A Woman’s Journey with MTHFR, Chronic Inflammation, and Therapeutic Plasma Exchange

18 Aug 2026 · 25 min
25:20

In this interview, Katina, a 53‑year‑old woman, recounts three decades of persistent health problems—including daily migraines, brain fog, chronic fatigue, and widespread muscle pain—despite a lifelong commitment to organic foods, clean living, and numerous supplements. She explains that a genetic MTHFR mutation, which impairs her ability to process toxins and metabolize folate, contributed to her condition, and she describes how her family history (a mother who suffered a brain bleed after a blood‑thinner and a father exposed to Agent Orange) reinforced the importance of genetic testing. After extensive self‑education, dietary changes, and failed attempts at fasting, Katina consulted Dr. Pam Smith, Dr. Chris Davis, and Dr. Paul Savage, who recommended a toxin panel and therapeutic plasma exchange (TPE). She underwent five TPE sessions in Sarasota, Florida, under the care of nurse Mitch. The procedure involved removing plasma and replacing it with donor plasma, leading to an initial feeling of deep calm, followed by a challenging fourth session where she experienced intense detox symptoms. Overall, Katina reports substantial improvements: elimination of muscle aches, reduced fatigue and brain fog, better sleep, and a sense of “getting her health back,” though migraines persist and hormonal issues remain. She advocates TPE for others with autoimmune‑related chronic inflammation, emphasizing the value of early testing, the importance of weighing the risk of toxin accumulation against procedural risks, and the long‑term health‑cost benefits of the treatment.

Chapters

More from Paul

6:38
youtube.com

The Hidden Toxins in Your Home (And How to Remove Them)

1mo ago
1:01:22
youtu.be

Ask Dr. Paul Savage: A Live AMA on Toxins, Detox & Advanced TPE Your Questions. Answered Live.

2mo ago
31:11
youtube.com

How American Ninja Warrior Lisa Hair Defied Ankylosing Spondylitis with TPE

2mo ago
45:26
youtube.com

A Cardiologists Take on Toxins, Heart Disease, and Therapeutic Plasma Exchange

2mo ago
50:05
youtube.com

Mia Michaels Begins Therapeutic Plasma Exchange | Her Journey Back to Health

2mo ago
49:37
youtu.be

Surviving a Toxic World with Advanced Serial Therapeutic Plasma Exchange

5mo ago
59:44
youtu.be

Advanced Serial TPE: The Science, The Evidence, and The Opportunity for Your Patients

5mo ago
youtube.com

Your Clean Beauty Guide To Avoiding Parabens, Fragrance Loopholes, and Forever Chemicals

8mo ago
youtube.com

A Parent’s Guide to Lowering Your Baby’s Toxic Burden

8mo ago
youtube.com

Doctor Explains How Toxins Destroy the Gut Lining - Dr. Nikol Hopkins

9mo ago
youtube.com

The TBD Fit Podcast featuring Dr. Paul Savage

9mo ago
See all content