Tracey O’Shea: “Do we cover genetic testing analysis, i.e., how to interpret? When is it indicated? [I was] wondering, as I saw this as an example in [the] Week 15 module and case review. I find genetics and epigenetics confusing, to say the least.”
You and me both, Sandy. It is rather confusing and very nuanced, and there are so many different opinions out there. I do not think the genetic testing analysis is included in the ADAPT [program]. I have not seen it anywhere and I have not been made aware of the fact that we are adding that, and I think primarily because of this that Chris, when [he] and I talk about this and patients ask about their genetic reports and what to do with them, we generally say yes, you can upload your methylation panel and your detox panel, [and] we’ll take a quick look, but we’re using labs, like, we are using the data to help guide us. If you do have a genetic mutation that supports the data, let’s say MTHFR because that’s the one that everyone asks about. If your homocysteine is high, your B12 is low, [and] your folate is low, we have all these other markers, maybe like the FIGLU [formiminoglutamic acid] on your organic acids is high, if we have all these other markers and then you also have this genetic mutation or variant, then okay, great, like, this will make sense; maybe this genetic variant is being expressed and you particularly may just need a little bit [of] support long term or forever, and we usually just tell patients, like, we just don’t think that we’re there yet in genetic research to give people a diet based off their genetics or supplements that they should be on based off their genetics, so when people upload those forms or ask us about the recommendations that they get from some of these, like StrateGene and some of these other companies, we usually tell them that we’re not there, that we don’t agree with those recommendations, that we want to use labs and test results to help guide treatment and not just genetic reports, because we just don’t think that the research is there to support that, making, like, medical decisions just based off a genetic report. I hope that answers the question.