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The poor riboflavin status leads to a variety of clinical abnormalities, including growth retardation, sore throat, cheilosis, anemia, renal damage, neurodegeneration, and possibly even cancers 1,10

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Also, as Deb points out people know they're going to be weighed, so even when they have regained weight when they went off the drug, they can restrict again before the weigh-in

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