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the main factors that are generally associated with elevations of homocysteine are nutritional deficiency, particularly related to folate metabolism, mutations of the enzymes MTHFR and CBS (Aguilar)
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In order to avoid any potentially adverse consequences related to Prohibited Association, WADA recommends that all Athletes verify the status of all Athlete Support Personnel (and other Athletes they associate within a professional or sport-related capacity) with the appropriate Anti-Doping Organization (ADO) to ensure that they are not currently serving a period of ineligibility