title: Anxiety and Methylenetetrahydrofolate Reductase Mutation Treated With S-Adenosyl Methionine and Methylated B Vitamins.
abstract: This case report highlights challenges faced in the clinical management of patients with methylenetetrahydrofolate reductase (MTHFR) gene mutations and the importance of precise dosage when recommending methylated B vitamins to compensate for deficiencies caused by the polymorphism or symptoms related to the polymorphism. It also underscores the importance of obtaining ongoing objective assessments of anxiety (eg, Patient Reported Outcomes Measurement Information System, or PROMIS) to help gauge patient response.
authors.affiliation: Shanna Anderson, ba ; Jacob Panka, ba ; Robin Rakobitsch, ba ; and Kaitlin Tyre, ba , are students at the National College of Natural Medicine (NCNM) in Portland, Oregon. Kerry Pulliam, MD, is a family medicine practitioner in private practice in Portland, Oregon.
authors.forename: Shanna
authors.initials: S
authors.lastname: Anderson
authors.affiliation: Shanna Anderson, ba ; Jacob Panka, ba ; Robin Rakobitsch, ba ; and Kaitlin Tyre, ba , are students at the National College of Natural Medicine (NCNM) in Portland, Oregon. Kerry Pulliam, MD, is a family medicine practitioner in private practice in Portland, Oregon.
authors.forename: Jacob
authors.initials: J
authors.lastname: Panka
authors.affiliation: Shanna Anderson, ba ; Jacob Panka, ba ; Robin Rakobitsch, ba ; and Kaitlin Tyre, ba , are students at the National College of Natural Medicine (NCNM) in Portland, Oregon. Kerry Pulliam, MD, is a family medicine practitioner in private practice in Portland, Oregon.
authors.forename: Robin
authors.initials: R
authors.lastname: Rakobitsch
authors.affiliation: Shanna Anderson, ba ; Jacob Panka, ba ; Robin Rakobitsch, ba ; and Kaitlin Tyre, ba , are students at the National College of Natural Medicine (NCNM) in Portland, Oregon. Kerry Pulliam, MD, is a family medicine practitioner in private practice in Portland, Oregon.
authors.forename: Kaitlin
authors.initials: K
authors.lastname: Tyre
authors.affiliation: Shanna Anderson, ba ; Jacob Panka, ba ; Robin Rakobitsch, ba ; and Kaitlin Tyre, ba , are students at the National College of Natural Medicine (NCNM) in Portland, Oregon. Kerry Pulliam, MD, is a family medicine practitioner in private practice in Portland, Oregon.
authors.forename: Kerry
authors.initials: K
authors.lastname: Pulliam