Dr. Amy Nett: OK, so this is another multivitamin question, and again, I don’t really use multivitamins. There are only really a few instances when I use multivitamins. Generally prenatal. If someone’s pregnant I might use them, or I had a patient yesterday who just went through a terrible UC flare, really malnourished, lost 35 pounds in six weeks, so we have her on a multivitamin for, again, a short duration. It’s not often that I would even recommend a multivitamin. The PureGenomics multivitamin from Pure Encapsulations looks fine. I don’t feel that it’s necessarily any better or any worse than the other multivitamins we’ve talked about previously.
You mentioned that they’re marketing it as a multi that can be good for anyone, regardless of their methylation status. I don’t think I’ve really run into a lot of issues with people not tolerating multivitamins due to methylation issues. People may not tolerate multivitamins because of some of the individual components in them or fillers in them, but I don’t know that it’s necessarily a methylation issue, so I think the marketing there, of saying people can take it regardless of their methylation genetics or status, I’m not sure exactly how they’re marketing it, but I think that’s simply their marketing strategy. I don’t think PureGenomics is any better from a methylation standpoint, but again, looking at methylation isn’t something that’s necessarily going to help me choose a multivitamin. If someone needs true methylation support, I’m going to do a much more dedicated protocol, and most multivitamins for people, in general, they’re not super-high doses of some of the active B vitamins. You always want to check the dose of MTHF in case people are sensitive to it, but it’s just not something I see too much.