Studies have shown that GABA+ increases with age during development, however roughly 50% of this signal reflects macromolecules. It is often assumed that macromolecule levels are stable, but there has been no attempt to directly validate this in youth. Here, we use a sequence specifically designed to suppress the macromolecule signal that contaminates the measured GABA+ signal when using MEGA-PRESS. We show no relationship between macromolecule-suppressed GABA and age in youth aged 7-14 years. We suggest increases in macromolecule levels may drive previously shown relationships between age and GABA+ levels, highlighting the importance of controlling for macromolecules in MRS analyses.
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