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Not taking folic acid Folic acid is the synthetic form of folate that cannot be used by those with a MTHFR defect and which can be very toxic.avoid any supplements with folic acid and only take L-MTHF forms, which are the methylated forms that my body can use

349 If the ulcers fail to show a 50% reduction after 4 weeks of appropriate management via conventional methods, several advanced therapies, including negative-pressure therapy, growth factor therapy, bioengineered tissue, acellular matrix tissue, stem cell therapy, hyperbaric oxygen therapy, and, most recently, topical oxygen therapy, can be considered