The Gene Web: APOE4, MTHFR, COMT & YourDetox-Dementia Risk

Your genes don’t work in isolation—they function more like instruments in an orchestra. And
when it comes to brain health, APOE4 is just one player. Others like MTHFR and COMT can
add to the complexity—or the risk—depending on how they interact

MTHFR: Methylation & Detox Bottlenecks

The MTHFR gene (Methylenetetrahydrofolate reductase) controls how your body methylates—a process essential for:

  • Detoxification
  • DNA repair
  • Neurotransmitter balance
  • Glutathione production (your master antioxidant)

If you carry MTHFR variants like C677T or A1298C, your ability to clear toxins and balance
inflammation may be reduced. When paired with APOE4, this can create a perfect storm of:

  • Higher toxic load (mold, heavy metals, pesticides)
  • Poor brain detox (increased amyloid plaque risk)
  • Low B-vitamin utilization (especially B9/folate and B12)
  • More oxidative stress in the brain

At Axon, we support this with methylated B vitamins, glutathione support, and IV detox
therapies tailored to your genetics.

COMT: The Stress-Gene Link

COMT (Catechol-O-Methyltransferase) helps break down dopamine, estrogen, and stress
hormones like epinephrine. If you have a slow COMT variant, your stress response may be
amplified—and your brain may have a hard time calming down.
When COMT and APOE4 appear together, you may experience:

  • Heightened anxiety or panic
  • Insomnia or trouble winding down
  • Estrogen sensitivity (especially in women)
  • Poor response to stimulants or high-stress environments

This combination can contribute to neuroinflammation, poor sleep quality, and accelerated brain aging if not addressed properly.

Our integrative protocols use adaptogens, brain-calming neurofeedback, and neurotransmitter support to keep stress from hijacking your brain health.

It's Not Just One Gene—It’s the Symphony

Your unique genetic makeup tells a story. APOE4 might bethe headline, but other genes like MTHFR and COMT often write the fine print. The real key to longevity and cognitive vitality is understanding how these genes interact—and then building a customized care plan to work with your biology, not against it.

Top 5 Evidence-Based Interventions for Brain Longevity (With an Axon Edge)

At Axon Integrative Health, we’re passionate about optimizing your brain for today and protecting it for the long haul. Brain longevity isn’t just aboutavoiding disease—it’s about enhancing clarity, resilience, and vitality through every decade of life.

Here are the Top 5 evidence backed strategies that we use, love, and recommend—plus a few cutting-edge bonus therapies that give you the Axon advantage.

1. Exercise: Your Daily Dose of Brain Medicine

Why it matters:
Movement is more than muscle—it’s brain fuel. Regular exercise boosts BDNF (brain-derived neurotrophic factor), which acts like Miracle-Gro for your neurons. It improves blood flow, strengthens cognitive networks, and slashes dementia risk.
What to do:

  • Aim for 150+ minutes per week of aerobic training (especially high-intensity interval training).
  • Add 2–3 sessions per week of resistance training to protect muscle mass and metabolic health

Impact:
Reduces dementia risk by up to 30–45%. It’s the gold standard for brain health—and it’s free.

2. Fasting & Fasting-Mimicking Diets: Clean House, Clear Mind

Why it matters:
Fasting activates autophagy, your brain’s natural cleanup crew. It improves insulin sensitivity and reduces inflammation—two major drivers of cognitive decline.

How to do it:

  • Time-Restricted Eating: Eat within an 8-hour window (16:8 style).
  • Fasting-Mimicking Diet (FMD): Try a 5-day modified fast (like ProLon) every few months for deep cellular reset.

Note: Always consult your provider if you have chronic health conditions or are new to fasting

3. Brain-Optimized Nutrition: Fuel Your Future

Why it matters:
Food either fights inflammation and oxidation—or fuels it. The MIND and Mediterranean diets are rich in neuroprotective compounds that nourish your brain and slow aging.

Focus on:

  • Leafy greens, berries, nuts, wild-caught fish
  • Olive oil, turmeric, green tea
  • Avoid seed oils, sugars, and ultra-processed foods

Pro Tip:
Supplement with high-quality DHA (1000+ mg) if fish isn’t a regular part of your diet.

4. Smart Supplementation: Tools to Enhance Brainspan

The right supplements can reinforce your foundation. At Axon, we use targeted nutraceuticals for patients with cognitive decline, fatigue, inflammation, or neurodegeneration risk.

Supplement
Omega-3 (DHA-rich)
Magnesium Threonate
Lion’s Mane Mushroom
NAD+ precursors (NMN/NR)
B-complex (B6/B12/folate)
Creatine
Citicoline (CDP-Choline)
Benefit
Supports memory and brain structure
Enhances learning and plasticity
Stimulates Nerve Growth Factor (NGF)
Boosts mitochondrial health and energy metabolism
Lowers homocysteine—linked to cognitive decline
Neuroprotective and improves working memory
Enhances attention, memory, and focus; supports phospholipid repair
Axon Insight
Check Omega-3 Index to personalize dosing
Crosses blood-brain barrier effectively
Great adjunct in brain rehab and performance
Consider IV NAD+ for deeper support
Test blood levels; don’t guess on B12
Also helps maintain lean muscle mass and supports recovery
Shown to increase dopamine receptor density and brain energy
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* Disclaimer: Axon does not provide MeRT therapy, we are not affiliated with Wave Neuroscience nor the MeRT trademark. Our services are strictly qEEG guided TMS therapy through a functional neurological lens.

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