The document summarizes key aspects of sulfur-containing amino acid metabolism. It discusses how methionine is converted to cysteine and cystine and its role in transmethylation reactions through the intermediate S-adenosylmethionine (SAM). SAM transfers methyl groups to various acceptors and is converted to S-adenosylhomocysteine. Homocysteine can then be remethylated to regenerate methionine or condensed with serine to form cystathionine for cysteine synthesis. Transmethylation reactions are important for activating many compounds and regulating protein turnover through methylation. Causes of hypermethioninemia include impaired utilization, excessive remethylation, and hepatic dysfunction.