We would like to further acknowledge Nora Aswad, MS, RDN, LDN, CDOE, registered dietitian, for sharing her experience in treating patients with scoliosis and MTHFR deficiency, as well as patient and spine advo-cate, Hiba Aswad, for education regarding folic acid and folate supplementation in the context of low MTHFR activity. The gene discussed is MTHFR; the disease is hyperinsulinemic hypoglycemia, familial, 4.