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Regular vs. Methylated B Complex: A Practical Guide



We strive to deliver useful, practical knowledge to you about your health and wellbeing. Today, we will tackle the topic of B vitamins, particularly focusing on the distinction between regular and methylated B complex supplements.



The Importance of B Vitamins


B vitamins play a crucial role in various bodily functions and in psychiatry, we focus a lot on how they impact brain health and mitochondrial function. They contribute to energy production (through mitochondria), form red blood cells, and are involved in both indirectly and directly creating essential neurotransmitters like serotonin, norepinephrine, and dopamine. These neurotransmitters have a big impact on mood and cognitive function.



Methylation and Its Significance


At the core of this topic is methylation. It's a biochemical process involved in many vital functions, including DNA repair, detoxification, and regulation of neurotransmitters. For B vitamins to be effective in our bodies, they need to be converted into their active forms via methylation. For instance, folate must become L-methylfolate, the active form, to aid in neurotransmitter creation.



Understanding Regular and Methylated B Complex Supplements


Some people have gene variations, like the MTHFR mutation, affecting their ability to methylate B vitamins efficiently. This can interfere with the conversion of B vitamins into their active forms. There are two common variants of the MTHFR mutation, known as C677T and A1298C. It's estimated that around 30-40% of the American population may have a mutation at gene position C677T and about 20% may have a mutation at gene position A1298C.


A regular B vitamin intake from diet or standard supplements may not be enough for these individuals as their bodies may struggle to make these conversions.

Methylated B complex supplements provide a solution. They contain B vitamins that are already in their active forms. This "pre-methylation" means they can be readily absorbed and used by the body, even if the individual has methylation issues.



When to Choose Methylated B Complex


Integrative psychiatry considers all aspects of health, from physical to mental well-being. For individuals with methylation problems, methylated B complex supplements can be a beneficial tool, contributing to their overall health, including mental health.


However, remember that every individual's needs are unique. Not everyone requires a methylated B complex; for some, a regular B complex may sufficient. Sometimes further testing through genetic testing to assess for a MTHFR gene mutation may be recommended. Deciding between the two isn't a one-size-fits-all scenario but a decision made with a healthcare professional who understands your unique health landscape.


Your health and well-being are important to us at Driftless Integrative Psychiatry. Let us join you in your journey towards optimal health. Contact us today to start your personalized health journey.



As always, the information presented here should not replace medical advice. Always consult with a healthcare professional before starting any new supplement regimen, especially if you have existing health conditions or are currently taking other medications. This ensures that any treatment is safe, appropriate, and effective for your specific needs.


  1. Wilcken, B., Bamforth, F., Li, Z., Zhu, H., Ritvanen, A., Renlund, M., ... & Czeizel, A. E. (2003). Geographical and ethnic variation of the 677C>T allele of 5,10 methylenetetrahydrofolate reductase (MTHFR): findings from over 7000 newborns from 16 areas world wide. Journal of medical genetics, 40(8), 619-625.

  2. Peerbooms, O. L., van Os, J., Drukker, M., Kenis, G., Hoogveld, L., de Hert, M., ... & Rutten, B. P. (2011). Meta-analysis of MTHFR gene variants in schizophrenia, bipolar disorder and unipolar depressive disorder: evidence for a common genetic vulnerability?. Brain, behavior, and immunity, 25(8), 1530-1543.

  3. Wilcken, B., Bamforth, F., Li, Z., Zhu, H., Ritvanen, A., Renlund, M., Stoll, C., Alembik, Y., Dott, B., Czeizel, A. E. (2012). Prevalence of methylenetetrahydrofolate reductase 677T and 1298C alleles and folate status: a comparative study in Mexican, West African, and European populations. Journal of Molecular Diagnostics and Therapy.

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Lansing, IA 52151

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We offer integrative psychiatry services for individuals looking for a whole person, functional medicine approach to mental health. Our goal is to help you live the life you want to be living and empowering you with the tools to do so. 

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Driftless Integrative Psychiatry 2024

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