BioCare Methyl B Complex · Quatrefolic 5-MTHF + Adenosyl/Methyl B12 + P-5-P B6 · 60 vegan caps
MTHFR variants impair folate methylation, reducing serotonin and dopamine synthesis. Methylfolate is the most well-evidenced adjunct to antidepressants. Quatrefolic is the gold-standard methylfolate form.
1 cap/day · Morning~£22 · 2 months~37p/day
Amazon
⚠ Start at ¼ dose and build — some people are sensitive to methyl donors.
Berberine HCl 500mg · 60–120 vegan capsules · GMP certified · UK or EU made preferred
Activates AMPK — the same pathway as metformin — to reduce insulin resistance, lower androgens and restore cycle regularity in PMOS. Also modulates gut microbiome directly.
500mg x2/day · Before meals~£15–20 · 1–2 months
Amazon
⚠ Must check with GP first — significant drug interactions with statins, diabetes medication, antibiotics and more.
Nutrition Geeks Biotin 10,000mcg + Zinc + Selenium · 180 vegan tablets · 6-month supply · 8,000+ reviews
Zinc inhibits 5-alpha reductase — the enzyme converting testosterone to DHT — the primary androgen driver in PMOS. Selenium is essential for thyroid function. Both commonly depleted in PMOS and depression.
1 tablet/day · With food~£10 · 6 months~6p/day
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