I have been interested in genealogy and genetics for many years. We can learn so much from our genes.
I decided to go back and have a closer look at a methylation report I had obtained for one of my doctors back in 2015, at her request. She had wanted me to pay for genetic testing, but I discovered that for a small donation I could take the raw genetic data I already had, and obtain the report she wanted from that data (thank you, https://geneticgenie.org). That doctor suspected I had trouble with detoxification, perhaps an MTHFR mutation, due to my symptoms. I didn’t have a MTHFR mutation, but I had several other homozygous mutations (i.e. the same mutation on both of the copies of a gene, so I got a copy from each of my parents) within the methylation pathway. The methylation pathway is a very important set of chemical reactions in the body that regulates neurotransmitters, genetic repair and expression, generates energy-rich molecules such as ATP, and is involved in detoxification.
As I was reading about some of the mutations I have, I noted that one of them is strongly associated with, amongst other things, bipolar disorder. I found out later in life that my late mother had bipolar disorder and was on lithium — it doesn’t surprise me.
The thing is, I also once experienced something like bipolar disorder, for a few months. I have always said ‘like bipolar disorder’ but said a kind of rapid cycle bipolar disorder, something that I didn’t know actually exists. I now find out there is rapid cycle bipolar disorder (more than four major mood episodes annually), ultra rapid cycle bipolar disorder (cycle lengths of days, a week, or as frequently as every 48 hours), ultra ultra rapid cycle bipolar disorder (24 hour mood shifts), and even ultra-maximal cycling (hourly mood shifts).
What I likely had was ultra rapid cycling bipolar disorder – I would be climbing the wall manic for a day, and then super depressed for 5 days. Rinse and repeat. I really did not enjoy it.
I thought about whether anything might have brought this on, and realised it had been happening since I had been using aspartame (brand name Canderel in South Africa) in my coffee. As an experiment I decided to stop taking Canderel; the ultra rapid cycing bipolar disorder symptoms disappeared immediately. I stopped having the highs and the lows; it was replaced by very even low levels of depression; I was way less depressed than the lows I had been experiencing. It took many more months before the depression lifted.
I had looked through all the many known side-effects of aspartame — including death! — but bipolar disorder was not amongst them. Hmmm.
But today I found an abstract of a paper titled ‘Ultra-ultra rapid cycling bipolar disorder is associated with the low activity cate-cholamine-O-methyltransferase allele’ (https://www.researchgate.net/publication/13582042_Ultra-ultra_rapid_cycling_bipolar_disorder_is_associated_with_the_low_activity_cate-cholamine-O-methyltransferase_allele_In_Process_Citation). I have the a low activity variant of the COMT gene; it produces low levels of an enzyme that breaks down neurotransmitters. If ultra-ultra rapid cycling bipolar disorder was found to be associated with low activity COMT, I bet ultra-rapid cycling is also likely to be associated with the same mutation. It is the same thing, with a slower loop. My mother probably had rapid-cycling bipolar disorder based on what I remember of her moods.
Aspartame is known to affect neurotransmitters. The NIH website says “The consumption of aspartame, unlike dietary protein, can elevate the levels of phenylalanine and aspartic acid in the brain. These compounds can inhibit the synthesis and release of neurotransmitters, dopamine, norepinephrine, and serotonin, which are known regulators of neurophysiological activity.”
I don’t yet see exactly how this relates to bipolar disorder, as a slow activity COMT gene means one would tend to have too many neurotransmitters, due to them being broken down slowly. I have a second gene mutation that also results in low levels of another enzyme that breaks down neurotransmitters, compounding the issue. It could be that high and low dopamine etc. can cause bipolar disorder, just like high and low dopamine can cause ADHD.
It gets curiouser and curiouser.
Behold the methylation cycle in its glory. (Shoutout to https://www.balancedbodyquest.com/methylation-cycle-balancing for this diagram).