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Re: Folinic acid

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Both folinic and folic made my daughter crazy!! Unless you know that this form

can be further broken down in the body,I would use care. It was only after using

the 5 methyltetrahydrofolate form for a time ~ 6wks~ that my daughter could

tolerate the folinic. The calcium it in may have been part of the problem too.

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> > I am thinking of trying this: can nayone recommend a good brand, etc,

please?

> > Margaret

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Margaret,

I think there are quite a few kids who probably need the 5

methyl-tetrahydrofolate form. Metagenics is the most readily found in stores,

but I was told by our naturopath not to use that one. We've used the Thorne

MTHF for a long while now and find it good. It's pretty easy to find as well.

With the 5MTHF I tihnk you'd find you didn't need such high doses. I think

Thorne does a 'regular' folic acid in drops, which might be easier to the dose

you're looking for, as most capsules are generally 800 mcgs or so.

Anita

> > >

> > > I am thinking of trying this: can nayone recommend a good brand, etc,

please?

> > > Margaret

> > >

> >

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Thank you everyone for answers about this, that's useful.

I saw this on another list a few days ago:

Folinic acid-responsive seizures are identical to pyridoxine-dependent epilepsy.

Gallagher RC, Van Hove JL, Scharer G, Hyland K, Plecko B, Waters PJ,

Mercimek-Mahmutoglu S, Stockler-Ipsiroglu S, Salomons GS, Rosenberg EH, Struys

EA, Jakobs C.

Clinical Genetics and Metabolism, Department of Pediatrics, University of

Colorado at Denver, CO, USA. gallagher.renata@...

Abstract

OBJECTIVE: Folinic acid-responsive seizures and pyridoxine-dependent epilepsy

are two treatable causes of neonatal epileptic encephalopathy. The former is

diagnosed by characteristic peaks on cerebrospinal fluid (CSF) monoamine

metabolite analysis; its genetic basis has remained elusive. The latter is due

to alpha-aminoadipic semialdehyde (alpha-AASA) dehydrogenase deficiency,

associated with pathogenic mutations in the ALDH7A1 (antiquitin) gene. We report

two patients whose CSF showed the marker of folinic acid-responsive seizures,

but who responded clinically to pyridoxine. We performed genetic and biochemical

testing of samples from these patients, and seven others, to determine the

relation between these two disorders. METHODS: CSF samples were analyzed for the

presence of alpha-AASA and pipecolic acid. DNA sequencing of the ALDH7A1 gene

was performed. RESULTS: Both patients reported here had increased CSF

alpha-AASA, CSF pipecolic acid, and known or likely pathogenic mutations in the

ALDH7A1 gene, consistent with alpha-AASA dehydrogenase deficiency. Analysis of

CSF samples from seven other anonymous individuals diagnosed with folinic

acid-responsive seizures showed similar results. INTERPRETATION: These results

demonstrate that folinic acid-responsive seizures are due to alpha-AASA

dehydrogenase deficiency and mutations in the ALDH7A1 gene. Thus, folinic

acid-responsive seizures are identical to the major form of pyridoxine-dependent

epilepsy. We recommend consideration of treatment with both pyridoxine and

folinic acid for patients with alpha-AASA dehydrogenase deficiency, and

consideration of a lysine restricted diet. The evaluation of patients with

neonatal epileptic encephalopathy, as well as those with later-onset seizures,

should include a measurement of alpha-AASA in urine to identify this likely

underdiagnosed and treatable disorder.

and I was interested, because my son had a seizure disorder which was dealt with

by Vitamin B6.

Margaret

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> > > > I am thinking of trying this: can nayone recommend a good brand, etc,

please?

> > > > Margaret

> > > >

> > >

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FWIW my son does much better on Thorne MTHF than folinic or folic acid, although

we have'nt tried other brands of active folic acid.

Kenny

> > > >

> > > > I am thinking of trying this: can nayone recommend a good brand, etc,

please?

> > > > Margaret

> > > >

> > >

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Hi Margaret,

This is interesting.Although the cause of my son's seizures are not known yet, I

am trying to modify everything.In this research I wonder why lysine restricted

diet has been recommended? I checked it on line, so many foods in various

strength have lysine..I would like to control what I am giving to my son..Does

anyone know why this is recommended?

Thanks for sharing.

Nevin

> > > > >

> > > > > I am thinking of trying this: can nayone recommend a good brand, etc,

please?

> > > > > Margaret

> > > > >

> > > >

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