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Avoid processed foods that are fortified with synthetic folic acid, as they can be problematic for those with MTHFR mutations

Ethical approval The study protocol received approval from the institutional review board of the faculty of medicine of Zagazig University (approval number 9350-23-2-2022) and was performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki

The review process was waived for any toxicants other than MSG, any toxicants combined with MSG, and interventional trials

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