How Genes Can Influence Our Mood-And How They Can Be By-Passed For Better Mental Health-Huffpost

Here is an article by Dr. Michael Stanclift ND in Huffpost Healthy Living on how adding gene studies to assess MTHFR status can be used to help people with mood issues, as part of a systemized approach. I've spoken a little bit about how these genes influence enzymes by the same name, MTHFR, that are important in the production of neurochemicals among other things, and can be by-passed with B12, folate and other supplements. As you know, when I first work with someone with mood issues, I do comprehensive testing for gluten sensitivity, serum vitamin D status, nutritional status, infections, hormone and thyroid status.

Thanks to Dr. Stanclift for sharing.
Here is an excerpt, but I suggest you read the whole thing.
Michael Stanclift, N.D. Naturopathic Doctor


How Genes Can Influence Our Mood
Posted: 07/06/2014 2:24 pm EDT Updated: 07/06/2014 2:59 pm EDT Print Article


When Susan* first came to see me, she was feeling pretty low. She had debilitating fatigue, and her body ached all over. Susan had been prescribed an antidepressant, and it helped with her depression a little, but she was still constantly anxious and had difficulty concentrating. Everything seemed "life or death," her performance at work was declining, and she was afraid she would lose her job if things didn't change soon.

..... I agreed and ordered comprehensive thyroid testing, a test to rule out anemia, and some "functional genetic" testing. Her thyroid and anemia tests came back right away: Everything looked normal. The genetic testing came back about two weeks later with some significant findings. Susan had variations in both copies (one from her mother and one from her father) of a gene that converts folate/folic acid into its active form. The gene, called "MTHFR" (think "Mon. THur. FRi.") helps an important biochemical reaction in our body called "methylation." Because of her variations, her body couldn't use folate very efficiently. So how did this factor into her condition?

Folate, in its activated form (5 MTHF), is needed for many important processes in our bodies. In Susan's case it was particularly important with relation to her neurotransmitters. Neurotransmitters are the chemicals our brains make to communicate messages to each other, and they have to be available in high enough amounts for us to successfully communicate those messages. Many of us have heard of serotonin, dopamine, and adrenaline (epinephrine), and may even be familiar with their effects on our emotions and mood. In order to make these neurotransmitters, that crucial step called "methylation" must occur. This step can be particularly difficult for someone with MTHFR variations like Susan had................

A few weeks into her treatment she came back reporting her coworkers had noticed a change. In my office I immediately saw the change in her mood, and even our front desk staff reported Susan sounded happier when she called. I know moods can change periodically, so I asked about something that had been consistent with her: exercise. She had exercised at least 50 percent more per week, and wasn't exhausted from it like before. Her sleep had improved, she reported her concentration was no longer an issue, and her libido was starting to return.We're now many months into her treatment and Susan has continued to do well.

Finding the variations in Susan's MTHFR gene was not the end-all be-all of her symptoms and treatment, but it was a significant factor. It opened up a window into why her depression and fatigue were so significant and why her medications weren't giving her satisfactory results. New and inexpensive "functional genetic" tests like this have opened up whole new areas of medicine and offer patients interventions that are personalized and nutritionally based. These tests have taken a significant amount of guess work into what interventions might work and explain why some people require drastically different dosages of nutrients to achieve the same outcomes. To find out if functional genetic testing could be important to you and your health, ask your doctor if these tests could be relevant for you.

In Health,

Michael Stanclift, N.D.Naturopathic Doctor in Practice in Carlsbad, California

"Functional genetic" testing is done in a number of laboratories in Canada, USA, Europe and Asia. Most require a requisition from your doctor. A normal homocysteine can not be used to assess your MTHFR status (because the "short route" may be working overtime). A high homocysteine level means you probably have a MTHFR issue (lower function of the MTHFR enzymes) and a requirement for more B12, folate,zinc, magnesium, vitamin C and other supplements. If you should decide to add genetic testing, it is best to be guided by a doctor who has some experience with MTHFR issues, as there is the rare person who, to avoid unpleasant effects, needs an individualized programme before starting folate in higher doses.

To Your Health

Dr. Barbara 

Methyl Folate for depression

A new research study showed that taking l-methylfolate 
 which is sometimes called folate with an anti-depressant, increased the rate of resolution of depression symptoms with no side effects. They showed that 15 mg of l-5 MTHF or folate a day worked. And how does folate work? Folate helps to make methyl groups, a biochemical entity, which in turn helps to make neurochemicals. If you are the person who has a genetic abnormality called MTHFR single nucleotide polymorphism (SNP's), you will require supplementation with folate ( also called l- 5-MTHF) because you can't get enough folate from food to help run your metabolism to the maximum. Which means you could become depressed. 

Also, two colleagues of mine, evaluated neurochemical status of a group of gluten sensitive people a few years back. Their verbal report to me was that all had low neurochemicals. Pervasive nutritional deficiencies and SNP's could account for this finding in gluten sensitive people. Heal the gut and provide nutrients and digestive enzymes and probiotics. 

Other illnesses  from MTHFR SNP's, that occur when a person is functionally dependent on more folate, and other B vitamins include:
heart disease
high homocysteine
thrombophilia or clotting easily
hypertension
gout
neurological disorders
psychiatric disorders
osteoporosis
infertility, miscarriages, and loss of pregnancy
offspring with congenital abnormalities such as neural tube defects 
pain conditions

The incidence of methylation polymorphism for two common ones c677t and a1298c, in the general population is found to be around 30%. When I looked at the prevalence in a group of  74 people, all with at least one chronic illness,  I found the prevalence to be 76%. 
I use folate to reverse many symptoms and problems.

When people are not well, they can use more folate, balanced with B12. 
Woman of childbearing age should take folate to insure their future choices when it comes to having a family or not, and the health of their future child. 

Folate is safe, there is no known toxicity, and is effective. Avoid folic acid. 

To Your Health
Dr. Barbara

Dr. Perlmutter's Brain Health Program in Grain Brain includes a Grain Free, GAPS Style Diet

I don't know anyone who doesn't want to age in good 

health and avoid Alzheimer's. 

We get a lot of information about how to do this, but does this information have to be updated from the 30's and 40's when most of these principles were established? There is a large movement to update classical teachings and Dr. Perlmutter, a neurologist in practice has put up-to-date research and recommendations into a book called "Grain Brain". 

Dr. David Perlmutter says in this interview: the first step is to stop gluten! (My bold):

Research suggests gluten can play a damaging role by the changes it imparts on your microbiome, the bacteria in your gut. But gluten can also wreak havoc with your neurological health via the inflammation it causes. Non-celiac gluten sensitivity may involve 30 to 40 percent of the population and according to work done at Harvard by Dr. Alessio Fasano, it may even affect every single human being.

The reason for this is because gluten, a protein found in wheat, barley, and rye, has significant effects on your gut cells, which leads to the production of a chemical called zonulin. Zonulin enhances inflammation and tends to make your gut porous and leaky (i.e. leaky gut syndrome). But that's not all. Dr. Fasano discovered that it can also make your blood-brain barrier leaky, allowing foreign proteins to migrate into your brain, where they clearly do not belong.

Listen to the full interview to pick up some brain saving tips.

Let's talk about those foreign proteins mentioned above. These proteins that migrate into the brain are recognized as "foreign invaders" mimicking a life threatening microorganism invasion, like "swine flu" or encephalitis, which then triggers a life saving reaction by the immune system. The reaction however, can go wrong with the confusion of the system when it thinks our own tissues look like gliadin proteins. Dr. Fraser Scott showed that celiac subjects had tissues that look like gliadin back in 2002, but other researchers have shown the same thing in other organs' connective tissues!!! 

This starts a reaction to one's own tissues with the production of anti deamidated gliadin, anti gliadin,  and  anti tissue transglutaminase antibodies (Tg2,3,and 6), especially worrisome is Tg6 but also Tg2, which attack the brain tissues and the tissues around the blood vessels blocking the "blood brain barrier".  Tg6's attack on the brain causes dozens of neurological disorders especially cerebellar ataxia, cerebral calcifications, peripheral neuropathy, epilepsy, migraines and possibly MS. 

Dr. Hadjivassiliou has written an extensive article  "Gluten Sensitivity; From Gut to Brain" on these neurological diseases and the good news is he has shown these conditions improve on a gluten free diet. If you want to see what the blood brain barrier thickened up with Tg6 looks like, go to page nine, and look at the picture labelled "A". The circle in the middle is the lumen of a blood vessel and around it is a cuff of thickness imbedded with Tg6 antibodies. This is very abnormal as the area around the blood vessel is rarely bigger than 1/5th of the diameter of the blood vessel. With one look at the diseased brain tissue's blood vessel you can tell there is something horribly wrong.

This abnormal attack on our own tissues also leads to psychiatric conditions. Here is a case of severe psychiatric symptoms, at one point requiring hospital admission, who improved with GAPS diet and B12 shots.

If your aim is good brain health, the first step is to stop eating gluten. 
You will want to get rid of all grains, though, because of the cross reactive and toxic proteins in them that promote leaky gut and inflammation just like gluten, which is the mechanism for the damage to the brain. 

There is more to do, of course, like remove chemical exposure especially to pesticides, proper dental care by a biological dentist, keeping your vitamin D levels good, keeping your blood sugar levels low and stable, keep your uric acid levels low by limiting your ingestion of fructose to 25 grams a day or less, monitor your B12 levels with a Homocysteine test, supplement with lots of folate (not folic acid, the chemical) probiotics and zinc, exercise moderately and keep your stress levels manageable.

To Your "Brain" Health

Dr. Barbara