SPECT
Blood flow and activity. What is working, working too hard, or running low.
SPECT showed blood flow. QEEG showed rhythm. This is the third view — the genomic panel I was issued, read through IntellxxDNA, and translated the same way as the scans: technical finding first, then how it shows up. None of what follows is a prescription for you. It is mine.
The knocks came later. The two machines looked at what my brain is doing now. This panel is older than both of those stories — it is the starting kit. I wanted it in the same walk-through, in the same voice, sitting between the question and the two doctors.
Blood flow and activity. What is working, working too hard, or running low.
Electrical rhythm. What the cortex is doing, band by band, against an age-matched map.
The letters I inherited. Not a diagnosis — a set of small changes that can stack with how I live.
Every card below is the same three-beat translation the rest of this site uses: the gene and the letters I carry, the mechanism in the report’s language, then how that can show up. A few words get used a lot. Here they are once, in plain English.
IntellxxDNA describes itself as a clinical decision-support tool for licensed providers — one input next to a full history, an exam, and labs — not something meant to diagnose or treat illness on its own. Nothing on this page is a diagnosis. These are small DNA changes that by themselves are not disease-causing. They can matter as they interact with each other and with diet, lifestyle, and environment. The report belongs to me. Take whatever is useful.
A single-letter change in the DNA sequence.
The less common version of the sequence. It can convey benefit or risk — it is not automatically bad.
The two letters actually carried, one allele inherited from each parent.
0, 1, or 2 minor alleles. Two copies generally means a stronger effect.
How common this exact genotype is in the population.
The report’s own Low / Medium / High rating for likelihood and strength of contribution.
1.0 means no difference from baseline. 2.79 means roughly 2.79× the reference risk. Printed for some SNPs only.
Both copies are the same.
Using genotype to predict how someone will respond to a specific drug.
Amyloid clearance is hit from four separate directions on my panel, which is why the response stacks more than one lever instead of picking a favorite. A SNP here is a letter change. The genotype is the pair I actually carry.
Decreased levels of the protein that processes amyloid-beta, so more can accumulate.
The clearance side of the story starts thin. That is why this page does not treat amyloid as a single-gene problem.
Reduced ability to break down amyloid-beta peptide in the brain.
The enzyme that should chew the peptide is slower. Coffee and intermittent fasting show up later on this page because of this row — and they collide with the caffeine story.
Mitochondrial outer-membrane pores more prone to clogging with amyloid; long-run mitochondrial damage.
The power plants of the cell get a dirtier doorway. This is the third independent angle, not a repeat of ABCA7.
The K-variant promotes fibril formation and plaque buildup.
The fourth direction: not just clearance, but a tilt toward forming the plaque itself. This gene also returns in the anesthesia ledger.
APOC1 came back RI, high impact, odds ratio 2.79. The report is explicit: there is no risk identified for people who have this variant but do not have an APOE e4 variant. APOC1 acts as the “on switch” for APOE e4 and is found in about 70% of APOE e4 individuals. I am not going to let that 2.79 stand unqualified.
Two separate SNPs, both high impact, both homozygous. The clinician summary escalates to a printed all-caps callout: two copies of this SNP makes me a predicted non-responder to TB006 anti-galectin-3 antibody treatment based on initial research, and other modalities should be considered. That belongs here and again on the drug ledger.
BDNF came back GG, two copies, high impact. The report calls BDNF essentially fertilizer for the neurons. Lower BDNF means more difficulty stimulating brain growth. The panel ties BDNF variants to Alzheimer’s, autism, cognitive decline, and depression, and notes that BDNF levels drop in depression and normalize with remission.
Named levers, straight from the report: moderate-to-intense aerobic exercise, butyrate, curcumin, and prebiotic high-fiber foods to feed butyrate-producing gut bacteria. This is the most actionable optimistic finding on the page. It balances an otherwise heavy section.
Impaired endogenous phosphatidylcholine synthesis; men and post-menopausal women flagged higher risk.
Choline production from inside the body is weaker. Diet has to carry more of that load.
Brain ischemia panel; factor 5 interaction note printed.
This is the row that later drives lumbrokinase on my supplement table. Prevalence printed at 10.4%.
COMT V158M is the single most cross-cutting finding in the brain dataset. AA, two copies, high impact. It sits under anxiety, rumination, attention, and stimulant response at the same time.
Slow clearance of catecholamines — dopamine, norepinephrine, epinephrine — from the synapse.
Stress chemistry lingers longer than it should. Caffeine hits harder and stays. The printed list also includes an SSRI non-responder flag, heightened opiate and post-surgical pain sensitivity, an estrogen interaction, explicit caution against quercetin with two copies, decreased stimulant response in males, and lower response to both methylphenidate and bupropion.
SLC1A1 carries an explicit gene-gene interaction note with COMT V158M — which I carry as AA.
COMT is the hub. These rows are the rest of the anxiety and rumination stack — adrenergic, adenosine, and serotonin receptors the report treats as hardware, not personality.
Over double the anxiety risk on the printed panel.
This one gene drives four action-plan entries at once: magnesium threonate, vitamin B6 (P5P), a low-carb diet, and meditation.
Allele T homozygous, linked to 3× multiple-chemical-sensitivity risk via rs2298383; caffeine- and amphetamine-triggered anxiety. Allele C homozygous adds a seizure-risk note, again caffeine-worsened.
This is one of the three independent caffeine flags. The other two sit on COMT.
Roughly 3× depression risk. Appears in both the Depression and Anxiety panels.
Serotonin receptor one. It is not the whole mood story — HTR2A, HTR3C, and HTR1B stack on top.
HTR2A allele T TT and allele A AA both high in the obsession / rumination / compulsions panel. HTR3C AA carries a male-specific OCD risk note.
The rumination hardware is not one SNP. It is a pile.
Caffeine is called out three times independently as a problem: twice under ADORA2A (caffeine-worsened anxiety) and once under COMT (caffeine intolerance). Meanwhile coffee is simultaneously recommended under MME for amyloid-beta suppression. That tension is in the source. I am leaving it unresolved. Show the data, including where it disagrees with itself.
HTR1B prints advice to avoid SSRIs and 5-HTP — less likely to respond, and they may worsen symptoms. DRD2 C71572T came back GG, two copies, high impact: that is the SNP behind the velvet-bean recommendation later.
OPRMI is the highest-stakes practical finding on the page. It is rare, it is homozygous, and the printed multiples are not small.
Two copies, high impact, 2.9% prevalence. Appears in both the Addiction and the Opioid & Pain Response panels. Predicted opioid non-responder for pain relief, with printed severe-outcome multiples of 12.9×, >5×, and ~4×, plus increased opioid-addiction risk, a psychosis association, and a specific instruction to avoid methamphetamine-containing stimulants. The gene regulates pain and the pleasure response to opioids. Carriers are prone to lower pain reduction with opioids.
1.74× opioid dependence risk.
A second opioid-side flag sitting next to OPRMI, not instead of it.
Over 9× cannabis dependence risk.
This sits in the endocannabinoid cluster with CNR1, CNR2, CYP2C9, and FAAH.
CNR2 GG two copies, high. CYP2C9 CT — slow THC metabolizer; dose reduction advised. FAAH AG — significantly increased THC/CBD-induced anxiety and psychosis risk; start at a lower CBD dose. CNR1 also carries a weight-gain-on-atypical-antidepressants note.
Other printed stimulant-response flags: CYP2B6 AG reduced bupropion smoking-cessation success; NTF3 AA methylphenidate-alternative caution; SLC6A2 GA decreased stimulant response; DBH T15791C less likely to respond to atomoxetine; DRD3 and DRD4 C8887A poorer stimulant response.
Nutrient status can look normal on labs and still be wrong in the brain. TCN2 is the clean example. The same logic runs through BHMT, CUBN, CBS, MUC1, FGFR2, and CYP2R1.
3.33× peripheral neuropathy risk, rising to 6.9× if folate exceeds 800 mg/day. Brain B12 can be low even when blood B12 reads normal.
A normal lab is not the same as a fed brain. This is why high-B12 foods land on the protocol table.
Explicit non-responder flag: two-copy carriers generally do not get significant homocysteine reduction with folate.
Folate is not the automatic homocysteine answer for this genotype. That is a ledger row, not a slogan.
16% prevalence. Drives magnesium threonate plus high-magnesium foods.
FGFR2 is the companion “rare SNP” at 14.6% prevalence. Both sit in the mineral story, not the amyloid story.
CYP2R1 AG sits in the Vitamin D Benefit panel, but the report prints that one variant is actually a risk for vitamin D deficiency. A variant filed under “benefit” that the report itself argues with is exactly the texture this page should surface.
CUBN prints 1.61× risk of severe B12 deficiency and 1.39× below-adequate B12, with dietary intake flagged as possibly insufficient. CBS CC prints 1.22× below-adequate B12.
Glutathione and inflammation rows. This is where “avoid glyphosate” and “avoid smoke” come from — not from a wellness slogan.
4.8× and 1.84× cognitive-impairment and glyphosate figures, plus lead-exposure cognitive effects.
This drives “avoid glyphosates” and “avoid smoke” on the protocol table.
Complete gene deletion. Alzheimer’s association. Additive interaction with the other glutathione genes.
The trash crew is short-handed, and the shortage stacks.
GCLC prints increased size of stroke damage and psychosis notes. GPX1: lower long-term visual memory, brain glioma note. ABCC1: mercury toxicity in the brain; mold-related cognitive issues. CARD8: brain inflammation; interferon non-response pharmacogenomic warning. GCKR TT 18.1% and LEPR CC sit on the CRP panel. CRP, CCL2, and IL10 carry stroke / Alzheimer’s notes.
Pharmacogenomics is where this report is most actionable, and most of the flags came back negative. That is the honest headline. Flags differ by border and label, not by color.
| Drug or compound | Predicted response | Flag | Driving SNP |
|---|---|---|---|
| TB006 anti-galectin-3 antibody | Predicted non-responder | Non-responder | LGALS3 ×2, homozygous |
| SSRIs | Non-responder flag | Non-responder | COMT V158M (2) |
| SSRIs and 5-HTP | Avoid — less likely to respond, may worsen symptoms | Caution | HTR1B |
| Methylphenidate | Reduced response | Reduced | COMT V158M (2), NTF3 (2), SLC6A2, DRD3, DRD4 |
| Bupropion | Reduced response; reduced smoking-cessation success | Reduced | COMT V158M (2), CYP2B6 AG |
| Atomoxetine | Less likely to respond | Reduced | DBH T15791C |
| Opioids | Non-responder for analgesia; elevated addiction and severe-outcome risk | Non-responder | OPRMI GG (2), TH AA (2) |
| Folate (for homocysteine) | No significant homocysteine reduction | Non-responder | BHMT R239Q (2) |
| Donepezil, rivastigmine, huperzine | Possible non-response; long-term use may worsen memory | Caution | BCHE |
| Propofol | ~20% less needed; falls asleep ~40% faster | Reduced | HTR2A AA (2), 18.6% prevalence |
| Succinylcholine-family anesthesia | Difficulty waking | Caution | BCHE CT |
| Methamphetamine-containing stimulants | Avoid | Caution | OPRMI GG (2) |
| Quercetin | Caution with two copies of COMT | Caution | COMT V158M (2) |
| THC (CYP2C9-metabolized) | Slow metabolizer — reduce dose | Caution | CYP2C9 CT |
| CBD | Increased anxiety and psychosis risk — start low | Caution | FAAH AG |
| Interferon | Non-response warning | Non-responder | CARD8 |
| t-PA | Pharmacogenomic warning printed | Caution | A2M |
HTR2A AA, two copies, high impact, 18.6% prevalence: approximately 20% less propofol needed, asleep roughly 40% faster. The action plan turns that into a standing instruction. BCHE adds difficulty waking from succinylcholine-family anesthesia, an additive interaction with APOE e4 that the report links to sudden worsening of cognition with deep anesthesia (more significant over age 65), and a note that two-copy carriers may not respond to acetylcholinesterase inhibitors prescribed for memory problems — donepezil, rivastigmine, and the supplement huperzine — which may with long-term use even make memory worse.
None of the above is a prescription for you — it is mine. Dosages are what the report printed for these SNPs. Verify with your own clinician before copying any of it.
Supplements
| Intervention | Dosage | Timing | For | Driving SNP(s) |
|---|---|---|---|---|
| Lumbrokinase | 800,000–4.8M IU/day (1–6 capsules/day) | With meal | Cognition | PROC (2) |
| Magnesium threonate | 200–350 mg/day elemental magnesium | With meal | Anxiety | ADRB2 (2) |
| Omega-3s (EPA/DHA) | 1–4 g/day based on EPA content | With meal | Cognition, inflammation, detox | ABCA7 (2), GCLC (1), ABCA2 (1) |
| Sulforaphane | 30–60 mg based on glucoraphanin, 1–2×/day with food | With meal | Cognition, detox | GSTP1 (2), BCHE (1), OPRMI (2), GCLC (1), MME (2) |
| Velvet bean (Mucuna pruriens) | 50–150 mg L-Dopa/day, standardized extract | With meal | Anxiety | DRD2 C71572T (2) |
| Vitamin B6 (P5P) | 10–40 mg/day | With meal | Anxiety | ADRB2 (2) |
Report language on the velvet-bean study, attributed: “The results of this study indicate that hydroalcoholic extract of MPE have antidepressant action, which may be mediated by an interaction with the dopaminergic system.”
These seven patterns are the page’s thesis. They are stronger than any individual SNP.
Helps clear amyloid from inside the cell, affects inflammation and immune responses, and carriers have an associated decreased risk for Alzheimer’s, especially when combined with MS4A4E. I am putting the bright line on the page so the walk-through is not unrelievedly negative.
The other two views of the same brain are the most valuable outbound links on this page.
Report components: Hot Spot Summary, Cognition & Memory, Mental Wellness, Medical Overview, Clinician Summary & Action Plan.
The two doctors’ pages sit next. Same brain, two more instruments.
Next: the brainwave maps from Peak Brain.
Next: QEEG · Peak Brain