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Baggott JE et al. – The findings of a non–normal distribution of 7–OH–MTX excretion suggest that there are at least 2 phenotypes for this catabolism. Decreased 7–OH–MTX formation suggests folic acid inhibition of AO and a better clinical response, while increased 7–OH–MTX formation may interfere with MTX polyglutamylation and binding to enzymes and, therefore, may increase MTX excretion and decrease MTX retention and efficacy in vivo.


   

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