MTHFR (Folate)

A common gene variant affecting how your body processes folate.

Last reviewedJune 16, 2026
Whole blood (EDTA) or buccal swab
sample type
~3 mL or a swab
blood needed
~14 to 28 days
results in app
Any time (genetics do not change)
best timing
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In short

MTHFR is a gene that codes for methylenetetrahydrofolate reductase, an enzyme central to the folate cycle. It converts folate into 5-methyltetrahydrofolate, the active form your body uses to recycle homocysteine and support methylation.

This is one of the most studied genes in nutrition because common variants reduce how well the enzyme works.

Vitamins & Minerals
Reviewed against DGKL reference practice.
Why it matters

Why test this?

The main variants are C677T (rs1801133) and A1298C (rs1801131). With one copy of the 677T allele, enzyme activity drops to around two thirds; with two copies (TT) it can fall to roughly a quarter. This can raise homocysteine and increase folate needs. Knowing your genotype helps you understand your homocysteine result and folate strategy.

A variant here is a predisposition, not a diagnosis.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

This test reports a genotype, not a numeric value. Results are given as the alleles you carry at C677T and A1298C.

Genotype (C677T)General effect
CCTypical enzyme activity
CTActivity reduced to about two thirds
TTActivity reduced to about one quarter, higher folate need

Interpretation is general guidance. Genetics are a predisposition, not a diagnosis.

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • Whether you carry the C677T or A1298C variants and how many copies.
  • Context for elevated homocysteine and your folate requirements.
  • A genotype result, reported as alleles rather than a blood level.
What affects your level

What can affect this result?

What can skew the result

Genetics are stable and do not change over time. The result is a predisposition, not a diagnosis. Many people with a variant have normal homocysteine when folate intake is adequate.

Best interpreted with

Best read alongside homocysteine, folate and vitamin B12, and the related genes MTR, MTRR and MTHFD1.

How testing works

How is this tested?

Sample
Whole blood (EDTA) or buccal swab
Blood needed
~3 mL or a swab
Method
Genotyping (PCR)
Best timing
Any time (genetics do not change)
FAQ

Common questions

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

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