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Methylation and MTHFR testing in Geelong

Perhaps you have been told you ‘have MTHFR’, or you have read that methylation explains everything from fatigue to fertility. A result is only useful when someone takes the time to explain what it does and does not mean. Our practitioners offer three methylation tests when they are clinically appropriate, and we will always tell you plainly what a result can show.

Three ways we look at methylation

Methylation is a chemical process your body runs constantly, using folate and other nutrients to keep DNA, neurotransmitters and homocysteine in balance. We can look at it from two angles: your genes, which show a tendency, and your blood, which shows how the pathway is working right now.

  • MTHFR gene test – checks the two common MTHFR variants (known as 677 and 1298).
  • Extended methylation gene panel – a cheek-swab test covering 13 genes in the pathway, including MTHFR, MTR, MTRR, CBS, COMT, PEMT and AHCY. It shows how the variants you carry may work together.
  • Methylation blood profile – a blood test measuring the body’s main methyl donor and its by-product, the ratio between them, and several forms of folate. It shows how well the pathway is running today.

Sometimes one test is enough. Sometimes we pair a gene panel with the blood profile. And homocysteine, a routine blood marker your GP can order, is often the simplest way to track change over time.

What a result can and cannot tell you

MTHFR variants are very common. Carrying one, or even two, is not a disease, and it does not automatically mean you need high-dose supplements. A gene result describes a tendency. Whether it matters depends on your diet, your other results and your health history. None of these tests diagnoses a condition, and we make no promise about what a result will change.

Some situations belong with your doctor first. If you have a personal or family history of blood clots, or have experienced recurrent pregnancy loss, your GP or specialist leads that work-up and we work alongside them. If you are pregnant, folate advice in pregnancy stays with your GP, obstetrician or midwife.

Some medicines interact with the folate pathway. We never suggest stopping or changing a prescribed medicine. That is a conversation for you and your doctor, and we check for interactions before suggesting anything.

Who we might suggest it for

Most people never need a methylation test. We consider one when a result would genuinely change what we do, for example if you are:

  • planning a pregnancy and want to understand your needs early
  • aware of a family history that makes the question worth asking
  • holding a raised homocysteine or out-of-range folate result
  • eating a diet that has been low in folate-rich foods for a long time
  • working through recurrent pregnancy loss alongside your specialist

If methylation is one part of a wider question about how your body uses nutrients, nutritional genetic testing covers the methylation genes as well as around 80 others.

How the tests work

  1. Consultation. We talk through your history and whether a test, and which one, would add anything useful.
  2. Gene tests. A painless cheek swab. Results usually take four to five weeks. Your genes do not change, so this is a one-off test.
  3. Methylation blood profile. A blood sample. The laboratory runs these tests in batches, so results usually take a few weeks.
  4. Results. We go through your results with you in a follow-up appointment.

The pathology company will advise you on collection for each test. The laboratory sets and bills its own fee, and we will tell you the current amount before you decide.

Book an Appointment

We are open 6 days per week, by appointment only. Book an appointment online via our online booking link.

After your results

A result guides case-by-case support of the pathway’s nutritional co-factors, food first. There is no blanket protocol for any variant. Any change we make is closely monitored, often by tracking homocysteine, so we can see whether it is helping.

With your permission we are happy to share results with your GP, so everyone looking after you is working from the same picture. To learn more about the pathway itself, read our methylation and MTHFR page.

Common questions

Do I need an MTHFR test?

Most people do not. We suggest one only when the result would change what we do, such as when planning a pregnancy, after a raised homocysteine result, or with a relevant family history.

What is the difference between an MTHFR test and a methylation gene panel?

An MTHFR test checks two common variants in one gene. A methylation gene panel checks 13 genes in the pathway, including MTHFR, which shows how the variants you carry may work together.

Is a methylation blood test the same as a gene test?

No. A gene test shows the tendencies you were born with and is done once. A methylation blood profile measures how the pathway is working right now, so it can change and can be repeated.

If I have an MTHFR variant, do I need special supplements?

Not automatically. MTHFR variants are very common, and many people with one need nothing beyond a varied, folate-rich diet. Any support is decided case by case and monitored. Please do not start high-dose supplements on the strength of a gene result alone.

Is methylation testing covered by Medicare?

Testing arranged through Living Holistic Health is not Medicare rebated. The laboratory sets and bills its own fee, and we will tell you the current amount before you decide. Some tests ordered by your GP may be processed through Medicare, but that is a decision for your GP.

We don’t diagnose or treat medical conditions; that stays with your doctor. Our part is the nutritional, herbal and lifestyle work that sits alongside their care.

General information only, not individual medical advice. Always discuss supplements and herbal medicines with your treating practitioner.

Book an Appointment

We are open 6 days per week, by appointment only. Book an appointment online via our online booking link.

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