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Living with Hypermethioninemia

Too much of the amino acid methionine in the blood, which often causes no symptoms.

Understanding Hypermethioninemia

Hypermethioninemia is an excess of the amino acid methionine in the blood.

It can happen when methionine is not broken down properly. People often have no symptoms. Some have intellectual disability or other nerve problems, delayed motor skills, sluggishness, muscle weakness, liver problems, or unusual facial features. Breath, sweat, or urine may smell like boiled cabbage. It can occur with other metabolic disorders, with liver disease, or from excess methionine in the diet.

Signs & symptoms

Many people have no symptoms. When symptoms occur, GARD's summary describes:

  • Delayed motor skills
  • Intellectual disability
  • Sluggishness
  • Muscle weakness
  • Liver problems
  • Boiled cabbage smell in breath, sweat, or urine

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What is causing the high methionine?
Do I need diet changes or more tests?
Should my liver be checked?

Quick facts

It can occur when methionine is not broken down properly. It can happen with other metabolic disorders such as homocystinuria, tyrosinemia, and galactosemia, with liver disease, or from excess methionine in the diet. It is called primary when none of these apply.

Also known as: disorder of methionine catabolism; inborn error of methionine catabolic process; inborn methionine catabolic process disorder; increased methionine in blood; methioninemia; rare inborn error of methionine catabolic process

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · HypermethioninemiaGARD ID 22754 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hypermethioninemia.

Explore the Hypermethioninemia blog

Explore research for Hypermethioninemia

Explore actively recruiting Hypermethioninemia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hypermethioninemia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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