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in this pathway will develop autism; problems with the methylation pathway may<br />

be a necessary but not a sufficient condition for autism.<br />

What I refer to throughout this book as the methylation cycle is actually a combination<br />

of four interrelated biochemical cycles, including:<br />

• The methionine cycle<br />

• The folate cycle<br />

• The BH4 (biopterin) cycle<br />

• The urea cycle<br />

To my knowledge, no other clinician has traced the interactivity of these four<br />

cycles or emphasized their function for clinical practice as much as I have, although<br />

the folate and methionine cycles are widely regarded as interactive. To<br />

describe and evolve a program based on what I am calling the methylation cycle<br />

required combining divergent pieces of information not previously connected in<br />

order to recognize and find approaches to address the synergistic functioning of<br />

these four cycles. It’s by considering them all together as the “methylation cycle”<br />

that we create a solid foundation for addressing critical dysfunction.<br />

22 Autism: Pathways to Recovery

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