Sleep and MTHFR

MTHFR gives us a number of tendencies that can interfere with sleep, especially some of the personality traits and mental habits that are common with MTHFR or other methylation dysfunction. This includes anxiety, perfectionism, the tendency to over-obsess about the things we're dedicated to, high sensitivity, addictive nature, and overt mental health issues.

Physical issues that come along with MTFR can interfere with sleep as well, including thyroid disorders, inflammatory disorders that cause pain, and blood sugar imbalances. It isn't that all of us have all of these problems; we'd never function in this world. But, many of us have something that has the potential to knock sleep off course. So let's talk about the biggest factors.

The Right Dose of Folate and Methyl Donors

The big issues with MTHFR come down to poor activation of folate, which in turn messes up methylation, which leads to health consequences. This means that to effectively manage the MTHFR mutation, you need both the right amount of an MTHFR-safe folate, preferably methyl folate, and methyl donors. The amounts of these things are variable from person to person, and the worst part is that doses that are too low interfere with sleep, and doses that are too high interfere with sleep. There is a sweet spot in the middle for you that will enhance sleep and help you get good rest, but finding it can be fiddly.

The best way to find your perfect doses is to make sure you're only changing one thing at a time, and also that you're tracking your symptoms, including sleep quality and energy, every day while you're finding your perfect dose. It sounds like a pain because it's one more thing to do, but it can save you months of difficulty and uncertainty. If you haven't done so already, there is a free symptom tracker download when you sign up for the mailing list on tohealthwiththat.com

Good Food for Good Sleep with MTHFR

With MTHFR, sleep can suffer if you have significant amounts of synthetic folic acid in your diet and supplements, so getting it out of your diet and supplements matters. Many people I have worked with report better energy and better sleep. I'm not going to tell you it's easy to get folic acid out of your diet, but it is nearly impossible to make significant progress with MTHFR without doing this step.

Folate, however, is not the only dietary factor that matters for sleep with MTHFR. Blood sugar matters too. Not just the routine blood sugar testing you do at your doctor's office, but also how much your blood sugar swings up and down each day, even if your numbers are technically normal.

We've discussed the blood sugar issue before, so I won't belabor a point, but if you're looking for more information, I suggest watching the series of Tuesday tips I posted on YouTube.

So let's talk about the smaller steps you can take with MTHFR once you've found your optimal dose of folate and methyl groups.

Bedtime Routine for Good Sleep Hygiene with MTHFR

Sleep hygiene is a big topic, so there are a lot of things you can include, but these are the factors that are most important for MTHFR folks:

• Low light 1-2 hours before bed—this is especially important if you also have slow COMT, which can make you very sensitive to stimulating things. Low light also includes keeping screens out of your life for this time.

• Melatonin—Melatonin is your body's main sleep hormone, and it's also seratonin that has been methylated, so for many of us with MTHFR, we don't have quite enough of this to go around.

• Balanced evening meal—A good evening meal is like a plate divided into four quarters. One quarter goes to protein, two to veggies, and one to complex carbs. If there's a dessert, make sure it happens after the meal, and takes some of the space out of your complex carbs pile. This type of meal will help to keep your blood sugars balanced overnight, so fluctuations aren't waking you up. Don't mess it up by reaching for the snacks after dinner. Consider the kitchen closed after dinner is finished.

• Wind-down activity—This could be a gentle yoga session, meditation, breathing exercises, or coloring in a coloring book. Whatever helps you untangle your mind and have a moment of calm will do.

• To do list/idea pad—We tend to be thinkers and possibly, ahem, obsessers. It helps to have a notepad, your journal, or whatever you use to record your thoughts by your bed, and to make a habit of writing down whatever is swirling around in your brain before sleep. That way, you know you have it to look at tomorrow, so you can let it go for tonight.

• Magnesium at bedtime—This technically has nothign to do with MTHFR, although it is helpful if you have slow COMT. So many people in the western world are magnesium deficient that it is relevant on this list. Especially consider this one if your mind won't shut down, your body can't get comfortable, you have restless legs, or you tend toward constipation.

Morning Routine for Good Sleep Hygiene for MTHFR

• Bright light—Bright light first thing in the morning, either from the sun or from a full-spectrum lamp, boosts dopamine and serotonin, establishes a solid circadian rhythm, and generally helps everyone.

• Savory breakfast—Starting the day off with a savory breakfast, or a meal centered around the protein, fiber, and good fats (rather than the sweet starchies we get from morning pastries or cereals) helps to keep your blood sugar balanced through the day.

Bonus Things To Include For Good Sleep with MTHFR

• Good exercise session—People with MTHFR often get extra benefit from exercise, especially if you tend toward restless anxiety. This is partly because of the hundreds of benefits you've already heard from other sources, but also because exercise helps your body process extra methyl groups, which can be a bonus for us if we're feeling scattered or restless.

• B vitamins and methyl groups in the morning only—These nutrients give us energy and put the brain into high gear, so keeping them to the morning at first is really helpful. You may find a small early afternoon dose helpful if your energy tends to slump, but do your symptom tracking carefully because B vitamins and methyl groups too close to bed can keep you awake and keep your brain active.

Every person with MTHFR is different, but this is a good place to start if you have both MTHFR and sleep issues.