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Living with Methylcobalamin deficiency type cblG

A rare inherited condition in which the body cannot process certain amino acids, often starting in the first year of life.

Understanding Methylcobalamin deficiency type cblG

Methylcobalamin deficiency cblG type is a rare inherited condition in which the body cannot properly process certain amino acids, the building blocks of protein.

Signs usually start in the first year of life but can begin from infancy to adulthood. Common features are feeding difficulties, low energy, seizures, low muscle tone, developmental delay, a small head, and a type of anemia (megaloblastic anemia).

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Feeding difficulties and poor weight gain
  • Seizures
  • Low muscle tone (hypotonia)
  • Developmental delay
  • Small head (microcephaly)
  • Megaloblastic anemia

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

    Specialists who may be involved include blood and bone marrow specialists, brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MTR are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    HCU Network America may keep lists of experts for this condition.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: HCU Network America
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 HCU Network America
  • 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
Should family members have MTR genetic testing?
What diet or treatment plan is recommended?
Which specialists, such as metabolic doctors, should be involved?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesMTR

Changes in the MTR gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalBloodInherited Metabolic

Also known as: functional methionine synthase deficiency type cblg; hmag; homocystinuria-megaloblastic anemia due to defect in cobalamin metabolism, cblg complementation type; homocystinuria-megaloblastic anemia, cblg complementation type; homocystinuria-megaloblastic anemia, cblg type

Patient organizations

Source: NIH GARD · Methylcobalamin deficiency type cblGGARD ID 3577 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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