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Report teachingSep 16, 2026

Explore SERPINE1 / PAI-1, rs1799889, 4G/5G, fibrinolysis, hyperhomocysteinemia (HHcy), vascular health, and differences between approaches to clotting risk.

Gene referenceSep 23, 2026
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SERPINE1 makes PAI-1, a protein involved in breaking down blood clots. You may also see PAI4G used for this pathway.

Learning essentialsSep 23, 2026
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Follow Dr. Purser’s teaching on folate, B12, sulfur pathways and antioxidant support around homocysteine.

Approved lab referenceFrom the archive
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No universal wellness target. Ask your clinician to read this result with B12, folate, B6, kidney, thyroid, genetics, and medications.

Gene referenceSep 23, 2026
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Makes an enzyme that helps produce a form of folate used in the processing of homocysteine. Common variants are different from rare variants that cause severe MTHFR deficiency.

Health BlogMar 13, 2026
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Most people have never heard of homocysteine , yet this small molecule may hold the key to understanding inflammation, cardiovascular disease, neurological problems, and many chronic conditions. For decades, homocysteine was viewed as a toxic substance in the blood. Doctors were taught that lowering it with B-vitamins might reduce heart disease risk. But research results were inconsistent, leaving many physicians unsure whether homocysteine truly mattered. New research and clinical observations are changing that view. We introduce a new framework called the Purser Model , which explains why ho

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