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GMJ News > GMJ Briefs > Beyond the Methylfolate Myth: Why Riboflavin Is MTHFR’s Real Clinical Story

Beyond the Methylfolate Myth: Why Riboflavin Is MTHFR’s Real Clinical Story

GMJ
Last updated: 30/07/2026 21:29
By
Prof. Giorgi Pkhakadze
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Bar chart showing blood pressure reduction and treatment success rates by MTHFR C677T genotype in riboflavin trial
Clinical trials show that MTHFR C677T TT carriers with hypertension respond to low-dose riboflavin (1.6 mg/day) with 13 mmHg systolic blood pressure reduction — yet evidence remains limited to a single research group and awaits independent replication. — Photo by www.kaboompics.com on Pexels (Pexels License)
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1 min read|121 words

The MTHFR gene dominates wellness conversations, yet clinical evidence points in an unexpected direction. While consumer markets promote methylfolate supplementation, rigorous randomized controlled trials from Ulster University demonstrate that riboflavin—plain vitamin B2—may hold genuine therapeutic value for a specific population: carriers of the C677T TT variant, present in roughly 10% of European and American populations.

In hypertensive patients with this genotype, 1.6 mg daily riboflavin for 16 weeks produced a clinically meaningful 13 mmHg reduction in systolic blood pressure. Critically, this effect was entirely genotype-specific; CC and CT carriers showed no response, exemplifying true precision medicine. However, the evidence originates from a single research group, underscoring the urgent need for independent replication before clinical implementation. Read the full article on GMJ Newsroom.

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📰 Read the full article: MTHFR Gene Variant and Riboflavin: Why B2 Matters More Than Methylfolate Hype →

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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