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Sourdough for Health

Internationally recognised as a leading authority on bread nutrition and digestibility, Dr Vanessa Kimbell holds a doctorate in Baking as Lifestyle Medicine and preventative healthcare.

Have you ever wondered why some breads make you feel tired, foggy and achy — or been puzzled that some leave you bloated while others don’t? If you can eat sourdough but not other bread, these articles and recipes are a great place to spark curiosity: learn how bread interacts with the gut microbiome, discover how your unique nutrigenetics shape your response, and read practical, evidence-based guidance. Cutting through the nonsense with clear, useful explanations, Vanessa shares tips, information, advice, recipes and methods to bake, eat and share healthy bread to support digestion and overall health. You can read more about training in personalising bread at The Sourdough School, or book a 1:1 meeting to get your bread personalised.

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Home Bakers: Learn To Bake As Lifestyle Medicine

Homocysteine & Bread

13 August 2025 by Dr Vanessa Kimbell
Proven Bread as it is proofing.
You can literally see the polyphenols popping in the bread as it proves – Proven Bread

 HOMOCYSTEINE & BREAD

Homocystine is key metabolic marker for methylation, inflammation, and neurological health.

So let me tell you about homocysteine – because the chances are, nobody has. It’s an amino acid your body produces naturally, and in small amounts it’s fine. But when levels creep up, it becomes a problem. Elevated homocysteine is linked to inflammation, cardiovascular risk, cognitive decline, and a whole cascade of issues that functional medicine practitioners have been flagging for years. Here’s where it gets interesting – and personal.

When you eat white bread, you’re not just eating empty calories. White flour has been stripped of its natural B vitamins and then “fortified” with synthetic folic acid. For many people, that’s manageable. But for a significant portion of the population, there are genetic variations that mean their bodies simply cannot process synthetic folic acid efficiently. First, it has to pass through DHFR (dihydrofolate reductase) – and some people have variants that slow this enzyme right down, causing synthetic folic acid to build up unprocessed. Then, even if it gets through that gate, it needs MTHFR to convert it into the active methylfolate your body actually uses. Variants in MTHFR – which may affect up to 40% of the population – create a second bottleneck. The result? Synthetic folic acid accumulates, unused, while the methylation cycle that should be converting homocysteine back into useful methionine stalls. Homocysteine rises. Inflammation follows.

I developed Proven™ bread because this isn’t abstract science to me – it’s my genetics. I’m neurodivergent, and when I had my own DNA tested, I discovered I carry variants that compromise my ability to process synthetic folic acid. Suddenly, decades of research into fermentation and nutrition snapped into sharp focus. This is why I’ve spent years formulating bread that actually supports methylation rather than disrupting it.

Proven™ Bread includes lentils and other legume flours specifically because they’re rich in natural folate – the form your body can actually use, regardless of your DHFR or MTHFR status. Natural folates bypass that first bottleneck entirely. We use long fermentation because the science shows it significantly increases the bioavailability of these folates, unlocking nutrition that would otherwise pass straight through you. This isn’t a happy accident – it’s deliberate, evidence-based formulation designed to support the methylation cycle and, in turn, help manage homocysteine levels.

This is bread developed with your biochemistry in mind. Not a supplement. Not a workaround. Just real bread, properly made, doing what bread should have been doing all along.

COULD PROVEN BREAD HELP SUPPORT ADHD?

This is a question I get asked all the tine. The MTHFR-neurodivergence connection is real. Research shows higher prevalence of MTHFR variants in autistic, ADHD, and other neurodivergent populations. It’s not the whole picture, but it’s a significant piece. As a neurodivergent person with MTHFR variants, I wanted bread that worked for my biochemistry so this was one of the main focuses of Proven as I developed it. I can’t make health claims about Proven™ – that’s not how this works, and honestly, I wouldn’t want to. But what I can tell you is why I made it the way I did. I developed this bread specifically to boost nutrition and bioavailability – choosing ingredients that provide the cofactors needed for genetic variants that are particularly common in people with ADHD and other neurodivergent conditions. Long fermentation, legume flours, natural folates. Every choice was deliberate. I made this bread for my biochemistry. It just happens that a lot of people share it. So here some of the things that I took into consideration when developing Proven.

Methylation drives neurotransmitter synthesis. Dopamine, serotonin, norepinephrine – they all depend on proper methylation. When the cycle is compromised by folate processing issues, neurotransmitter production can be affected. This matters for mood, focus, executive function – the things many neurodivergent people already find challenging.

Homocysteine and the brain. Elevated homocysteine isn’t just a cardiovascular marker – it’s linked to cognitive difficulties, anxiety, depression, and neuroinflammation. Conditions that frequently co-occur with neurodivergence.

So Proven Bread is formulated to:

  • Help manage homocysteine
  • Provide natural folates (bypassing DHFR/MTHFR bottlenecks)
  • Support methylation

MORE ON BREAD & HOMOCYSTEINE

Homocysteine is a sulphur-containing amino acid produced during the metabolism of methionine, an essential amino acid found in dietary protein. Under healthy conditions, it is recycled via two primary routes: remethylation (back to methionine) and transsulfuration (into glutathione-building compounds).

The remethylation process is dependent on the enzyme MTHFR (methylenetetrahydrofolate reductase), which converts folate into its active form, 5-methyltetrahydrofolate (5-MTHF). This bioavailable folate donates a methyl group to homocysteine, converting it back into methionine with the help of vitamin B12. If this pathway is impaired—particularly in individuals with common MTHFR polymorphisms such as C677T—homocysteine levels may rise, contributing to systemic inflammation, oxidative stress, and compromised mental and cardiovascular health.

Elevated homocysteine (hyperhomocysteinaemia) is associated with impaired neurotransmitter function, reduced methylation capacity, and increased risk of cardiovascular disease, stroke, cognitive decline, and infertility.

Clinical relevance in BALM

Within the BALM Protocol, regulating homocysteine is a key therapeutic target—particularly in those with MTHFR SNPs and related neurodivergent traits. Fermented, fibre-rich bread made using the BALM method supports this regulation on multiple levels:

  • Botanical Blends: Our botanical flours are formulated to include naturally methylated and folate-rich ingredients such as nettle, seaweed, legumes, and wild greens—all shown to support homocysteine clearance.
  • Enhanced Bioavailability through Fermentation: Long, slow fermentation enhances the release of B vitamins, including folate, and reduces phytates that otherwise inhibit mineral and micronutrient absorption.
  • Personalisation through Nutrigenetics: The protocol integrates SNP analysis (e.g. MTHFR, COMT, UGT1A1), helping tailor bread to support methylation and detoxification pathways.
  • Support for Neurodiversity: Elevated homocysteine has been observed in individuals with neurodivergent conditions, including ADHD and autism. Balancing homocysteine may help restore neurotransmitter equilibrium and improve mood, sleep, and cognitive function.

Proven Bread is specifically designed to support these pathways—by delivering bioavailable nutrients, fermented diversity, and gentle, sustained metabolic support with every slice.

Related terms

methylation,
MTHFR,
folate,
B vitamins,
betaine,
choline,
fermentation,
neurotransmitters,
Proven Bread,
neurodiversity

All reasonable care is taken when writing about health aspects of bread, but the information it contains is not intended to take the place of treatment by a qualified medical practitioner. You must seek professional advice if you are in any doubt about any medical condition. Any application of the ideas and information contained on this website is at the reader's sole discretion and risk.

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Dr Vanessa Kimbell

About Dr Vanessa Kimbell

Dr. Vanessa Kimbell is a leading expert in nutrition and the digestibility of bread. Her doctorate focuses on Baking as Lifestyle Medicine and preventative health, specialising in personalising bread for gut health and genetics. She is the Course Director at The Sourdough School, a world-renowned centre of research and education in bread, the gut microbiome, and the impact of bread on health, based in Northamptonshire. She is currently writing her 6th book and is a best-selling international author.

More information about Vanessa can be found:
The Sourdough School team page: About Vanessa Kimbell

The Sourdough Club: thesourdoughclub.com

Instagram accounts: @SourdoughClub
@SourdoughSchool @vanessakimbell

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Reader Interactions

Comments

  1. Sandy

    14 August 2025 at 10:06 pm

    Hi Vanessa, I’m intrigued with what you have been sharing about your Proven Bread. I live in the US and am wondering if you are going publish or provide a recipe for those outside the UK.

    PS I hope you are writing another book. I have made some of you botanical blend flours with great success. Thank you for sharing those blends and your recipes with us.

    Reply

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Todays live for diploma students will be on 'How t Todays live for diploma students will be on 'How to engage your patient in the lifestyle changes of the BALM' with @vanessakimbell 

In their 6pm live session, we help keep our students on track with the syllabus and discuss the application of Baking As Lifestyle Medicine to the 6 pillars of Lifestyle medicine, applying the research papers, application of the Research, and how this ties into prescribing, along with guest lecturers, discussions and sharing knowledge.

#lifestylemedicine #health #functionalmedicine #nutrition #integrativemedicine #healthylifestyle #wellness #lifestyle #rcgp #dietitian #nutritionist #healthcareprofessional #holistichealth #healthyliving #plantbased #guthealth #naturopathicmedicine #selfcare #functionalnutrition  #naturopathicdoctor #foodasmedicine #foodismedicine #lifestylegoals #cpd #lifestylechange #mentalhealth #sourdough #sourdoughschool #bakeforhealth
BAKE, ANALYSE, EAT; RECALIBRATE & REPEAT. 📆 The S BAKE, ANALYSE, EAT; RECALIBRATE & REPEAT.

📆 The Sourdough School Clinic - Thursdays 8pm - for students of The Sourdough School 

✏️ In this weekly live session, we cover technical baking questions. Students can submit their Baking Record Sheets in advance of the session.

📋 We look at the details of our student's bakes - the specifics of the flour, timings and temperatures. Using our sourdough record sheets Vanessa will make suggestions on how they might modify, or recalibrate the next time they bake.

Follow the link in the bio to learn more about becoming a student at The Sourdough School 👆

#sourdough #sourdoughschool #bread #sourdoughlove #sourdoughlover #naturalleavened #leavening #levain #realbread #breadmaking #bakebread #makebread #makerealbread #learntobakebread #breadmakingclass #sourdoughstories #bakingforlove #bakingtherapy #sourdoughbaking
IBS AWARENESS MONTH Do you suffer from irritable IBS AWARENESS MONTH

Do you suffer from irritable bowel syndrome (IBS)? It can be tough to deal with the uncomfortable symptoms of stomach cramps, constipation, diarrhoea and bloating. But did you know that making dietary changes, such as incorporating sourdough bread into your diet, could help alleviate some of those symptoms?

Studies have shown that sourdough's long, slow fermentation process can reduce IBS symptoms. Plus, during #ibsawarenessmonth, we're exploring how adding different herbs and spices to your sourdough can further improve both the flavour and the digestion of your bread.

Let's talk about gut health, fermentation, and how sourdough can be a delicious and healthy addition to your diet. Join the conversation and share your experiences with IBS and sourdough.

#guthealth #healyourgut #healthygut #guthealing #guthealthmatters #letfoodbethymedicine #foodasmedicine #gutbrainconnection #nutrientdense #micronutrients #digestivehealth #nutritionfacts #microbiome #breadandguts #ibsawarenessmonth
THE SOURDOUGH SCHOOL – HAND CARVED WOODEN LAME On THE SOURDOUGH SCHOOL – HAND CARVED WOODEN LAME

One of the biggest issues around using a plastic lame to score sourdough, of course, is that eventually the blade will become blunt and the lame could end up in landfill.  So several years ago I talked to my dear friend EJ about developing a lame with a replaceable blade. And he came up with this very beautiful hand carved wooden lame.

Very sadly EJ is no longer with us. Recently a friend of EJ’s who is also a wood turner and carver offered to make these again for us in remembrance of our dear friend.

Follow the link in the bio to our shop where you can find our full selection of wooden sourdough tools 👆

#sourdough #sourdoughschool #bread #sourdoughlove #sourdoughlover #naturalleavened #leavening #levain #realbread #breadmaking #bakebread #makebread #makerealbread #learntobakebread #breadmakingclass #sourdoughstories #bakingforlove #bakingtherapy #sourdoughbaking
The Baking As Lifestyle Medicine (BALM) Protocol The Baking As Lifestyle Medicine (BALM) Protocol

The current food system is broken at multiple levels, from the pesticides used in our soils to the emulsifiers and additives adulterating industrially-processed foods. Nowhere is this more apparent than in the bread we eat.  The figures reported by the UK Flour Millers say that bread is bought by a staggering “99.8% of British households” and that “the equivalent of nearly 11 million loaves are sold each day. Approximately 60-70% of the bread we eat is white and sandwiches are thought to account for 50% of overall bread consumption. Average bread purchases are the equivalent of 60.3 loaves per person per year.” 

Most bread sold is made by modern processing methods that strip heart-healthy whole grains of their nutrient contents, resulting in low-fibre bread with a high glycemic index. Over time, white processed bread can increase a person’s risk of insulin resistance alongside other lifestyle diseases.

We’re on a mission to revolutionise the bread making process at every level – from soil to slice. The rules governing this are laid out in our Baking As Lifestyle Medicine protocol. 

#lifestylemedicine #health #functionalmedicine #nutrition #integrativemedicine #healthylifestyle #wellness #lifestyle #rcgp #dietitian #nutritionist #healthcareprofessional #holistichealth #healthyliving #plantbased #guthealth #naturopathicmedicine #selfcare #functionalnutrition  #naturopathicdoctor #foodasmedicine #foodismedicine #lifestylegoals #cpd #lifestylechange #mentalhealth #sourdough #sourdoughschool #bakeforhealth
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