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Neural tube defects include conditions such as anencephaly and spina bifida, which are usually fatal birth defects that happen when the baby's neural tube doesn't properly close

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Exposure to toxins, whether that is environmental toxins from gasoline or plastic or, you know, whatever industrial activity, or it is exposure to ethanol from all the drinks you are having or it is exposure to cigarette smoke from what you are smoking or what someone else is smoking in the enclosed room with you

Patients may want to confirm that their physicians office and pharmacy understand this step, since skipping it or processing the prescription incorrectly could potentially delay access to the program