Let’s explore “Total T4 — lab reference”

The Purser genetics reference places CHDH in choline metabolism, while the combined SOP asks clinicians to consider CHDH alongside PEMT and FADS findings.

The older Purser genetics reference uses the heading “DAOA (AOC1)” in its gut section.

Encodes a transcription-factor subunit. The uploaded reference used the label GABP1; no specific variant was established there.

PURSER WELLNESSOVER-METHYLATION - Are Your B Vitamins Hurting You?A conversation with Dr. Purser

Can the B vitamins you are taking to support energy and methylation eventually make you feel worse? In this video, Jackson Larkin explains what practitioners often call “overmethylation,” a possible adverse response to supplemental methyl donors such as: • 5-MTHF or methylfolate • Methylcobalamin • Trimethylglycine, also called TMG • Multiple overlapping methylation formulas Possible warning signs can include irritability, anxiety, restlessness, insomnia, brain fog, fatigue, and feeling “wired but tired.” These symptoms do not prove that you are overmethylated. They can have many possible causes. The timing of symptoms, your total supplement exposure, nutrient status, genetics, medications, and health history all need to be considered. In this video, we discuss: • Why methylation is essential • How methyl-donor supplements support the body • Why the right vitamin can become the wrong dose • Ingredients to look for on your supplement labels • Why some people may need lower doses or non-methylated forms • How genetics and intracellular nutrient testing can guide a more personalized plan At Purser Wellness, we believe in a Start Low, Go Slow approach. The goal is not to eliminate methylation. The goal is to provide the right form and amount of support for each individual. Learn more or schedule with Purser Wellness: https://danpursermd.com Educational content only. Do not discontinue prescribed or medically necessary supplements without consulting your qualified healthcare professional. #Overmethylation #MTHFR #Methylation #B12 #Methylfolate #VitaminB12 #TMG #BrainFog #FunctionalMedicine #PurserWellness Follow Dr. Purser! Info: http://www.DanPurserMD.com Supplements: https://www.PhysicianDesigned.com Books: https://www.amazon.com/-/e/B00BIKSGVQ Facebook: https://www.facebook.com/danpursermd Facebook: https://www.facebook.com/PhysicianDesigned Twitter: https://twitter.com/realdanpursermd YouTube: https://www.youtube.com/danpursermd Instagram: https://www.instagram.com/danpurser.md Pinterest: https://www.pinterest.com/danpursermd

What if the answers you've been searching for aren't found in another prescription—but inside your own cells? Most lab tests tell you what's circulating in your blood. But what if your cells are telling a different story? A Cellular Micro

What if everything you’ve been told about PCOS is missing the real culprit? Homocysteine isn’t just a random lab marker—it may be the hidden thread tying together hormone imbalance, inflammation, and the symptoms so many are struggling to m

PURSER WELLNESSOptimizing Men's Testosterone | Facebook Live with Dan Purser MDA conversation with Dr. Purser

Dr. Purser dives into the root causes of low testosterone in men. As always, "Good nutrition in, means good hormones out." Could low testosterone levels be linked to severe vitamin deficiencies caused by genetic errors such as MTHFR? Dr. Purser has found this to be the case for many of his patients. Find out how you can start feeling great today! Testing discussed: SpectraCell Intracellular Micronutrient Panel, Pro7 Genetic Testing, and Direct Labs Free and Total Testosterone Levels. See all testing options at https://DanPurserMD.com/genetics-testing. Contact us at (801) 796-7667 or info@danpu

PURSER WELLNESSThyroid Medications Recommended by Dr. PurserA conversation with Dr. Purser

Dr. Purser shares his insights on the best thyroid medications. Discover how chemically made, bioidentical synthetic medications such as L-Thyroxine or Synthroid (T4) safely mimic natural substances. Learn how pituitary function is related to TSH, and how damaged pituitaries cannot produce TSH. Dr. Purser covers recommended dosages of supplements including Nature-Throid, Armour-Thyroid, compounded Liothyronine (T3), and compounded T4. Explore how a 5 Prime Deodinase deficiency (or resistance) may prevent conversion of T4 to T3 in older and vitamin-deficient patients. Learn how a combination of

PURSER WELLNESSCan You Treat Thyroid During Menopause?A conversation with Dr. Purser

Thyroid health remains essential during menopause. Optimal labs should show FT3 around 4.0 and FT4 near 1.5, and testing through Direct Labs makes it easy to track. Supporting with supplements like Thyromin can help, but only if guided by accurate lab results. Info: http://www.DanPurserMD.com Supplements: https://www.PhysicianDesigned.com Books: https://www.amazon.com/-/e/B00BIKSGVQ Facebook: https://www.facebook.com/danpursermd Facebook: https://www.facebook.com/PhysicianDesigned Twitter: https://twitter.com/realdanpursermd YouTube: https://www.youtube.com/danpursermd Instagram: https://www.instagram.com/danpurser.md Pinterest: https://www.pinterest.com/danpursermd

Iodine Benefits!! Learn all about it on my substack Thyroid Health: Iodine is a key component of thyroid hormones, thyroxine (T4) and triiodothyronine (T3). These hormones regulate the body's metabolism, energy production, and other essent

PURSER WELLNESSLotus Life - Melissa SoriaA conversation with Dr. Purser

Aloha cherished Friends & Guests! My name is Melissa, and I am excited to share a little of my story and how Dr. Purser’s passion for preventative care continues to improve my overall life and well being! I am a 33-year-old (Island girl at heart) living in the city. My loves include family, Leilani (my corgi/lab puppy), and the beach! I am a former Division 1 collegiate water polo athlete, coach, breast cancer survivor. I have worked in education for nine years after completing my master’s degree in Teaching & Learning. It wouldn’t surprise me if you think, “She doesn’t have any experience or

PURSER WELLNESSLow Testosterone and Vitamin DeficienciesFrom the reading room

Men, want to know the #1 secret to good sex as we age? Nutrition consiting of vitamins, minerals, and amino acids. This covers a lot of ground, but let’s shorten that distance. I see hundreds of men in my practice every year for Hypogonadism (medically low testosterone) with a serum total testosterone level below 400 ng/dl (very severe) creating severe fatigue. Hard to have sex, or even to consider performing, if you are exhausted! Assuming you have no trauma (pituitary, heart, testicles, or penis) and you are noticeably exhausted after sex, or too tired to get going, then it probably is your