Two other methyl donors, choline and betaine, were used in addition to the folic acid and vitamin B12. Choline is also a water soluble essential nutrient that is frequently grouped with the rest of the B vitamins. Choline is found throughout the body but is particularly important within the brain. Betaine is a metabolite of choline. Spinach and beets are rich in betaine. Good sources of choline include egg yolks, soy beans, beef, poultry, seafood, green leafy vegetables and cauliflower. [3]
Betaine is also being marketed as a medication for helping to reduce blood levels of homocysteine in the inherited condition, homocystinuria. (Reducing elevated levels of homocysteine may also reduce the risk of developing heart disease.) [4]
A prenatal diet providing a low intake of the methyl donors folate and B12 has been associated with cardiomyopathy in the infants. [5] Infants born to mothers with a low intake of the methyl donors folate, B12 and choline were also more at risk for cardiomyopathy later in life. [6] Not taking prenatal vitamins during the three months prior to conceiving or during the first month of pregnancy has been associated with an increased risk for autism in the infants especially for women who have a genetic variation in their methylation metabolism, (MTHFR 677 TT, CBSrs234715 GT + TT). [9] People with problems in the methylation pathways may need to take a methylated form of B12 and folate rather than the more commonly available form of folic acid. [10]
A link between BPA intake and an increased risk for heart disease has been discovered. [7] The physiologic reason is not known. Tips from the article for people hoping to reduce exposure to BPA include:
- avoid use of foods and beverages from cans,
- avoid re-using plastic bottles for beverages,
- limit handling of store receipts or placing them in store bags with unwrapped foods. Some register receipts have a BPA coating
- and wash your hands after handling register receipts. [7]
Adequate B vitamin intake is essential for reducing elevated levels of homocysteine. An increased blood level of homocysteine has been associated with increased heart disease risk. The amount of calcification within coronary arteries has also been shown to be predictive of heart disease risk. [8]
- Synopsis of the BPA prenatal mouse study, by Pete Myers, PhD, “Bisphenol A alters epigenetic programming in fetal mice, and the effect can be reversed by genistein“, (about the BPA mouse study) (July 30, 2007): [environmentalhealthnews.org/] *link i no longer working. Excerpt: “The new findings focus on BPA’s ability to remove ‘protective molecules’ that normally prevent genes from being turned on at the wrong time or in the wrong tissue.”
- The full research article: by Dana C Dolinoy, Dale Huang, Randy L. Jirtle, Maternal nutrient supplementation counteracts bisphenol A-induced DNA hypomethylation in early development, PNAS, August 7, 2007, vol 104, No. 32, 13056-13061 [pnas.org] *The mice in the experimental groups were being fed a diet including 50 mg BPA/kg which was considered to be less than the known toxic dose for mice but it represents a greater amount than is assumed to be found in the average human’s daily diet.
- “Choline” on whfoods.com: [whfoods.com]
- “Betaine,” (Feb. 11, 2012) PubMed Health: [ncbi.nlm.nih.gov/] *link not working, part of the information is available here: [med.nyu.edu]
- Garcia MM et al, “Methyl donor deficiency induces cardiomyopathy through altered methylation/acetylation of PGC-1α by PRMT1 and SIRT1.” J Pathol. 2011 Nov;225(3):324-35. doi: 10.1002/path.2881. Epub 2011 Jun 1. [ncbi.nlm.nih.gov]
- Joseph J, “Fattening by deprivation: methyl balance and perinatal cardiomyopathy.” J Pathol. 2011 Nov;225(3):315-7. doi: 10.1002/path.2942. Epub 2011 Jul 7. [ncbi.nlm.nih.gov]
- Kathleen Doheny, “Higher BPA Levels, More Heart Disease? Researchers Find Higher BPA Levels Linked With Narrower Arteries; Industry Says Study Proves Nothing” (Aug. 15, 2012) WebMD: [webmd.com]
- Michael O’Riordan, “Coronary artery calcium bests other risk markers for CVD risk assessment” (Aug. 22, 2012) theheart.org: [theheart.org/article] *subscription service
- Rebecca J. Schmidt, et. al. , “Prenatal vitamins, one-carbon metabolism gene variants, and risk for autism,” Epidemiology. 2011 Jul; 22(4): 476–485. [ncbi.nlm.nih.gov]
- “Folate is essential and Folic Acid is commonly available,” Aug. 21, 2013 [transcendingsquare.com]
- “MTHFR C677T Mutation: Basic Protocol,” on February 24, 2012
Other references regarding B vitamins:
-
- Article by Kate Geagan, MS, RD, End Your Energy Crisis With B12, (Jan. 10, 2012), The Doctor Oz Show website: [doctoroz.com/]
- Mood Disorders – Depression, The Vitamin Update website: [vitamin-update.com] Includes information about mental health symptoms and functions of several B vitamins and a few trace minerals.
- Author: Vladimir Hegyi, Dermatologic Manifestations of Pellegra, (May 15, 2012) emedicine.Medscape: [emedicine.medscape.com] (deficiency of Niacin or B3)
- Author: Dieu-Thu Nguyen-Khoa, BeriBeri (Thiamin Deficiency), (Dec. 13, 2011) emedicine Medscape: [emedicine.medscape.com] (B1)
- Author: Richard E. Frye, Pyridoxine Deficiency, (May 26, 2010) emedicine Medscape: [emedicine.medscape.com] (B6)
- Author: Angela Gentili, Folic Acid Deficiency, (Dec 1, 2011) emedicine Medscape: [emedicine.medscape.com]