Methyl90
Senior Member
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Despite the shortcoming of serum lab tests, I would start with testing serum folate and vitamin B6 and B12, if you haven't already. They would show outright deficiencies if present. Better would be a RBC folate and a Transcobalamin or urinary methylmalonic acid test, but these are also more expensive and probably would have to be paid out of your own pocket.
Without any of these tests or if they all show sufficient levels, I would start with a good but inexpensive B-complex, which contains activated forms of B2, B6, B9 (methylfolate) and B12. Like for example this (they also have a European store). If that wouldn't suffice on retesting after some months, a sublingual Methylcobalamin lozenge, and a further Methylfolate tablet, both at 1 mg per piece. If homocysteine still remained unresponsive I would add a pyridoxal 5'-phosphate tablet and gradually increase B9 and B12, further adding in TMG gradually increasing to 2-3 g/d. There are further nutrients which have some evidence in reducing homocysteine, but these are usually the main missing.
Be aware that that blood levels all do fluctuate, and usually it takes repeated testing over a couple of years to get sure where you're at. Optimal would be something below 8-9 µmol/L
Could I not simply be over methylated with a low histamine? How can I try to raise histamine? @pamojja