Why this matters
Learn how to read a specific genetic variant before drawing conclusions about homocysteine.
How the pieces connect
Folate, B12, and sulfur pathways involve many genes. The exact variant and its classification tell you more than a gene name or a colored app result.
Read the variant, not just the gene name
A gene is a set of instructions; a variant is a particular difference in those instructions. Different variants in the same gene can have very different significance. “Homozygous” describes having the same variant in both copies at a location; it is not a severity score. MTHFR C677T and A1298C therefore need to be read as specific findings in context, not as proof that all of methylation is blocked. Dr. Purser’s gene list is a map of topics to investigate.
The wider genetic map in the final book
Chapters 3–4 and 11 of Outlive Your Toxic Genetics expand the discussion from MTHFR to folate handling, B12 transport/use, SAM/SAH regulation and transsulfuration. Examples include AHCY, BHMT, FOLH1, MTR/MTRR, SHMT1, TCN2, MTHFD1/MTHFD1L, SLC19A1, CBS and CTH. These names help organize a lesson; the exact variant and clinical classification still matter. Dr. Purser’s “22 SNPs” terminology is a teaching framework, not a substitute for verifying a laboratory result or a treatment rule.
Keep in mind
A gene list cannot diagnose you. A common variant, even in both copies, does not by itself prove high homocysteine, an immune problem, or a need for supplements.
A question for your next conversation
Which exact variant was measured, and what is its clinical classification?
BUILD YOUR UNDERSTANDING
A few concepts, made clearer.
CBS
CBS is the gene symbol used for Cystathionine Beta-Synthase. This page connects its terminology with the topics in the Purser Wellness teaching encyclopedia.
Read the full referenceGGH
GGH is the gene symbol used for Gamma-Glutamyl Hydrolase. This page connects its terminology with the topics in the Purser Wellness teaching encyclopedia.
Read the full referenceMTHFR
Makes an enzyme that helps produce a form of folate used in the processing of homocysteine. Common variants are different from rare variants that cause severe MTHFR deficiency.
Read the full referenceMTR
Makes the methionine synthase enzyme, which uses vitamin B12 in the conversion of homocysteine to methionine.
Read the full referenceLET YOUR CURIOSITY LEAD
One idea opens another.
Choose a subject to find the related teaching across videos, articles, courses and references.













