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The authors concluded that due to the high prevalence of MTHFR variants and how crucial it is to assure pregnant women get adequate supplementation, L-methylfolate may be the best option to avoid blood folate deficiencies. The study also notes that excessive ingestion of folic acid could mask an undiagnosed B12 deficiency, and that it was unlikely that methylfolate would mask a B12 deficiency in the same way

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addressing multiple pathways simultaneously produces compounding effects

In the full population and elderly subgroup analysis, we found a negative association between MMA concentration and total BMD and femur BMD