The below article is a technical explanation of the tran-sulfuration pathway and how it relates to methylation.

When people have MTHFR mutations, it is important to help bypass the mutation and support the body’s unique physiology by giving 5-MTHF (activated folic acid) and methyl or hydroxyl B12.

In many children, especially those with sulfation issues,  I have found supplementing with p5p to be quite helpful.  The below article, although complicated, may help those interested in understanding the biochemical explanation behind sulfation issues.

An Overview of the Methylation CycleMethylation is an important biochemical process in your body that helps to regulate chemical reactions for attention, focusing, awareness, language development, detoxification, sleep, immune support, and much more.By Kurt Woeller, D.O.
Reprinted, with permission, from his Newsletter
The methylation cycle is a key area of research in autism and it is important to have a basic understanding of this system when implementing the biomedical therapies for individuals with an autism spectrum disorder (ASD). A key therapy to support methylation is called Methyl-B12 (see Clinical Pearl section for more information).
Re-Methylation (or methylation) – this pathway involves the conversion of homocysteine to methionine. Production of methionine, an amino acid, is the rate-limiting step for the conversion of other necessary proteins that affect the heart and blood vessels, muscle tissue, immune and nervous systems. The conversion of homocysteine to methionine can occur by direct transference of a methyl (CH3) group from methylcobalamin (B12) or betaine (trimethylglycine or TMG).
Trans-Sulfuration – this pathway involves converting homocysteine to two different amino acids – taurine and cysteine. Taurine is most commonly known for heart and liver support, detoxification, bile acid formation and cholesterol excretion. Cysteine has direct influence on glutathione production. Glutathione is a potent antioxidant and has protective effects against DNA/RNA damage, as well as being involved in heavy metal and chemical detoxification and immune function. Many ASD children cannot effectively make taurine and cysteine.

Homocysteine sits at the junction between glutathione and methionine. Imagine a grandfather clock. Homocysteine sits at 6 o’clock and methionine at 12 o’clock. Glutathione is the tail weight that swings back and forth. If the weight swings faster it will pull on homocysteine to maintain glutathione levels. If it swings slower more homocysteine is allowed to be pulled upward to methionine. A balance between the two is key.
Because of its position in this biochemical matrix homocysteine has the capacity to impact methylation and sulfur group transference processes in the body. The most recognized impact of homocysteine is increased risk for cardiovascular disease. However, in children with autism, a faulty methylation system effects other functions as well; particularly cognitive abilities including concentration, attention, language development and processing, environmental awareness and sociability. Other chemicals will impact this system at specific points too. If any one of these intermediary steps is blocked then the clock slows down causing biochemical imbalance. This causes a backlog of chemical information that has deleterious effects on other dependent systems, i.e. immune, hormone, detoxification, and DNA structure and function. Methylcobalamin (MB-12), Folic Acid, and Betaine (TMG) are responsible for taking homocysteine from the 6 o’clock position to methionine at the 12 o’clock position.  SAMe (s-adenosylmethionine) the body’s “universal methyl donor” helps take methionine from the 12 o’clock position to homocysteine at the 6 o’clock position.

The issue with many ASD children is that this system does not operate properly. This has an enormous negative impact on their health with increased susceptibility to chronic infections, inability to detoxify chemicals and heavy metals, and neuro-cognitive problems such as language processing, attention, and concentration. Genetic susceptibility certainly plays a role. However, for many the problem does not manifest until a child’s system is negatively impacted by nutritional deficiencies, digestive problems from yeast, bacteria, parasites, malabsorption from digestive inflammation, chemical pollutants, and toxins from vaccines or environmental exposures. Methyl-B12 therapy is a great option for intervention.

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