Healthcare professionals can utilize a variety of clinical assessments to evaluate the methylation status of patients. However, there is no single assessment method or technique which can accurately demonstrate the complexity of methylation in the human body. Current assessments can help provide an understanding into methylation-related genetic polymorphisms, nutrient status, methylation-related neurotransmitters and neurotransmitter metabolites, amino acids, hormones and metabolites, oxidative stress, and detoxification load, all of which can also help provide the understanding of a patient’s methylation status.

Understanding Methylation Status

Some assessment methods and techniques, including measures to determine DNA methylation status, are generally limited to research studies and are not yet available to healthcare professionals. As DNA methylation status assessments become available, healthcare is necessary to understand data because conflicting outcome measures have been demonstrated in research studies based on a variety of methodologies while methylation is further evaluated. Moreover, although methods and techniques, as well as research studies, are quickly evolving, patterns of DNA methylation status in humans across cells, tissues, age, populations, environmental factors like nutrition and lifestyle modifications, and disease, are only just being characterized by healthcare professionals.

It is essential that we emphasize a variety of indicators and be mindful of the restrictions of our interpretations as well as their misunderstood factors. Plasma homocysteine, by way of instance, can decrease as methylation activity improves, however, it can also decrease when oxidative stress levels increase, independently of methylation activity improvements. But, as we’ve previously discussed, only a few SNPs have known, quantifiable changes in enzymatic function, and even then, their overall outcome measures on methylation are unknown. Healthcare professionals must depend on multiple clinical assessments to determine methylation health. In the following articles, we will discuss methylation status assessment options available to healthcare professionals.

Understanding Genetic Profiling

Genetic profiling can help provide some evidence of potential methylation status and risk of developing diseases. Several gene SNPs increase methylation activity, such as CBS, and several other gene SNPs may decrease methylation activity, such as MTHFR, BNMT, MTR, MTRR, and AHCY. However, understanding the overall outcome measures of gene SNPs is complicated to determine through polymorphisms and environmental factors. By way of instance, research studies have demonstrated that the MTHFR C677T polymorphism is associated with an increased risk of autism spectrum disorder, (with an odds ratio = 1.42, 95% CI 1.09-1.85), however, similar research studies have also demonstrated that this risk can decrease through periconceptional folate or folic acid intake.

Furthermore, if a maternal MTHFR C677T polymorphism is combined with a CBS polymorphism, a lack of prenatal supplementation with B vitamins, and a fetal COMT polymorphism, the odds ratio for autism spectrum disorder can increase tremendously, (7.2, CI = 2.3–22.4; P=0.05). The risk of diseases associated with genotype is unfortunately rare because research studies on the combined outcome measures of gene SNPs are still very much in their early stages. In many circumstances, healthcare professionals will need to use careful clinical assessments to evaluate as well as to guide their treatments. The methylation-related genes presented in Table 1 below are frequently evaluated for SNPs. The outcome measures can help doctors understand patient methylation status.

A variety of methods and techniques are available to determine the methylation status of patients. However, the assessment of methylation status can still be challenging for many healthcare professionals. DNA methylation is characterized by the addition of a methyl group to DNA. Healthcare professionals must first understand the pros and cons of the variety of methods and techniques available to determine methylation status to allow them to make an informed choice when deciding which assessment will best suit their research study needs.

Dr. Alex Jimenez D.C., C.C.S.T. Insight

Smoothies and Juices for Methylation Support

While many healthcare professionals can recommend nutritional guidelines and lifestyle modifications to improve methylation support, there are several options you can try yourself at home. As described above, methylation support supplementation should be determined by a healthcare professional. Smoothies and juices are a fast and easy way to include all the necessary nutrients you need for methylation support without any side-effects. The smoothies and juices below are part of the Methylation Diet Food Plan.

Sea Green Smoothie
Servings: 1
Cook time: 5-10 minutes
• 1/2 cup cantaloupe, cubed
• 1/2 banana
• 1 handful of kale or spinach
• 1 handful of Swiss chard
• 1/4 avocado
• 2 teaspoons spirulina powder
• 1 cup water
• 3 or more ice cubes
Blend all ingredients in a high-speed blender until completely smooth and enjoy!

Berry Bliss Smoothie
Servings: 1
Cook time: 5-10 minutes
• 1/2 cup blueberries (fresh or frozen, preferably wild)
• 1 medium carrot, roughly chopped
• 1 tablespoon ground flaxseed or chia seed
• 1 tablespoons almonds
• Water (to desired consistency)
• Ice cubes (optional, may omit if using frozen blueberries)
Blend all ingredients in a high-speed blender until smooth and creamy. Best served immediately!

Sweet and Spicy Juice
Servings: 1
Cook time: 5-10 minutes
• 1 cup honeydew melons
• 3 cups spinach, rinsed
• 3 cups Swiss chard, rinsed
• 1 bunch cilantro (leaves and stems), rinsed
• 1-inch knob of ginger, rinsed, peeled and chopped
• 2-3 knobs whole turmeric root (optional), rinsed, peeled and chopped
Juice all ingredients in a high-quality juicer. Best served immediately!

Ginger Greens Juice
Servings: 1
Cook time: 5-10 minutes
• 1 cup pineapple cubes
• 1 apple, sliced
• 1-inch knob of ginger, rinsed, peeled and chopped
• 3 cups kale, rinsed and roughly chopped or ripped
• 5 cups Swiss chard, rinsed and roughly chopped or ripped
Juice all ingredients in a high-quality juicer. Best served immediately!

Zesty Beet Juice
Servings: 1
Cook time: 5-10 minutes
• 1 grapefruit, peeled and sliced
• 1 apple, washed and sliced
• 1 whole beet, and leaves if you have them, washed and sliced
• 1-inch knob of ginger, rinsed, peeled and chopped
Juice all ingredients in a high-quality juicer. Best served immediately!

Protein Power Smoothie
Serving: 1
Cook time: 5 minutes
• 1 scoop protein powder
• 1 tablespoon ground flaxseed
• 1/2 banana
• 1 kiwi, peeled
• 1/2 teaspoon cinnamon
• Pinch of cardamom
• Non-dairy milk or water, enough to achieve desired consistency
Blend all ingredients in a high-powered blender until completely smooth. Best served immediately!

ProLon® Fasting Mimicking Diet

Balanced methylation support can be achieved through proper nutrition. The ProLon® fasting mimicking diet offers a 5-day meal program which has been individually packed and labeled to serve the foods you need for the FMD in precise quantities and combinations. The meal program is made up of ready-to-eat or easy-to-prepare, plant-based foods, including bars, soups, snacks, supplements, a drink concentrate, and teas. The products are scientifically formulated and great tasting. Before starting the ProLon® fasting mimicking diet, 5-day meal program, please make sure to talk to a healthcare professional to find out if the FMD is right for you. The ProLon® fasting mimicking diet can help promote methylation support, among a variety of other healthy benefits.

Many doctors and functional medicine practitioners may recommend higher doses of methyl donors in several patients, however, further research studies are needed to determine the proper amount of methylation supplementation. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .

Curated by Dr. Alex Jimenez

Additional Topic Discussion: Acute Back Pain

Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.

Formulas for Methylation Support

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