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A review on iron chelators in treatment of iron overload syndromes

Why such high doses are needed: Leucovorin relies almost entirely on the RFC pathwaythe route that normally provides only 5% of folate transport The major pathways (FR and PCFT, representing 85-95% of transport) remain blocked by folic acid and dairy antibodies Oxidative stress further impairs RFC function by 20-40% Low vitamin D limits RFC capacity The results: 70-100% of children with CFD show improvement when treated early (before age 6) 30-50% of children with neurodevelopmental disorders experience moderate to substantial improvement BUT: Many experience headaches, irritability, insomnia, and hyperactivity 30-50% show limited or no improvement The irony: We're forcing 5,000-50,000 mcg through a 5% pathway while ignoring the blocked highways that should handle 85-95% of transport

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The Atmyb30 mutant shows a reduced response to BR and enhances the dwarfing phenotype of a weak allele of the BR receptor mutant bri1

Gastroenterology 139 , 19421951 (2010)