CONFIDENTIAL
CLINICIAN'S OVERVIEW
Immunity
Report: Immunity
Patient: Kashif Khan- New test kit
Patient ID: MG6644
HEALTH CONCERN

Vitamin D
Genes involved:
CYP2R1, GC, VDR
RESULT + SUMMARY

This patient is more likely to have suboptimal Vitamin D levels. The issue of suboptimality depends on which genes have suboptimal variations. Poor CYP2R1 function means reduced conversion of Vitamin D from D2 to D3 (activated form).

Poor GC/VDBP function means reduced transport of Vitamin D from site of activation to site of function. Poor VDR function means reduced ability of Vitamin D to bind to its receptor and activate its functions in the body.
SUPPLEMENT
RECOMMENDATIONS

Serum D levels should be assessed before instituting therapy and afterwards to assess/monitor progress.
When vitamin D therapy is indicated, always use Vitamin D3.
Vitamin D supplementation should be offered during the day, ideally in the morning.
For those with suboptimal GC, daily divided dosing is recommended.
Magnesium should be offered concurrently to support vitamin D absorption and utilization.
DIET, LIFESTYLE, AND ENVIRONMENT
RECOMMENDATIONS

Get direct skin exposure to natural sunlight, especially first thing in the morning.
Vitamin D3 supplementation should be taken during the morning hours.
Report: Immunity
Patient: Kashif Khan- New test kit
Patient ID: MG6644
HEALTH CONCERN

Methylation
Genes involved:
MTHFR, SHMT1, MTR, MTRR, FUT2
RESULT + SUMMARY

This patient is more likely to have a poor anti-inflammatory response. In the case of viral or bacterial infections, this patient may be more likely to exhibit more severe symptoms.
They may be more likely to exhibit "cytokine storms" or another form of a severe immune reaction.
They are at an increased risk of a poor autoimmune response and are more likely to struggle with things like brain fog, migraines, fatigue, and other forms of myalgia.
SUPPLEMENT
RECOMMENDATIONS

Vitamin B12 (methylated form if MTR genotype is AA, adenosyl form if otherwise).
Vitamin B12 dosage based on further objective test results of levels in urine or serum.
Vitamin B9 (methylated form if SHMT1 genotype is GG, non-methylated forms such as folinic acid or folic acid if otherwise).
Vitamin B6
SAMe (except if the patient also carries AA genotype for COMT)
DIET, LIFESTYLE, AND ENVIRONMENT
RECOMMENDATIONS

Prioritize vitamin B rich foods (mainly B12, B6, B2, and B9) found in sustainable fish, organic eggs, organic spinach, beer yeast, and nutritional yeast
Additional anti-inflammatory and methylation support should be offered to suboptimal methylators who are on a plant-based diet.
Report: Immunity
Patient: Kashif Khan- New test kit
Patient ID: MG6644
HEALTH CONCERN

Detoxification
Genes involved:
GSTT1, GSTM1, GSTP1
RESULT + SUMMARY

This patient is more likely to have suboptimal glutathionization function. Their ability to effectively render toxins harmless and remove them from the body is considered suboptimal.
0 copies of GSTT1 or GSTM1: They are more likely to struggle with fatigue, lack of energy and tiredness, particularly when exposed to chemicals or after periods of sustained exercise or physical activity.
GG or AG GSTP1: They are more likely to struggle with strong smells, chemicals, parfums, and other odorizers. They may complain of frequent migraines and headaches, particularly when exposed to chemicals or other environmental toxins such as cigarette smoke, mould, or pollution.
SUPPLEMENT
RECOMMENDATIONS

Youtrients Detox Optimizer
NAC
Milk Thistle
Selenium
Manganese
Alpha Lipoic Acid
Vitamin C
Magnesium
Sulforaphane
DIET, LIFESTYLE, AND ENVIRONMENT
RECOMMENDATIONS

Avoid spending excessive time in toxic environments such as designated smoking areas, high pollution environments, moldy environments, and areas with high pesticide use
Focus on getting enough deep, rested sleep at night
Eat bitter vegetables for increasing liver support.
Report: Immunity
Patient: Kashif Khan- New test kit
Patient ID: MG6644
HEALTH CONCERN

Anti-Oxidation
Genes involved:
SOD2, GPX
RESULT + SUMMARY

This patient carries the normal or optimal profile
SUPPLEMENT
RECOMMENDATIONS

No Recommendations
DIET, LIFESTYLE, AND ENVIRONMENT
RECOMMENDATIONS

No Recommendations
Patient: Kashif Khan- New test kit
Patient ID: MG6644
Report: Immunity
GENE

GSTT1
CNV
(# of copies)
GENOTYPE + DESCRIPTION

2
Associated with increased enzyme function and clearance of substrates with increased ability to detoxify environmental xenobiotics, pharmaceutics and ROS
1
Associated with average enzyme function and clearance of substrates with average ability to detoxify environmental xenobiotics, pharmaceutics and ROS
0
Associated with no enzyme production and poorer clearance of substrates with decreased ability to detoxify environmental xenobiotics, pharmaceutics and ROS

GENE

GSTM1
CNV
(# of copies)
GENOTYPE + DESCRIPTION

2
Associated with increased enzyme function and clearance of substrates with increased ability to detoxify environmental xenobiotics, pharmaceutics and ROS
1
Associated with average enzyme function and clearance of substrates with average ability to detoxify environmental xenobiotics, pharmaceutics and ROS
0
Associated with no enzyme production and poorer clearance of substrates with decreased ability to detoxify environmental xenobiotics, pharmaceutics and ROS
Patient: Kashif Khan- New test kit
Patient ID: MG6644
Report: Immunity
GENE

GSTP1
rs1695
GENOTYPE + DESCRIPTION

AA
Associated with optimal enzyme function and optimal clearance of substrates and reactive oxygen species
AG
Associated with sub-optimal enzyme function and suboptimal clearance of substrates and reactive oxygen species
GG
Associated with sub-optimal enzyme function and suboptimal clearance of substrates and reactive oxygen species

GENE

GENOTYPE + DESCRIPTION

Patient: Kashif Khan- New test kit
Patient ID: MG6644
Report: Immunity
GENE

SOD2
rs4880
GENOTYPE + DESCRIPTION

CC
Associated with optimal catalytic activity and optimal clearance of free radicals within the mitochondria
CT
Associated with 30 to 40 percent reduction in catalytic activity, with increased susceptibility to oxidative stress within the mitochondria
TT
Associated with suboptimal catalytic activity (70 percent reduction) with increased susceptibility to oxidative stress within the mitochondria

GENE

GPX
rs1050450
GENOTYPE + DESCRIPTION

CC
Associated with faster conversion of hydrogen peroxide created from oxidant metabolism via SOD2 into water and diatomic oxygen
CT
Associated with medium conversion of hydrogen peroxide created from oxidant metabolism via SOD2 into water and diatomic oxygen
TT
Associated with slower conversion of hydrogen peroxide created from oxidant metabolism via SOD2 into water and diatomic oxygen
Patient: Kashif Khan- New test kit
Patient ID: MG6644
Report: Immunity
GENE

SLC23A1
Rs33972313
GENOTYPE + DESCRIPTION

GG
Associated with optimal levels of circulating vitamin C
AG
Associated with suboptimal levels of circulating vitamin C
AA
Associated with suboptimal levels of circulating vitamin C

GENE

CYP2R1
Rs10741657
GENOTYPE + DESCRIPTION

AA
Associated with optimal activation of vitamin D and optimal levels of circulating vitamin D
AG
Associated with suboptimal activation of vitamin D and suboptimal levels of circulating vitamin D
GG
Associated with suboptimal activation of vitamin D and suboptimal levels of circulating vitamin D
Patient: Kashif Khan- New test kit
Patient ID: MG6644
Report: Immunity
GENE

GC/VDBP
Rs4588
GENOTYPE + DESCRIPTION

CC
Associated with optimal transport of vitamin D
AC
Associated with suboptimal transport of vitamin D
AA
Associated with suboptimal transport of vitamin D

GENE

VDR
rs1544410
GENOTYPE + DESCRIPTION

CC
Associated with optimal vitamin D receptor activation and binding
CT
Associated with suboptimal vitamin D receptor activation and binding
TT
Associated with suboptimal vitamin D receptor activation and binding
Patient: Kashif Khan- New test kit
Patient ID: MG6644
Report: Immunity
GENE

MTHFR
rs1801133
GENOTYPE + DESCRIPTION

CC
Associated with optimal enzyme function and 5MTHF production
CT
Associated with moderate (30 to 35 percent reduction of) enzyme activity with intermediate 5-MTHF production
TT
Associated with suboptimal (~70 percent reduction of) enzymatic activity with low 5-MTHF production

GENE

SHMT1
rs1979277
GENOTYPE + DESCRIPTION

GG
Associated with optimal bioavailability of cytosolic 5-MTHF and efficient homocysteine to methionine conversion (please note connectivity to MTHFR)
AG
Associated with reduced bioavailability of cytosolic 5-MTHF and efficient/moderately reduced homocysteine to methionine conversion
AA
Associated with suboptimal bioavailability of cytosolic 5-MTHF and efficient/moderately reduced homocysteine to methionine conversion with increased risk of cardiovascular disease when paired with MTHFR C/T and T/T (rs1801133)
Patient: Kashif Khan- New test kit
Patient ID: MG6644
Report: Immunity
GENE

MTR
rs1805087
GENOTYPE + DESCRIPTION

AA
Associated with optimal enzyme activity and conversion of homocysteine to methionine
AG
Associated with moderate enzyme activity with intermediate conversion of homocysteine to methionine
GG
Associated with suboptimal enzyme activity with suboptimal conversion of homocysteine to methionine (potentially resulting in elevated plasma homocysteine and DNA hypomethylation)

GENE

MTRR
rs1801394
GENOTYPE + DESCRIPTION

AA
Associated with optimal enzyme activity and re-methylation of cobalamin to methylcobalamin (optimal bioavailability of methyl B12)
AG
Associated with reduced enzyme activity and moderate remethylation of cobalamin to methylcobalamin (potentially reduced bioavailability of methyl B12)
GG
Associated with suboptimal enzyme activity and suboptimal/poor re-methylation of cobalamin to methylcobalamin (potentially reduced bioavailability of methyl B12)
Patient: Kashif Khan- New test kit
Patient ID: MG6644
Report: Immunity
GENE

FUT2
rs601338
GENOTYPE + DESCRIPTION

AA
Associated with optimal enzyme function and plasma cobalamin levels
AG
Associated with moderate/possibly suboptimal enzyme function and plasma cobalamin levels
GG
Associated with low/suboptimal enzyme function and plasma cobalamin levels (particularly in the context of a vegetarian diet)

GENE

GENOTYPE + DESCRIPTION