Hello,
When testing brings to notice an MTHFR
mutation, it means a genetic variation in the enzyme that enables processing of
folate. Most are usually rather common and do not, themselves, cause major illness. Yet, a requirement of simple supplementation or follow-up blood work is based on the exact mutation and whether it impacts folate levels or
homocysteine levels. A
hematologist will check for this.
What is important is the mutation in and of itself does not automatically mean something dangerous is happening; it just means a specialist has to look at the report in context with your symptoms, homocysteine levels, and family history.
Look for a board-certified hematologist who deals with clotting disorders and nutritional hematology. For real-life practice, if my patients come in with such a report, I usually repeat the homocysteine test and review their intake of folate. A specialist may recommend a particular form of folate; however, this should be done after reviewing a full picture. So getting that in-person appointment is the right move. Bring your report and previous blood tests to your hematologist.
Take care. Hope I have answered your question. If you have any further query I will be happy to help. Wish you good health.
Regards,
Dr. Usaid Yousuf, General and Family Physician