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Estrogen breakdown, melatonin synthesis, myelin maintenance, and DNA methylation/gene expression : All depend on adequate SAM supply. Methylfolates Third Role: BH4 and Neurotransmitter Support Methylfolate also helps maintain healthy levels of tetrahydrobiopterin (BH4)a required cofactor for producing serotonin, dopamine, and norepinephrine. It does this by preventing BH4 inactivation and by supporting SAM production for downstream conversions. About one-third of people with low mood have outright folate deficiency, and low folate status correlates strongly with poor response to some medications. BH4 is also required for nitric oxide productioncritical for blood vessel dilation and cardiovascular health. When Methylfolate Runs Low Homocysteine accumulates (it cant be recycled back to methionine), SAM production drops, and methylation stalls

Int J Nutr Food Sci