MTHFR training advice is often hyped beyond evidence. MTHFR variants (e.g., C677T) affect folate metabolism and homocysteine levels, which could theoretically influence recovery, inflammation, and oxygen delivery. However, current evidence is weak: no robust studies show that adjusting training based on MTHFR genotype improves performance or reduces injury risk. The practical value lies in checking homocysteine and B-vitamin status. If homocysteine is elevated, supplementation with methylfolate, B12, and B6 may support recovery – but that is a nutritional intervention, not a training prescription. For asymptomatic athletes, a standalone MTHFR test offers little actionable insight. Evidence: mechanistic/unclear. Caveat: avoid overpriced direct-to-consumer tests that claim to personalize training based on MTHFR alone.
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