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400mcg) twice a day in children diagnosed with ASD who were screened for metabolic markers of poor methylation and redox metabolism (James et al., Tetrahydrobiopterin (BH4) This was a prospective 16-week open-label outpatient treatment trial of sapropterin (20mg/kg) for 2–6 year old children with confirmed language and/or social delays, ASD and cerebrospinal fluid BH 4 concentration within the normal range (≤30 nM/L) (Frye et al., High dose folinic acid (HDFA) This was a double-blind placebo-controlled outpatient treatment trial of high-dose folinic acid (HDFA) (Leucovorin Calcium 2mg/kg/day, maximum 50mg daily) in two divided doses for children with ASD aged 3 to 14 years of age with language impairment (Frye et al., Biomarkers All biomarkers were collected as morning fasting samples prior to medication administration