What are Enlyte capsules (prescription‑only medical‑food softgel) and how are they indicated?

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Last updated: May 5, 2026 • View editorial policy

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What is Enlyte?

Enlyte is a prescription-only medical food softgel capsule specifically formulated for patients with MTHFR gene polymorphisms (SNPs) and methylation coenzyme cofactor deficiencies to assist in the clinical dietary management of depression. 1

Formulation and Active Components

Enlyte contains a specialized combination of reduced B vitamins designed for patients with impaired methylation capacity:

  • 50 mcg adenosylcobalamin (active form of vitamin B12)
  • 15 mg DFE of reduced folates from three sources:
    • 7 mg L-methylfolate magnesium
    • 2.5 mg folinic acid
    • 1 mg folic acid

The formulation also includes additional cofactors such as phosphatidylserine-DHA complex, CoQ10, NADH, FAD, pyridoxal 5' phosphate (active B6), thiamine pyrophosphate (active B1), and other supportive nutrients. 1

Clinical Indication and Mechanism

This medical food addresses a specific metabolic need: patients with MTHFR polymorphisms have impaired ability to convert standard folic acid into its active methylated forms. Enlyte provides pre-methylated, bioavailable forms of folate and B12 that bypass this metabolic block, allowing these patients to maintain adequate methylation capacity for neurotransmitter synthesis and homocysteine metabolism. 1

Clinical trial data (NCT02709668) demonstrated that Enlyte effectively lowers homocysteine levels in MTHFR-positive patients with major depressive disorder. 1

Dosing and Administration

The standard dose is one softgel capsule daily, with or without food, under medical supervision. There are no age restrictions. 1

Important Caveats

  • This is a medical food, not a drug—it requires medical supervision and is intended for patients with documented limited capacity to metabolize ordinary nutrients
  • Contains fish/krill/soy allergens
  • Must be kept out of reach of children
  • Should not exceed recommended dose 1

Medical foods like Enlyte are specifically designed for patients whose distinctive nutritional requirements cannot be met through normal diet modification alone, distinguishing them from standard dietary supplements. 1

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.