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400mcg) twice a day in children diagnosed with ASD who were screened for metabolic markers of poor methylation and redox metabolism (James et al., Tetrahydrobiopterin (BH4) This was a prospective 16-week open-label outpatient treatment trial of sapropterin (20mg/kg) for 26 year old children with confirmed language and/or social delays, ASD and cerebrospinal fluid BH 4 concentration within the normal range (30 nM/L) (Frye et al., High dose folinic acid (HDFA) This was a double-blind placebo-controlled outpatient treatment trial of high-dose folinic acid (HDFA) (Leucovorin Calcium 2mg/kg/day, maximum 50mg daily) in two divided doses for children with ASD aged 3 to 14 years of age with language impairment (Frye et al., Biomarkers All biomarkers were collected as morning fasting samples prior to medication administration
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These clinical endpoints advocate for the therapeutic use of neurotrophic factors, which mediate neural development, neurogenesis, neuroprotection, and synaptogenesis
424 Cytoplasmic NADH from the glycolytic pathway is delivered to mitochondria through two NADH shuttles, G3P shuttle and MA shuttle, allowing NAD + recycling to sustain glycolytic flux
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