COMT Gene Mutation and Estrogen Dominance

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  • Опубликовано: 8 сен 2024
  • so in this video we're going to discuss how COMT gene alterations can lead to estrogen dominance and why this is not always the case where comt alterations will lead to estrogen dominance so if you're curious about comt how it relates to estrogen dominance keep watching we're going to discuss this in detail comt or catechol on methyl transferase is an enzyme that allow us to break down catecholamines and as it relates to estrogen dominance this enzyme this comt enzyme basically helps us break down catechol estrogens it's a type of catecholamine and in this video we want to discuss how alterations in the COMT gene can lead to estrogen dominance so you might be asking what is estrogen dominance and basically it's a phenomenon of excess estrogen in the presence of too low or too little progesterone so there's an imbalance you have too much estrogen too little progesterone and basically as it relates to comt there's an alteration and enzyme function that leads to higher levels of the estrogen so first a little bit more on comt so comt as I said the enzyme that breaks down catecholamines and many other things that we don't think of as necessarily catecholamines like estrogen so specifically it's catechol estrogens and the process occurs through methylation so methylation is basically a process where you had a methyl group to other molecules and in this case the comt enzyme uses Sammy as its methyl donor along with magnesium so these are the two cofactors for comt magnesium and Sammy and basically what happens is you turn hydroxy estrogens into methoxy estrogens or methylated estrogens so you say okay big deal well if you have an alteration in your comt enzyme basically slows the process of turning that hydroxy estrogen into meth oxy estrogen or catechol estrogens and basically you get a buildup of more of these hydroxyl estrogens and estrogens in general so that makes sense basically it's like a overflowing river so when the levels get too high and the estrogens they overflow and sort of saturate and increase this tissue saturation of estrogens so basically you get more of this estrogen activity and leads to the symptoms of estrogen dominance so how do if you have a genetic alteration and you're COMT gene or if your CMT enzymes aren't working properly well basically you have to do the genetic test to to look at this and what you'll find is that there's several points along the comt enzyme that can be altered and that's we can get basically a bunch of different snips or snps and what seems to stand out most to me clinically is one in particular and most of the research is done on this particular point or single nucleotide polymorphism and that's the b:v like victor 158 m and basically if this specific point is altered to where you have homozygous or net alteration here you're gonna have slowed estrogen breakdown or slowed breakdown of all these catecholamines that step from hydroxyl estrogen to meth extrusion is going to be slow for estradiol and any other estrogens that go through that pathway and when you have the normal functioning comt or Val Val it's going to work more efficiently or normal but basically you're gonna have more efficient estrogen breakdown so does that mean that everyone with the comt homozygous snip or Matt Matt will have estrogen dominance no not at all because there's multiple pathways through which estrogen can be eliminated and also it's important to note that the methylated forms provide an efficient way for elimination by the body but these once they're methylated they're still estrogens and can still bind to estrogen receptors so these forms can still basically have an estrogen effect in the body so what we want to be careful is not to over emphasize one pathway or overemphasize looking at just one thing we want to look at when we look at estrogen dominance and CMT we also want to basically do the labs to verify yet is this excess estrogen or not and then we want to look at the other pathways there are other pathways through which estrogen is broken down comt is just one and then there's several that follow it and other alternative pathways where estrogen can be broken down and I'll have more on this topic in future videos so hopefully that was helpful in understanding a little bit more COMT gene alterations and estrogen dominance how that one may lead to the other and in some cases may not basically cause there's not always a linear path there for every single situation.
    functional medicine

Комментарии • 28

  • @Onebeautifulheart
    @Onebeautifulheart 4 года назад +5

    I’m COMT ++ who due to high stress is now estrogen dominate. I am also MTHFR heterozygous. I’m currently trying to detox my overload of epinephrine, norepinephrine, and estrogen right now. I’m taking magnesium flake baths, detoxing and supplementing with SAMe, Magnesium, Glutathione, folate and B12.

    • @swintegrative
      @swintegrative  4 года назад +1

      Onebeautifulheart, good luck to you!

    • @xakep4182
      @xakep4182 4 года назад +1

      My daughter(8) is the same - COMT rs4680 +/+ and COMT rs4633 +/+ and MTHFR rs1801131 +/- I am giving her zinc, molibdenum, manganese, magnesium (bisglycinate), potassium, B3(niacinamide), B6(P-5-P), B9(folinic acid not folic) B12 (non methylated), B2 , B5, B1 , D , C, taurine, choline, lysine, arginine, glycine, selenium, little bit of tryptophan for sleep, GABA, BACOPA, Theanine, BCAA, milk thistle, BUT still she is very unstable. She had a major psychosis a year ago, that's when we started our nutrition therapy. Looks like it could take years to stabilize such a severe condition as COMT +/+. I am wondering if it's even possible to be normal and act normal with COMT +/+ mutations.

    • @swintegrative
      @swintegrative  4 года назад +3

      XAKEP, I can assure you it is possible.

    • @humblehalfbreed740
      @humblehalfbreed740 3 года назад +5

      If you wanna clear excess estrogen, eat cruciferous vegetables. I'm also COMT homozygous. Honestly, you have to fix your circadian rhythm, gut health, diet. Throwing a bunch of supplements at it can just be confusing and counterproductive. I love my COMT mutations now that I am healthy, especially during the first half of my cycle. Use it to get kickass workouts out in upon waking!

    • @GlebonCarnivore
      @GlebonCarnivore 2 года назад

      @@xakep4182 lithium and no methyls. Theanine and choline is methyl donors

  • @ElizaFragmented
    @ElizaFragmented 3 месяца назад +3

    It's all coming together...

  • @snowps1
    @snowps1 Месяц назад +2

    If you have this mutation is it okay to take HRT for perimenopause symptoms

    • @swintegrative
      @swintegrative  Месяц назад +1

      Sure u just need to be more mindful to check your estrogen levels

    • @snowps1
      @snowps1 Месяц назад

      @@swintegrative oh nice! Thank you

  • @sebek12345
    @sebek12345 5 месяцев назад +3

    🎯 Key Takeaways for quick navigation:
    [00:13] COMT gene alterations can lead to estrogen dominance, but not always. This video will discuss the connection.
    [01:09] COMT (catechol-O-methyltransferase) is an enzyme that breaks down catecholamines, including catechol estrogens.
    [01:37] ⚖️ Estrogen dominance is an imbalance of estrogen and progesterone, with too much estrogen and too little progesterone.
    [02:05] COMT dysfunction can lead to higher estrogen levels due to impaired breakdown of catechol estrogens.
    [03:39] Genetic testing can reveal COMT gene alterations that affect enzyme function.
    [04:18] Specific COMT gene polymorphism (rs4680) is linked to slower estrogen breakdown.
    [05:00] ❌ COMT mutations don't guarantee estrogen dominance; other elimination pathways exist.
    [05:15] ⚠️ Methylated estrogens, though easier to eliminate, can still exert estrogenic effects.
    [05:39] Examining estrogen dominance requires looking beyond COMT to assess other estrogen breakdown pathways.
    Made with HARPA AI

  • @hayleythompson218
    @hayleythompson218 2 года назад +1

    What specifically can someone take for slow mthfr and slow comt?

    • @swintegrative
      @swintegrative  2 года назад

      Have you seen this video? ruclips.net/video/u3AvLq2DcDE/видео.html

  • @JuliusSP1
    @JuliusSP1 5 месяцев назад

    What are the genes that control the other pathways for estrogen methylation?

    • @swintegrative
      @swintegrative  5 месяцев назад

      I think what you are looking for is estrogen detoxification which I don't have a detailed video on this one might help some though. COMT is the methylation detox of estrogen. ruclips.net/video/uYlFZZfpdyA/видео.html

  • @MIlw55
    @MIlw55 2 года назад

    I have slow comt and it has caused breast cancer. 100% estrogen driven. What can I do?

    • @amberkirkwood5621
      @amberkirkwood5621 Год назад

      thank you for your comment, it applies to me directly. History of endometriosis, sister has had breast cancer plus lots of family history.
      ​@Sovereign Freedom

  • @triciaknight6728
    @triciaknight6728 3 года назад

    I have huge fibroid huge, my mother died of cancer her brother and sister died of same. I am on an estrogen blocker at the moment zoladex, I am going to ask for content gene test?

    • @swintegrative
      @swintegrative  3 года назад

      Hi Tricia, that's a good idea but your doctor probably won't order it.

    • @shhh7762
      @shhh7762 Год назад

      HI! I have Huge fibroids as well. Can you please tell me if Zoladex has helped you with yours? If you can give me any tips on if you've shrinks them I would appreciate it. Aslo, how did the gene test go for you?

  • @necessaryJustice_4all
    @necessaryJustice_4all 2 года назад

    So, if I have four homozygous COMT ++ genes , plus a homozygous cyp1a1 gene, I'm basically going to have estrogen coming out the wazoo? All kidding aside, I've had what I perceive to be extra dominance, as a male, most of my life. Combating it has been very very difficult. I currently am 41 years old, have been on trt replacement for about a year now. I also take an aromatase inhibitor to keep too much of the testosterone from aromatizing. However, I'd like to stop taking the aromatase inhibitor - based on some of the negative cardiac correlations out there. Wish there was another way to combat this. Carbohydrates seem to also be my worst enemy.

    • @swintegrative
      @swintegrative  2 года назад

      Insulin resistance also increases aromatase activity.

    • @xakep4182
      @xakep4182 2 года назад

      Apart from other minerals and vitamins have you tried magnesium... a lot of it ? I am a completely different person when on magnesium - always calm. I mix malate, lactate, threonate and bisglycinate. From my experience, probably Zinc and Mg are the most important minerals for COMT +/+. I gave up all carbs totally, for 2 years now - no bread no potatoes no sweet juices or fruits. It really makes the difference.