What cofactors are needed to synthesize and recycle BH4? @chrismasterjohn
What cofactors are needed to synthesize and recycle BH4?  @chrismasterjohn
Uploaded July 2023 | Updated September 2026, 2 days ago
Chris Masterjohn, PhD is the Founder and Scientific Director of the mitochondrial test mito.me. Question: What cofactors are needed to synthesize and recycle BH4?

Short Answer: Zinc, magnesium, potassium, and niacin are the cofactors needed for the synthesis and recycling of BH4. Folate and methylation are not involved, though high-dose folate or folic acid could hypothetically hurt BH4 recycling since both are recycled by dihydrofolate reductase (DHFR).

This is a clip from a live Q&A session open to CMJ Masterpass members. In addition to this episode, you can access two other free samples using this link:

chrismasterjohnphd.substack.com/p/questions-on-vitamin-d-sulfate-synthesis

In that batch of free episodes you will also find the answers to these questions:

*Is It Important to Get Vitamin D Sulfate Specifically From the Sun?
*How Much Iron Can We Absorb At Once?

If you want to become a Masterpass member so you can participate in the next live Q&A, or so you can have access to the complete recording and transcript of each Q&A session, you can save 10% off the subscription price for as long as you remain a member by using this link to sign up:

chrismasterjohnphd.substack.com/qanda

Learn more about the Masterpass here:

chrismasterjohnphd.substack.com/about

This snippet is from the February 15, 2023 AMA. The full recording and transcript is reserved for Masterpass members. Here is a preview of what’s included:

*Is It Important to Get Vitamin D Sulfate Specifically From the Sun?
*How Much Iron Can We Absorb At Once?
*What nutrients are important for long-term PPI use?
*For how long does transferrin saturation respond to recent iron-rich food?
*Muscle spasms: creatine, creatinine, sodium, and potassium.
*Hematologists ignore iron saturation.
*How to detox arsenic?
*Could folic acid supplements impair BH4 recycling?
*How to increase butyrate?
*More on hematologists and transferrin saturation.

Here’s a link to the full AMA: chrismasterjohnphd.substack.com/p/recording-and-transcript-of-the-february

For more information, visit chrismasterjohn-phd.com

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Chris Masterjohn, PhD |

What cofactors are needed to synthesize and recycle BH4?

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