So I got my husband's 23andme results and plugged it into genetic genie. My head is spinning. Just as a background, he was likely PANDAS as a child, has likely vaccine injury from the gulf war (13 or so vaccines before deployment) and recent rheumatic fever w/ regression into adult PANDAS like symptoms. He's in a much better place now, after long-term antibiotics. 
  
his results-- 
  
MTHFR Homozygous (+/+)  C677T mutation 
  
Other mutations-- 
  
          Homozygous (+/+) mutations: 
·       COMT V158M 
·       COMT H62H 
·       MAO-A R297R 
·       BHMT-02 
·       BHMT-04 
·       BHMT-08 
·       CBS A360A  
  
Heterozygous (+/-) mutations: 
·       VDR Bsm 
·       VDR Taq 
·       MTR A2756G 
·       MTRR K350A 
·       AHCY-01 
·       AHCY-02 
·       AHCY-19 
·       SHMT1 C1420T 
  
  
  
I honestly don't know where to begin. He pretty much has defects throughout his methylation pathway. I gather from my brief reading that he won't tolerate methyl donors well, so hydroxy B12 better? Is methylfolate still ok? I know he needs folate b/c he has high homocysteine levels. No need for anyone to reply I'm just thinking/planning out loud.