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Methylation Testing: What Those Genetic Results Mean—and What They Don’t

Dr Stephen Wangen
|
February 5, 2026

Today I want to talk about methylation testing, including genes like MTHFR—what this testing actually tells you, why it’s become so popular, and why, in many cases, it’s over-rated and over-treated.

One of the most misused and confusing issues I see is genetic testing for MTHFR and methylation pathways. Because of the sheer amount of misinformation around this topic, I decided to create this video to bring some much-needed clarity.

📈 Why Methylation Testing Is Everywhere Right Now

Genetic testing has become inexpensive, accessible, and heavily marketed. As a result, many people now receive reports listing genes like:

  • 🧬 MTHFR
  • 🧬 MTR
  • 🧬 MTRR
  • 🧬 COMT
  • 🧬 CBS
  • 🧬 PEMT

And they’re often told:

  • ❌ “Your methylation is broken.”
  • ❗ “This explains everything.”
  • 💊 “You need methylated B vitamins—probably for life.”

This is where we need to slow down.

Because having these genetic variations is not unusual, and treating them without context can actually cause more problems than it solves.

⚙️ What Methylation Actually Is

Methylation is a fundamental biochemical process involved in:

  • 🧪 Detoxification
  • 🧠 Neurotransmitter production
  • ⚖️ Hormone metabolism
  • 🧬 DNA repair
  • 🔁 Homocysteine recycling

It’s important—but it’s also robust and redundant.

What does that mean?

Your body has multiple pathways supporting methylation and constantly adapts based on:

  • 🥦 Nutrient availability
  • 🔥 Inflammation
  • 😰 Stress
  • 🦠 Gut health
  • ⚡ Overall metabolic demand

Which brings us to a critical point.

🧾 What Methylation Genetic Tests Really Show

These tests identify SNPs—single nucleotide polymorphisms.

A positive result simply means:

“You have a common genetic variation.”

For example, MTHFR is one of the most talked-about genes—but it’s just one enzyme in a very large system.

Having an MTHFR variant:

  • ✅ Is extremely common
  • ❌ Is not a diagnosis
  • ❌ Does not mean methylation is broken
  • ❌ Does not automatically require methylated B vitamins

Why?

Because these genes show potential vulnerability, not how your body is actually functioning right now.

🚨 Why This Testing Is Often Over-Interpreted

One of the biggest mistakes we see is this:

The gene result is treated as the problem.

But clinically, we don’t treat genes.

We treat real problems.

Methylation issues are determined by what your body is doing—and how you feel—not by a genetic printout alone.

🧠 What Matters More Than the Genes

If you want to know whether methylation truly needs attention, these matter far more than SNPs:

1️⃣ Homocysteine

One of the most useful markers we have.

  • ✅ Normal or low levels usually mean methylation is working
  • ⚠️ Elevated levels prompt deeper investigation—but not automatic genetic blame

2️⃣ B12 and Folate Levels

Both deficiency and excess matter.

High levels—especially from supplements—can contribute to symptoms that look:

  • Inflammatory
  • Neurologic
  • Or even allergic

3️⃣ Symptoms

If someone feels well and functional markers are normal, we don’t treat a genetic variant simply because it exists.

4️⃣ Gut Health (Often the Missing Link)

Even when methylation is impaired, it’s often secondary to gut dysfunction, not a primary genetic issue.

Fixing methylation without addressing the gut is often backwards.

⚠️ Why More Methylation Support Isn’t Always Better

Because testing is framed as “finding what’s wrong,” many people are put on:

  • 💊 High-dose methyl-B12
  • 💊 High-dose methyl-folate
  • 💥 Multiple stacked methyl donors

If you don’t need them, you can become over-methylated—and feel worse.

Symptoms of over-methylation may include:

  • 😰 Anxiety
  • 🌙 Insomnia
  • ❤️ Palpitations
  • 🤢 Bloating
  • 🌫️ Brain fog
  • 🤧 “Allergic-type” symptoms

You may be told this is part of the process.

Often, it’s not.

It’s over-methylation—and it can create new problems instead of solving old ones.

🎯 When Do Methylation Genetics Actually Matter?

They matter when:

  • 📊 Other labs are abnormal
  • 🧩 Symptoms fit
  • 🔍 The full clinical picture supports intervention

Even then, treatment is usually:

  • 🪶 Conservative
  • 🎯 Individualized
  • ⏳ Time-limited
  • 🔄 Reassessed regularly

—not a lifelong protocol based on a genetic report.

🧩 A Simple Way to Think About Methylation Testing

This is how we explain it to patients:

“These genes tell us where you might be vulnerable in your methylation pathways.
They do not tell us that something is broken.
And they don’t automatically tell us what to treat.”

Understanding MTHFR and methylation testing can prevent wasted money, unnecessary supplements, and a lot of avoidable suffering.

Related Content:

What Actually Works for Candida (And What Doesn’t)

IBS vs SIBO vs Candida: How to Tell What’s Actually Causing Your Symptoms

Why Candida Often Doesn’t Show Up on Tests

The Real Root Causes of IBS (Most Doctors Miss At least One)

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