Hi GraceNJ
I am going to do by best to sort through your mutations and I am getting my information from this website:
http://www.heartfixer.com/AMRI-Nutrigenomics.htm
He looks like a great doc so if you have finances he may be a good one to see should you struggle with sorting through them all.
1. CBS + BHMT mutations = BIG AMMONIA DETOX PROBLEM
Because you have these mutations, you have to bring down ammonia levels before supplementing your MTHFR mutations. This is done by zeolite and others have used yucca and activated charcoal. Looks like you may have to do this for a month or two before adding in for your other mutations. Also it is recommended to reduce dietary protein to cut down on ammonia levels as well.
2. COMT + VDR mutations are related to your ability to tolerate methyl groups (methyl b-12 and methyl folate). You will not be able to tolerate alot of methyl groups and because methyl folate has to be taken in methyl form then b-12 most likely should be taken in the hydroxy form (Perque a good brand). VDR also means you are low in Vitamin D.
3. MTRR means you are using up b-12 rapidly. This is supplemented by taking hydroxy b-12 in your case.
So as far as supplementation:
1. Zeolite, Charcoal or Yucca to detoxify ammonia first.
2. Hydroxy b-12 (maybe adeno b-12 too)
3. Molybedum, CoQ10, Phosphatidyl Choline, Vitamin D.
4. Lastly - methylfolate (begin @ low dose)
That is a really simplified version.
Read the info in the link to really understand your mutations. He goes in depth and the information is really good.
Post Edited (SLML) : 2/27/2015 5:59:33 PM (GMT-7)