted vitamin injections that include methylated B vitamins—designed to work with your body, not against it. Our B Complex injections and specialized blends like The Feel Good and The Bounce Back are formulated with bioavailable nutrients that support optimal methylation, energy, and overall vitality. Whether you have a known MTHFR mutation or simply want to feel your best, our licensed nurses are here to help you choose the right support for your unique needs.* Walk-ins welcome. No appointment needed. Order Online for convenient shipping. *

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