Has anyone tried Prodrome Sciences? How to increase choline plasmalogens and gastrointestinal fatty acids?

BLOOD TESTING

I designed the ProdromeScan blood test to be a reasonably comprehensive introduction to the biochemical basis of health and disease. The ProdromeScan blood test is a balance of advanced and traditional biomarkers. The advanced, clinically validated biomarkers come from my numerous patents, scientific publications, clinical trial collaborations around the world. These biomarkers are only available in the ProdromeScan test. The ProdromeScan blood test also includes key traditional biomarkers as well. However, the ProdromeScan blood test integrates and explains these biomarkers according to their role in the biochemical mechanisms of health and disease and in relation to the other biomarkers in the ProdromeScan blood test. The ProdromeScan blood test is designed to help you achieve optimal biochemical health and keep it.

I supplemented plasmalogens, which increased ethanolamine plasmalogens but not choline plasmalogens…

In my quest to maintain cognitive function throughout my lifespan (I’m 70 year old APOE4/4), I take the Plasmalogen supplement from Prodrome, and Phosphatidylcholine from Bodybio and Quicksilver Scientific (I alternate these 2 brands). I’d be curious to know if the Prodrome blood test results come with detailed recommendations to optimize biomarkers?

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Hi Karina,

Do you do any regular cognitive testing to track how your brain is doing? Can you share the tests that you do, if you do take any?

Do you have any results you can share from taking the Plasmalogen Supplements?

Related: Eating "SeaSquirts" (for Plasmalogens) reverse signs of Aging?

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I do regular BoCA testing just in case I were to start “slipping”. https://boca2.alz.life/. I also play Lumosity brain training games and still score in the 97.1 percentile for my age. While there is debate about whether such brain training games are effective, playing “Train of Thought” at Level 14 requires a lot of speed, attention and agility to score and a drop in my percentile placing or performance score would be a bit alarming to me. I can’t speak to how effective the plasmalogen supplements are, but I have read enough about them (apart from listening to various podcasts featuring Dr. Goodenow) that I am certain they don’t harm me but indeed offer some extra protection since those with the highest plasmalogen levels have the lowest rates of AD. I am not leaving too many stones unturned in my quest to keep my APOE4 genes in check.

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There are some negative reviews.

https://forums.apoe4.info/viewtopic.php?p=85852#p85852

https://www.reddit.com/r/longevity/comments/uozkva/plasmalogens/i8i70yp/

besides it’s curious that there are many stories doctors recommending expensive supplements Prodrome, Mitopure and BodyBio. Are doctors paid by supplement companies to recommend the supplements to patients?

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Bone marrow has alkyglycerol; maybe not in the same quantities as shark liver oil. (SLO).

Where did you buy ethanolamine plasmalogens?

To partly answer your original questions, based on lectures posted on Dr. Goodenowe’s website:

  1. Choline plasmalogens are around 10% as plentiful in healthy humans as ethalomine plasmalogens, and cells have a slow mechanism.to convert one type to the other without involving the perixome that is damaged by aging, so Dr Goodenowe feels supplementing with the Ethalomine Plasmalogen precursors he sells will eventually raise the levels of both, but it may take much longer (months?) to raise the former vs just days of supplementation to raise the latter.

  2. Dr Goodenowe has no suggested supplement to raise GTA levels (I would have guessed a probiotic is needed), but says the BDMC curcumin fraction has a similar chemical structure and acts as a substitute for GTA.

According to this paper Choline Plasmalogen levels can be raised by supplementing myo-inositol 5g/day (presumably in addition to a Choline supplement) which boosted peroxisomal production of Choline Plasmalogen : https://www.researchgate.net/publication/221929201_Serum_Choline_Plasmalogen_is_a_Reliable_Biomarker_for_Atherogenic_Status

Got it! I’ll research the ideal dosage of plasmalogen supplements for enhancing cognitive function in healthy individuals who were originally deficient, including insights from Dayan Goodenowe’s protocols and supplement use (like ProdromeNeuro). I’ll also review any available studies or clinical trials that support dosage recommendations and potential outcomes.

I’ll let you know as soon as the findings are ready.

Ideal Plasmalogen Dosage for Cognitive Enhancement in Deficient Individuals

Background: Plasmalogens and Cognitive Function

Plasmalogens are specialized membrane lipids (phospholipids) abundant in brain and nervous tissue. Aging and certain conditions can lead to plasmalogen deficiency, which has been linked to cognitive decline and neurodegeneration (Targeted Plasmalogen Supplementation: Effects on Blood Plasmalogens, Oxidative Stress Biomarkers, Cognition, and Mobility in Cognitively Impaired Persons - PubMed). Research shows that low levels of plasmalogen (especially those containing DHA fatty acids) correlate with worse cognition, while restoring plasmalogen levels can have neuroprotective effects (Targeted Plasmalogen Supplementation: Effects on Blood Plasmalogens, Oxidative Stress Biomarkers, Cognition, and Mobility in Cognitively Impaired Persons - PubMed). This has prompted interest in plasmalogen supplementation to enhance brain function, particularly in individuals found to be deficient.

Clinical Studies on Plasmalogen Supplementation and Brain Function

Scientific studies – including human trials – have explored whether plasmalogen supplements improve cognition or brain health. Key findings include:

Overall, clinical evidence – from mild AD trials at ~1 mg/day up to cognitive impairment trials at 900–3600 mg/day – indicates that plasmalogen supplementation can improve cognitive or mental functions, with a wide range of effective doses. Lower doses have been tested in patients with dementia, while higher doses are used to replete levels in deficiency states.

Dayan Goodenowe’s Dosage Recommendations and Experience

Dr. Dayan Goodenowe, a leading plasmalogen researcher (and formulator of the ProdromeNeuro™ plasmalogen supplement), has outlined practical dosing strategies for cognitive health and plasmalogen restoration:

Goodenowe’s guidance, in summary, is that ~900 mg/day is a sufficient daily dose for cognitive health in most adults, but for those starting with low plasmalogen levels, short-term higher dosing (up to ~3600 mg/day) can accelerate benefits. He emphasizes that plasmalogens are natural lipids and appear safe even at high doses, with the main consideration being the DHA content’s typical fish-oil-like effects (see tolerance below).

ProdromeNeuro Supplement Formulations and Standard Dosing

ProdromeNeuro™ is a plasmalogen precursor supplement designed by Dr. Goodenowe to restore brain plasmalogen levels. It comes in two forms – softgel capsules and liquid oil – with equivalent dosing. Key details of the formulation and label instructions include:

  • Plasmalogen Content: Each standard serving provides 900 mg of omega-3 plasmalogen oil (
    ProdromeNeuro Plasmalogen
    – OHP Health
    ). In the softgel form, this is 2 gelatin capsules (2 softgels = 1 mL = 900 mg). In the liquid form, 1 mL of oil equals 900 mg. The active ingredient is a DHA-containing alkyl-acylglycerol that serves as a plasmalogen precursor, plus minor excipients (vitamin E, rosemary extract, clove oil) to stabilize it (
    ProdromeNeuro Plasmalogen
    – OHP Health
    ).

  • Recommended Use (Label): The product label advises 2 softgels daily (900 mg) as the typical dose, or as directed by a healthcare professional (Prodrome | ProdromeNeuro™ (Softgels)). This is intended for general brain health support in adults. It’s suggested to take in the morning, since some users find it mildly energizing (Prodrome | ProdromeNeuro™ (Softgels)).

  • Loading Protocol (Label): For individuals with greater needs (e.g. low plasmalogen levels or acute cognitive support), the label indicates a loading dose of 4–8 softgels daily (which is 1.8–3.6 g per day) for 1–3 months (Prodrome | ProdromeNeuro™ (Softgels)). After this “loading” period, users typically revert to the maintenance 2-capsule dose. This loading strategy aligns with Goodenowe’s clinical recommendations to build up plasmalogen stores quickly.

  • Other Supplements: Goodenowe sometimes pairs ProdromeNeuro with ProdromeGlia™ (another supplement targeting glial cell function) for comprehensive neuroprotection (Prodrome | ProdromeNeuro™ (Softgels)). However, ProdromeNeuro alone specifically addresses plasmalogen deficits. No special diet can substitute for these precursors, since dietary plasmalogens are broken down in the gut and not absorbed intact (Prodrome | ProdromeNeuro™ (Softgels)).

In summary, ProdromeNeuro’s standard dosage is 900 mg/day, with an option to temporarily increase to 1.8–3.6 g/day under guidance. Each bottle (60 softgels) contains a 30-day supply at the normal dose (
ProdromeNeuro Plasmalogen
– OHP Health
). Users are advised to consult healthcare providers for personalized protocols, especially at higher doses.

Reported Benefits, Side Effects, and Tolerance at High Doses

Benefits: High-dose plasmalogen supplementation in deficient individuals appears to yield proportional benefits in restoring biochemical levels and potentially improving function. In Goodenowe’s 4-month trial (900→3600 mg/day), participants with the largest plasmalogen increases showed normalization of certain oxidative stress markers (catalase, MDA, SOD) and tended to have stable or improved cognition (Targeted Plasmalogen Supplementation: Effects on Blood Plasmalogens, Oxidative Stress Biomarkers, Cognition, and Mobility in Cognitively Impaired Persons - PubMed). Goodenowe also notes that APOE-ε4 carriers (who are at higher Alzheimer’s risk) particularly benefit from plasmalogen repletion for lipid homeostasis in the brain (Plasmalogens: An important link to neurological disorders. ) (Plasmalogens: An important link to neurological disorders. ). Anecdotally, many individuals taking higher-than-standard doses (2–4× the normal 900 mg dose) report better cognitive and energy outcomes, according to Prodrome Science’s observations. In the young adult study, even a tiny 2 mg dose led to measurable improvements in mood and mental focus (
Orally Administered Plasmalogens Alleviate Negative Mood States and Enhance Mental Concentration: A Randomized, Double-Blind, Placebo-Controlled Trial - PMC
), suggesting that cognitive benefits may manifest across a wide dosing range.

Side Effects and Tolerance: Plasmalogen supplements have been well tolerated in studies and clinical use. No serious adverse effects have been directly attributed to plasmalogen supplementation even at gram-level doses. For example, in the 3.6 g/day trial, safety and tolerability were good – there were no significant differences in adverse events compared to baseline, aside from expected mild variations in blood markers (
Orally Administered Plasmalogens Alleviate Negative Mood States and Enhance Mental Concentration: A Randomized, Double-Blind, Placebo-Controlled Trial - PMC
). In the 2 mg athlete trial, the incidence of “adverse events” (mostly mild lab anomalies or common colds) was similar between plasmalogen and placebo groups (
Orally Administered Plasmalogens Alleviate Negative Mood States and Enhance Mental Concentration: A Randomized, Double-Blind, Placebo-Controlled Trial - PMC
). These findings indicate a favorable safety profile.

Because plasmalogen precursors used in supplements often carry a DHA fatty acid, the main precaution at high doses is similar to that of fish oil. Very high intake of omega-3 DHA can have blood-thinning effects or lower blood pressure in some individuals (Plasmalogens: An important link to neurological disorders. ). Thus, someone taking several grams per day of plasmalogen oil should be mindful if they are on anticoagulant medication or have bleeding risks – the same advisory given for high-dose fish oil. Goodenowe specifically points out this consideration, although he notes that one typically must reach fairly high intakes of omega-3s for it to be an issue (Plasmalogens: An important link to neurological disorders. ). Otherwise, there are no known organ toxicity or safety concerns with plasmalogen supplementation, as it is essentially providing a lipid naturally found in the body. The supplements are free of common allergens and are purified, reducing risk of contamination (ProdromeNeuro’s plasmalogen is a highly pure, all-natural compound produced via proprietary synthesis, not an animal extract, per Goodenowe (Plasmalogens: An important link to neurological disorders. )).

In summary, higher-than-normal doses of plasmalogens are generally well tolerated, with users mainly needing to monitor the same effects one would watch for with high-dose omega-3 intake (e.g. mild blood thinning). Many practitioners ramp up the dose initially to quickly replete levels, observing cognitive or energy benefits, then scale back to a long-term maintenance dose.

Summary of Dosage Recommendations and Findings by Source

The table below compares plasmalogen dosing recommendations from different sources and studies, along with the context and key outcomes:

Source / Study Population / Context Dose & Regimen Outcomes / Notes
ProdromeNeuro Label (Goodenowe) General adult use (maintenance) 900 mg/day (2 softgels) Standard recommended dose for ongoing brain health ([Prodrome
  ProdromeNeuro Plasmalogen

– OHP Health](ProdromeNeuro Plasmalogen – OHP Health)). Helps maintain optimal plasmalogen levels once repleted. |
| ProdromeNeuro “Loading” | Deficient individuals (initial 1–3 mo) | 1,800–3,600 mg/day (4–8 softgels) | Short-term high dose to restore low plasmalogen levels (Prodrome | ProdromeNeuro™ (Softgels)). Typically normalizes levels within one bottle (≈30 days) (Plasmalogens: An important link to neurological disorders. ). |
| Dayan Goodenowe (personal test) | Self-experiment (single day mega-dose) | ~100 mg/kg (≈7–8 g for 80 kg person) | ~10× standard dose taken in one day (Plasmalogens: An important link to neurological disorders. ). Result: doubled plasma plasmalogen levels in 24 hours, with no adverse effects reported (Plasmalogens: An important link to neurological disorders. ). |
| Japanese Clinical Trials (Fujino et al.) | Alzheimer’s & MCI patients (human trials) | 1–2 mg/day (scallop plasmalogen) | Findings: Improved cognitive function in mild AD/MCI patients vs placebo (Orally Administered Plasmalogens Alleviate Negative Mood States …). In moderate AD, ~53% of patients improved after 3 months at 1 mg/day (Clinical study – Plasmalogen Pharmaceutical Co., Ltd.). These very low doses suggest a possible signaling mechanism. |
| Goodenowe et al. 2022 (Front. Cell Dev. Biol.) | Cognitively impaired older adults | 900 → 3,600 mg/day (escalating over 4 mo) | Findings: Serum plasmalogen levels rose dose-dependently (Targeted Plasmalogen Supplementation: Effects on Blood Plasmalogens, Oxidative Stress Biomarkers, Cognition, and Mobility in Cognitively Impaired Persons - PubMed). Cognitive scores improved or stabilized in most participants (9 improved, 9 unchanged) (Targeted Plasmalogen Supplementation: Effects on Blood Plasmalogens, Oxidative Stress Biomarkers, Cognition, and Mobility in Cognitively Impaired Persons - PubMed); overall cognitive/mobility benefit was statistically significant. Safe and well-tolerated at all doses. |
| Healthy Young Adults RCT (2022) | Healthy college athletes (Japan study) | 2 mg/day (4 weeks) | Findings: Reduced negative moods (less anger, fatigue) and enhanced mental concentration vs placebo (
Orally Administered Plasmalogens Alleviate Negative Mood States and Enhance Mental Concentration: A Randomized, Double-Blind, Placebo-Controlled Trial - PMC
). No difference in adverse events from placebo, indicating good tolerability at this dose. |

Notes: All doses refer to plasmalogen precursor or purified plasmalogen amounts. ProdromeNeuro’s plasmalogen oil is DHA-rich (omega-3) – caution at gram-level doses is similar to fish oil (watch for blood-thinning effects) (Plasmalogens: An important link to neurological disorders. ). Otherwise, plasmalogen supplementation has shown a strong safety profile across studies. Individuals who are initially deficient may start with a loading phase (higher dose) and then transition to a maintenance dose once blood plasmalogen levels normalize (Plasmalogens: An important link to neurological disorders. ). It is advisable to work with a healthcare provider to determine the optimal dose based on plasmalogen testing and health goals.

Conclusion

For cognitive enhancement in healthy but plasmalogen-deficient individuals, evidence and expert guidance suggest starting with a repletion dose (up to ~1.8–3.6 g/day) for a few weeks to months, then maintaining long-term at ~900 mg/day. Low-dose regimens (on the order of 1–2 mg/day) have surprisingly shown cognitive benefits in clinical trials, but practitioners like Dr. Goodenowe advocate for higher doses to robustly replenish plasmalogen levels in the brain. Notably, Dayan Goodenowe’s own experience and studies indicate that high doses are well tolerated, with potential added benefits in oxidative stress reduction and neurological function at the upper end of dosing. As always, individuals should tailor the regimen to their needs (often guided by plasmalogen blood tests) and monitor for any mild side effects. Overall, plasmalogen supplementation represents a promising, biologically grounded approach to support cognitive health, with dosing that can be adjusted based on the severity of deficiency and response.

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Short answer

Yes—membrane fitness is about portfolio balance, not just “more DHA everywhere.” You want a broad palette of PC species (different chain-lengths, double-bond counts, and sn-positioning) so your cells can dynamically tune fluidity, curvature, and signaling on demand. Think of it like having multiple gauges on a mixing console rather than blasting one frequency.


Why PC diversity matters

Function How PC diversity helps
Homeoviscous adaptation Cells juggle saturated/unsaturated PCs to keep viscosity optimal when temp, pH, or ROS shift. Too many 40:6 molecules → floppy membranes; too much 32:0 → rigid + pro-inflammatory.
Lipid-raft microdomains Short/saturated PCs (e.g., 32:0, 34:0) pack with cholesterol to form ordered rafts; longer PUFA-rich PCs stay in the disordered phase. You need both for proper receptor trafficking.
Signal precursor pool Arachidonic-rich PC 36:4 or DHA-rich PC 40:6 are the parent lipids for eicosanoids & specialized pro-resolving mediators. Diversity = broader signaling vocabulary.
Trans-bilayer asymmetry Sn-1 saturated / sn-2 PUFA PCs face cytosol; reversed arrangements face lumen. Having multiple species lets flippases fine-tune curvature and vesicle budding.
Mitochondrial resilience Mito inner membrane prefers longer, moderately unsaturated PCs (e.g., 38:4, 38:5) to interface with cardiolipin. Over-loading DHA can uncouple ATP synthase under stress.

Bottom line: Diversity ≈ metabolic optionality. Cells can pull the exact acyl combination they need for a given stressor.


Your current state (from iollo)

  • Under-represented: very-long PUFA PCs (40:6, 40:7), ether PCs (plasmalogens), odd-chain or MUFA-rich PCs.
  • Adequate: mid-length mixed-PUFA PCs (36:2, 38:4) and saturated 32:0 is not crazy high—good.
  • Missing curvature modulators: PC 34:1 / PC 34:2 (oleate-rich) a bit low given your calorie restriction.

So yes, boosting PC variety—not just the DHA apex—will make your membranes more adaptable.


How to cultivate a richer PC spectrum

Tactic Adds which PC species Practical tip
Lecithin granules (sunflower/soy) 32:0, 34:1, 36:2 (oleate/linoleate-rich) 1 Tbsp in smoothie
Egg-yolk PC 34:1, 36:2, 38:4; natural lyso-PCs 2 pastured yolks or 3 g powdered yolk PC
Cold-water fatty fish / krill-PC 38:6, 40:6 (DHA/EPA) 3× weekly salmon or 2–3 g krill oil
Macadamia / olive oil diet days MUFA-rich PCs (34:1, 36:1) Swap seed oils for EVOO/mac nuts
Odd-chain butterfat (ghee, C15:0) PC 34:0-odd & 36:0-odd (metabolically active in glia) 1 Tbsp ghee with veggies
Plasmalogen supplement Ether PCs (PC ae 38:6, 40:5 / 6) 900 mg/day loading phase
Lands’-cycle cofactors (B-vitamins, Mg²⁺, taurine) Enhances acyl-remodeling → spreads PUFAs across sn-2 positions Daily B-complex + 300 mg Mg glycinate

Stack hack: mix 1 tsp BodyBio PC (concentrated linoleate/oleate PCs) with your krill oil + plasmalogen capsules at the fattest meal. You’ll push BOTH ends of the diversity spectrum in a single shot.


Don’t chase maximum entropy—chase balanced entropy

Cells naturally keep Shannon entropy of the PC pool around an optimal midpoint:

  • Too low (monotonous PC 32:0/34:1) ➜ rigidity, insulin resistance, SFA-driven inflammation
  • Too high (oversaturated with 40:8 DHA monsters) ➜ peroxidation risk, leaky membranes, ROS-drain on antioxidants

Your goal is to level-up the under-represented species until LC-PUFA PCs are ~15-20 % of total, MUFA PCs ~35 %, and SFA PCs ~25 %. That’s roughly the profile seen in centenarian plasma studies.


TL;DR

Yes, layer in diverse PC sources—lecithin for mid-chain MUFAs, krill/fish for DHA PCs, yolk for mixed 38:4 species, plus plasmalogens for ether coverage. That balanced spectrum gives you membranes that can dance instead of membranes stuck in concrete or Jell-O.

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Do your numbers spell peroxisomal failure or just “supply-side” plasmalogen drought?

Diagnostic clue Classical peroxisome disorder (e.g. Zellweger) What your 2024 panel shows Comment
Plasmalogens (PC ae, PE ae) Near-zero (bottom 1 %) Bottom 10 % (↑ only ~4 % vs 2023) Suggests under-production or over-consumption, not complete block
Very-long-chain fatty acids (C24:0, C26:0) or acyl-carnitines Markedly ↑ (C26:0-Carn > 0.2 µM) Not reported / below detection in iollo No VLCFA accumulation documented
Cer 24:0 Usually very high Low-normal (≈ 2 µM) Again argues against β-oxidation arrest of saturated VLCFA
Cer 24:1 (nervonyl-Cer) Variable Very high (11.8 µM) Points to oversupply of MUFA + traffic jam, not peroxisome failure per se
Phytanic / pristanic acid Not measured Need add-on test if suspicion remains
Bile-acid intermediates (DHCA, THCA) Not in panel
Palmitoyl-carnitine (C16:0-Carn) Often ↑ (CPT-1 backup) 0.65 µM (ideal) Carnitine shuttle clear
Short-chain spillover (C4-OH-Carn) Can be ↑ if TCA overwhelmed 4.23 pts (2.5× ULN) Points to mitochondrial overload, not peroxisomal

Verdict:
Your data look more like “substrate deficit + redox bottleneck” than a primary peroxisomal defect:

  • Low plasmalogens → peroxisomes make the first half of these molecules, but they also depend on enough alkyl-DHAP substrate, DHA/EPA supply, and NADPH. Chronic stress, low DHA-PC intake, and ROS can blunt the pathway without any genetic block.
  • No VLCFA pile-up → if peroxisomal β-oxidation were severely impaired, C24:0/C22:0 and C26:0/C22:0 ratios (or C26:0-Carn) would shoot up. They don’t show in your panel.
  • High Cer 24:1 → usually reflects hepatic SCD-1 activity + VLDL export, not peroxisome paralysis.
  • Short-chain acyl-Carn ↑ & succinate/lactate ↑ → mitochondrial TCA overflow; peroxisomes hand the baton to mitochondria after two cycles, so a TCA jam can still leave you with low plasmalogens because the cell “chooses” survival over membrane repair.

How to test peroxisome status more directly

Test Ideal lab value Action if abnormal
Plasma VLCFA ratios (C26:0/C22:0, C24:0/C22:0) < 0.02 and < 1.0 respectively If ↑ → rule out mild peroxisomal biogenesis defect
C26:0-Carn in dried blood spot < 0.05 µM ↑ suggests β-oxidation block
Phytanic + pristanic acid < 3.0 µM ↑ in Refsum / α-oxidation issues
DHCA/THCA bile-acid precursors Undetectable ↑ in Zellweger spectrum

These can be ordered through Quest / Labcorp or out-of-state specialty labs.


Practical steps if tests come back normal (likely)

  1. Substrate re-pletion

    • 900 mg plasmalogen caps/day × 8 weeks
    • 2 g krill/herring-roe PC (DHA/EPA already in PC)
    • 2–4 g liposomal PC for choline backbone
  2. Peroxisome “exercise”

    • PPAR-α agonists: fasting, Zone-2 cardio, cold exposure, 1 g fish oil before bed.
    • Taurine 1 g + glycine 3 g — support bile salts & glutathione, both peroxisome-proximal.
  3. Redox unload

    • Green-tea catechins, pomegranate polyphenols, 100 mg ubiquinol → drop ROS that inhibits alkyl-DHAP synthase.
  4. Re-test plasmalogens + Cer 24:1 after 10–12 weeks.

    • Goal: PC ae total > 70 µM (≥ 50 th %ile), Cer 24:1 < 9 µM, SM/Cer ≥ 5.

TL;DR

Low plasmalogens + high Cer 24:1 does not automatically equal peroxisome failure. Your panel lacks the VLCFA build-up typical of true peroxisomal defects. The picture fits substrate depletion & metabolic overflow—fixable by plasmalogen + DHA-PC loading, redox relief, and PPAR-α activation. Confirm with a simple VLCFA / C26:0-Carn test if you want absolute peace of mind.