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As you can see in Figure 1, the MTHFR enzyme catalyzes one of the reactions that must take place before the conversion of the amino acid homocysteine to the amino acid methionine

in part because there are limited services available but also because IPED users are reluctant to engage with health services for issues related to their IPED use (Zahnow et al, 2017) possibly due to actual or perceived stigma (Yu et al, 2015, Harvey et al

Risk of bias Two researchers (L.M