10/12/2025
Homocysteine is a sulfur-containing amino acid that is a byproduct of the metabolism of methionine. Methionine is used by cells to supply methyl groups, which are required in many different cellular reactions.
Homocysteine is maintained at a relatively constant level by several mechanisms in the methionine cycle.
Most homocysteine is remethylated to methionine using methyl groups from the folate cycle or donated from trimethylglycine (also called betaine). This process occurs primarily in the liver and requires methylfolate along with vitamin B12.
Why is high homocysteine a problem?
Recent research shows that homocysteine can bind to proteins after they are synthesized in post-translational protein modification. Proteins are made up of amino acids that are arranged in a specific way. The incorporation of homocysteine (an amino acid) ultimately changes the structure of the protein and can affect its function.
The problem arises when too much homocysteine is available, and it ends up being incorporated into too many proteins. For example, homocysteine may take the place of methionine in proteins. The addition of homocysteine causes some proteins to become pro-inflammatory or pro-thrombotic.
Homocysteine levels can be high for a number of reasons:
- Insufficient folate and B12 (exacerbated by variants in MTHFR, MTR – check your genotype report in my article below)
- Not enough B6 (CBS pathway)
- More methionine than the body can handle
- Renal insufficiency (kidney disease) or alcoholism
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This is just a short excerpt from my in-depth article on homocysteine. Here is a link to my full article: www.geneticlifehacks.com/understanding-homocysteine-levels/
With a Genetic Lifehacks membership, you can use your genetic raw data (from 23andMe, AncestryDNA, etc) to see your genotypes in over 400 articles, including my article on homocysteine. You will see research-backed solutions in the lifehacks section to help determine what pathway to target -- all based on your genetic variants. Personalize your health!