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Am J Clin Nutr 2000 Aug;72(2 Suppl):618S-23S Volek JS, Kraemer WJ, Rubin MR, Gomez AL, Ratamess NA, Gaynor P

PubMed CrossRef Rosenberg R, Thorpy MJ, Doghramji K, et al

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If levels don't respond to standard supplementation, investigate possible MTHFR polymorphisms, malabsorption conditions like celiac or Crohn's disease, or potential medication interactions