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The Slow COMT ROADMAP

Roadmaps to Health

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Which Form of B6 Do You Need? A Simple At-Home Test
Malek Hamed, MD Malek Hamed, MD

Which Form of B6 Do You Need? A Simple At-Home Test

I want to start this article by immediately making it clear that not everyone requires supplemental B6. This is a very common mistake—and not an innocent one either.

Taking B6 when you don’t need it can lead to “toxicity” symptoms (for the record, I don’t agree with the mainstream understanding of B6 “toxicity” and absolutely believe it can be reversed much more quickly and effectively than by simply “waiting it out” and supporting hydration/vasodilation—the prevailing approach—but that’s another story).

Those “toxicity” symptoms generally begin as neuropathy, like the kind you get with diabetes: tingling in your toes and so on.

But some people absolutely do need B6 supplementation…

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Are Your Supplements Really Causing Cancer?—Taurine on Trial
Malek Hamed, MD Malek Hamed, MD

Are Your Supplements Really Causing Cancer?—Taurine on Trial

“Common Ingredient in Energy Drinks May Increase Risk of Cancer”

”Ingredient in Energy Drinks Linked to Blood Cancer Risk”

You’ll have seen popular new outlets blaring these titles over the last several days. I’d like my readers to know that these titles are entirely misleading and potentially even harmful.

Yet another article is titled:

“This popular drink may increase the risk of blood cancer, warn doctors”

I, for one, am not of those “doctors.”

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What Medicine Has Forgotten…
Malek Hamed, MD Malek Hamed, MD

What Medicine Has Forgotten…

Something's been on my mind lately, and I wanted to share it with you all:

What is it that really plagues the medical field today? What makes the medical field so endlessly incapable of truly healing, rather than just keeping people locked into a self-perpetuating system?

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How Zinc Might Fix BOTH Your Sleeplessness AND Your Sleepiness
Malek Hamed, MD Malek Hamed, MD

How Zinc Might Fix BOTH Your Sleeplessness AND Your Sleepiness

Sleep is undoubtedly one of those lingering mystery of modern science. It’s tempting to say that it’s one those “last frontiers”—i.e. those things that we still don’t really understand, despite how much we apparently know—like the trenches of the ocean, or deep outer space…

But, of course, that’s not true.

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You’re Probably Taking Methylfolate Incorrectly. What To Do Instead:
Malek Hamed, MD Malek Hamed, MD

You’re Probably Taking Methylfolate Incorrectly. What To Do Instead:

Methylfolate has dramatically increased in popularity over the past few years. While most multivitamins and B-complex supplements used to contain only folic acid—the synthetic and potentially harmful form that I strongly discourage—many brands now include the so-called "methylated" form of folate instead. This shift is largely driven by the skyrocketing interest in MTHFR gene testing and the assumption that methylfolate is always better.

But is it really?

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Why I DO NOT Recommend Multivitamins—The Case of Copper
Malek Hamed, MD Malek Hamed, MD

Why I DO NOT Recommend Multivitamins—The Case of Copper

Multivitamin supplementation is extremely common. Probably somewhere around one in three U.S. adults takes some form of multivitamin on a regular basis, hoping to improve their health. That hope is often directed toward reducing the risk of disease—namely chronic illnesses like Alzheimer’s disease, heart disease, and so on—or simply improving day-to-day functioning (i.e., “feeling better”).

The problem is: I do not recommend multivitamin supplementation for the vast majority of people—for the vast majority of multivitamin formulations on the market.

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Slow COMT in the Context of Sulfur Intolerance
Malek Hamed, MD Malek Hamed, MD

Slow COMT in the Context of Sulfur Intolerance

Managing slow COMT variants requires a tailored mix of (balanced) methylation-supporting strategies, neurotransmitter-modulating strategies, and so on. However, these measures may at times clash with those required for the management of sulfur intolerances.

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Why ‘Natural’ *Is* Actually Better
Malek Hamed, MD Malek Hamed, MD

Why ‘Natural’ *Is* Actually Better

There is a society-level push to distance humans from human nature.

Consider the claim commonly made by health influencers and media pundits that “just because something is ‘natural’ it doesn’t mean that it’s ‘better.’”

Then just look at the sheer number of articles written…

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Why You Probably Should Not Take SAMe
Malek Hamed, MD Malek Hamed, MD

Why You Probably Should Not Take SAMe

SAMe is found in virtually every single cell in your body.

It’s involved in producing neurotransmitters like serotonin and dopamine, detoxifying the liver from toxins and alcohol, supporting the gut-brain connection, and even regulating the expression of your own genetic code.

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What Supplements Should You Take If You Have a MAT1A Mutation?
Malek Hamed, MD Malek Hamed, MD

What Supplements Should You Take If You Have a MAT1A Mutation?

The MAT1A gene doesn’t get much attention in the methylation world. In fact, many “methylation tests” don’t even test for your MAT1A variant—instead, they just focus on five genes: MTHFR, MTR, MTRR, AHCY, and COMT.

But that’s a big loss, as the MAT1A is actually highly important to your ability to properly methylate.

In fact, MAT1A is arguably the gene with the most direct impact on methylation.

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The Most Important Blood Test Your Doctor Probably Never Orders
Malek Hamed, MD Malek Hamed, MD

The Most Important Blood Test Your Doctor Probably Never Orders

Doctors are notorious for being pretty temperate in their lab ordering: A CBC (blood count), CMP (kidney and liver markers), TSH (thyroid), A1C (diabetes screening), Lipid Panel (heart disease risk screening), and maybe a Vitamin D/B12 level are pretty much all that most doctors routinely order.

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The New (Hidden) Disease—B6 Toxicity 💊
Malek Hamed, MD Malek Hamed, MD

The New (Hidden) Disease—B6 Toxicity 💊

Lightheadedness, fatigue, peripheral neuropathy (like the kind you get with diabetes), allergies, brain fog, food intolerances, heat intolerance, blurred vision, blood pressure dysregulation (including POTS), exercise intolerance, etc. These are symptoms of a new, underrecognized pervasive sickness.

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Is Coffee ☕ Good for People with a Fast COMT?
Malek Hamed, MD Malek Hamed, MD

Is Coffee ☕ Good for People with a Fast COMT?

Caffeine (through coffee, tea, or otherwise) has the clear potential to interact with different COMT variants in different ways. I discussed some of this in a previous article, where I covered how caffeine can actually increase the risk of heart attacks in people with slow COMT variants. But what about fast COMT variants…

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How the COMT Gene Affects Your Susceptibility to Pain
Malek Hamed, MD Malek Hamed, MD

How the COMT Gene Affects Your Susceptibility to Pain

Pain is a very subjective experience. What barely perturbs one person can be enough to utterly upend another’s life entirely. This applies to physical pain—things like thorn pricks, broken bones, etc.—as well as emotional and psychological pain

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How NAC Can Help People with COMT Mutations
Malek Hamed, MD Malek Hamed, MD

How NAC Can Help People with COMT Mutations

Catechol-O-methyltransferase, or COMT as it’s more commonly known, is an enzyme that’s responsible for breaking down a variety of different compounds in the body. This includes things like: Dopamine—an important neurotransmitter…

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