We got our 3rd Methylation Pathways Panel from AnnonXXX (anonymous user ID) and 4th on the way.
This is the lab that measure glutathione and methylation cycle levels. The values are shockingly similar and continue to overwhelmingly support this theory. The values are consistently worst that the values of the Chronic fatigue study Rich Van Konynenburg. I’ve post our numbers in the below spreadsheet and included the CFS numbers for reference.
sdrv.ms/1aVecBO
Below are my notes on AnnonXXX’s results, but they all apply to me too. I have discussed the consequences a lab result like this throughout the thread.
If you want to read what Rich says about each of these, he posted an explanation here:
mecfsforums.com/index.php?topic=290.0
For your reference co-cure.org/scan0003.bmp
Glutathione
Glutathione-reduced (GSH) is the good glutathione that should be as high as possible in range. Glutathione-oxidized (GSSH) is the bad kind, which should be excreted or recycled back to GSH, and should be as low as possible in range.
You’re GSH is very low. This is Glutathione depletion.
AnnonXXX’s GSSH is high, suggesting an oxidative stress environment and/or an inability to recycle glutathione.
The ratio of GSH to GSSH is the ‘redox potential of the cell.’ The redox potential is basically one of the most important cell environment measurements. When that ratio is low, there is a very oxidative environment. I can research to get examples, but one of the typically examples is how an oxidative environment disrupts proteins with cysteine amino acids. Rich talks about this in his lecture.
There is an equation the papers use, but a straight division of GSH by GSSH can tell how oxidative or reductive an environment. AnnonXXX’s is: 6.27. Mine was 5.35 at the start. Any ideal ratio (from the middle of the range) is maybe 15.
I haven’t previously discussed Redox Potential, but it will be very important and I will post on it later.
SAMe and SAH
SAMe is the major methyl-donor in the cell. A methyl-group is taken from methyl-folate, it makes it around to SAMe. SAMe goes and puts that methyl group on something that is biologically significant (like DNA methylation). When SAMe loses it’s methyl group, it is turned into 'SAH, which is converted to homocyestine, which can go back around the cycle or down to GSH.
SAMe is low, meaning the methylation cycle is not turning to get new methyl groups around. SAH is high, again suggesting the cycle is not recycling the contents.
Per Rich, this indicates a Methylation Cycle block. The metabolites are just sitting there not going to the next step.
Folates
Most of the folates are in range.
Methyl-folate (5-CH3-THF), which is the one we supplementing the protocol, is barely in range. But the interesting result is the THF (tetra-hydro-folate). This is what is left after the methyl-group is removed from the methyl-folate (see diagram). When THF is low it is, again, an indicator that the methylation cycle is not running. If it were running, methyl groups would be pulled off of Methyl-folate and THF would be building up. But THF is low.
I don’t have the 2nd panel because that person has not been around. But he references his data here:
viewtopic.php?f=1&t=7293&start=20&hilit=panel#p65770