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While severe inborn errors of folate metabolismsuch as those causing homocystinuriaare rare and typically result from deletions or deleterious mutations that abolish enzyme function, their dramatic clinical consequences have underscored the critical importance of this metabolic pathway [1-3]

The condition is more common in people with dry skin and is often more severe during the winter months when the skin becomes even drier

In acute myeloid leukemia cells, reduced MTHFR function, whether due to polymorphisms or pharmacologic inhibition, decreases intracellular SAM, leading to loss of the repressive histone marks H3K27me3 and H3K9me3 and de-repression of transcription factors such as SPI1 (85)

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If you extrapolate the AOD 9604 rate linearly (which is generous, given that the OPTIONS study showed diminishing returns over time), you might expect roughly 8 to 10 kilograms over 18 months