Dr. Alex Jimenez Explains Why Methylation Can Go Wrong
Many healthcare professionals have demonstrated several potential concerns associated with folic acid and methyl-folate supplementation. Several risks of folic acid or other folate derivative supplements, including commonly utilized alternatives such as 5-mTHF and folinic acid, have become widely recognized and they aren't frequently discussed. These health issues are described below.- The increased intake of these supplements can mask a vitamin B12 deficiency. Vitamin B12 deficiencies are normally characterized by megaloblastic anemia, however, when folate levels are too high, cell division will continue to occur within the bone marrow and this will mask the anemia. Unaddressed vitamin B12 deficiencies can cause irreversible neurological damage and cognitive impairment.
- Folate or folic acid supplements may also reduce the efficiency of certain anti-folate drugs and/or medications, such as methotrexate, anti-cancer, anti-malarial, and anti-bacterial medicines.
Health Issues Caused by Aberrant Methylation
Aberrant methylation caused by folic acid supplementation is not explained by UMFA or DHF. Therefore, healthcare professionals cannot rule out the possibility of excessive or aberrant methylation as a contributing and/or underlying factor for disease.Immune Dysregulation and Dysfunction
Epigenetics has been demonstrated to play an essential role in the development of allergic diseases. By way of instance, epigenetic alterations, including DNA hyper- and hypomethylation, are associated with childhood IgE-mediated food allergies. Although not all research studies agree with the outcome measures regarding these specific mechanisms of action, there are several findings connecting the intake of methyl donors with the development of disease which prompt potential concerns for further investigation.Several research studies have associated folic acid intake during pregnancy with an increased risk for developing allergic diseases in offspring. Increased levels of maternal folic acid supplementation, or more than 500 mcg/d as compared to less than 200 mcg/d, have been associated with an 85 percent increased risk for developing allergic eczema. In animals, maternal supplementation with a combination of folic acid, vitamin B12, choline, L-methionine, zinc, and betaine during pregnancy enhanced the development of many symptoms of allergic airway diseases, including airway hyperreactivity and higher concentrations of serum IgE.
Similar maternal supplementation with non-dietary methyl donors, including synthetic folic acid, has been demonstrated to increase offspring susceptibility to developing inflammatory bowel disease. Another research study, not of maternal intake, demonstrated that folic acid intake above 600 mcg/d, from either food and/or supplements, was associated with impaired natural killer cell activity.
Blood Sugar Dysregulation
Maternal folic acid supplementation at 500 mcg/d has also been associated with increased incidence of insulin resistance in children at 6 years of age, an effect apparently exacerbated by low maternal vitamin B12 status, according to research studies.Prenatal Development Dysfunction
Increased folic acid intake is also associated with embryonic loss, growth delay, and increased risk of ventricular septal heart defects.Comorbidity and Mortality in Diabetic Adults
In a retrospective research study of approximately 526 diabetic adults, increased levels of RBC folate were associated with an increased risk for developing cardiovascular and cerebrovascular disease. In addition, the ratio for dying within 15 years in those with high RBC folate was 2.10, or 95 percent CI = 1.37 – 3.20, compared with a baseline of those with low RBC folate.If the association between increased methylation and disease are caused through alterations in methylation activity, the possibility exists that alternative forms of folate supplementation can also change methylation activity in ways that could cause the same risks.
Changes in folate have been demonstrated to affect DNA methylation. Many healthcare professionals turn to folate supplements in under-methylating patients to help “regulate” DNA methylation activity. Unfortunately, research studies regarding the effect of folate and methylation on the DNA “methylome” are conflicting and inconclusive. However, healthcare professionals should not ignore that increasing levels of folate and SAMe methyl donors might increase DNA methylation beyond healthy levels.
According to researchers, if there is too little methylation present, a gene that causes disease may be expressed. Conversely, if there is too much methylation present, a gene that prevents disease may be suppressed. If this is indeed true, we can only assume that when methylation goes wrong, our overall health and wellness can be affected. In part 2 of this article, Dr. Alex Jimenez explains how methylation can go wrong, specifically discussing cancer, autoimmune conditions, immune hypersensitivity and Down Syndrome.

DNA methylation is a fundamental epigenetic mechanism which regulates gene expression, cell energy production, detoxification, and many other functions. Unfortunately, some people may experience methylation health issues which can affect overall health and wellness. Many health professionals may help treat these methylation problems with supplementation, however, research studies have demonstrated that supplementation can sometimes cause methylation to go wrong. Aberrant methylation can cause a variety of health issues, including immune dysregulation and dysfunction, blood sugar dysregulation and prenatal development dysfunction.
Dr. Alex Jimenez D.C., C.C.S.T. Insight
Smoothies and Juices for Methylation Support

Sea Green Smoothie
Servings: 1
Cook time: 5-10 minutes
• 1/2 cup cantaloupe, cubed
• 1/2 banana
• 1 handful of kale or spinach
• 1 handful of Swiss chard
• 1/4 avocado
• 2 teaspoons spirulina powder
• 1 cup water
• 3 or more ice cubes
Blend all ingredients in a high-speed blender until completely smooth and enjoy!
Berry Bliss Smoothie
Servings: 1
Cook time: 5-10 minutes
• 1/2 cup blueberries (fresh or frozen, preferably wild)
• 1 medium carrot, roughly chopped
• 1 tablespoon ground flaxseed or chia seed
• 1 tablespoons almonds
• Water (to desired consistency)
• Ice cubes (optional, may omit if using frozen blueberries)
Blend all ingredients in a high-speed blender until smooth and creamy. Best served immediately!
Sweet and Spicy Juice
Servings: 1
Cook time: 5-10 minutes
• 1 cup honeydew melons
• 3 cups spinach, rinsed
• 3 cups Swiss chard, rinsed
• 1 bunch cilantro (leaves and stems), rinsed
• 1-inch knob of ginger, rinsed, peeled and chopped
• 2-3 knobs whole turmeric root (optional), rinsed, peeled and chopped
Juice all ingredients in a high-quality juicer. Best served immediately!
Ginger Greens Juice
Servings: 1
Cook time: 5-10 minutes
• 1 cup pineapple cubes
• 1 apple, sliced
• 1-inch knob of ginger, rinsed, peeled and chopped
• 3 cups kale, rinsed and roughly chopped or ripped
• 5 cups Swiss chard, rinsed and roughly chopped or ripped
Juice all ingredients in a high-quality juicer. Best served immediately!
Zesty Beet Juice
Servings: 1
Cook time: 5-10 minutes
• 1 grapefruit, peeled and sliced
• 1 apple, washed and sliced
• 1 whole beet, and leaves if you have them, washed and sliced
• 1-inch knob of ginger, rinsed, peeled and chopped
Juice all ingredients in a high-quality juicer. Best served immediately!
Protein Power Smoothie
Serving: 1
Cook time: 5 minutes
• 1 scoop protein powder
• 1 tablespoon ground flaxseed
• 1/2 banana
• 1 kiwi, peeled
• 1/2 teaspoon cinnamon
• Pinch of cardamom
• Non-dairy milk or water, enough to achieve desired consistency
Blend all ingredients in a high-powered blender until completely smooth. Best served immediately!
ProLon® Fasting Mimicking Diet
Balanced methylation support can be achieved through proper nutrition. The ProLon® fasting mimicking diet offers a 5-day meal program which has been individually packed and labeled to serve the foods you need for the FMD in precise quantities and combinations. The meal program is made up of ready-to-eat or easy-to-prepare, plant-based foods, including bars, soups, snacks, supplements, a drink concentrate, and teas. The products are scientifically formulated and great tasting. Before starting the ProLon® fasting mimicking diet, 5-day meal program, please make sure to talk to a healthcare professional to find out if the FMD is right for you. The ProLon® fasting mimicking diet can help promote methylation support, among a variety of other healthy benefits.Many doctors and functional medicine practitioners may recommend higher doses of methyl donors in several patients, however, further research studies are needed to determine the proper amount of methylation supplementation. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Acute Back Pain
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.Formulas for Methylation Support

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