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While classical presentations with malabsorption, chronic diarrhea, and failure to thrive still occur, predominantly in younger children, non-classical, oligosymptomatic, and asymptomatic forms now predominate ( In parallel with these changes, metabolic syndrome (MetS) has emerged as a major public health concern in children and adolescents, largely driven by the global rise in pediatric obesity ( Against this background, growing evidence suggests an emerging overlap between CD and obesity-related comorbidities ( This review aims to examine the risk of developing MetS in pediatric patients with CD by synthesizing current clinical and epidemiological evidence, exploring potential pathophysiological mechanisms, evaluating the impact of a GFD, and discussing how these insights can shift CD from a cardiometabolic risk to a preventive opportunity in the perspective of childrens health, emphasizing early nutritional and preventive strategies to support long-term cardiometabolic well-being

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Babies need folate for the spinal column to develop fully, and the MTHFR variants increase the risk of problems.[ref] This is why prenatal vitamins contain folate and why folic acid is added to white rice and white flour

doi: 10.1097/MOL.0b013e3283416f2b 299 WolfeM

doi: 10.1038/s41580-020-00324-8 288 BerndtCAlborziniaHAmenVSAytonSBarayeuUBarteltAet al