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Riboflavin is also a co-factor for pyridoxine phosphate oxidase, the enzyme required for vitamin B6 production (as pyridoxal 5-phosphate) which is, in turn, an essential cofactor for the enzymes cystathionine-b-synthase (required for the conversion of homocysteine to cysteine) and cystathionine g-lyase (required for the conversion of cysteine to glutathione)
Real-world outcomes may vary, though early observational data suggests significant weight loss is achievable in routine clinical practice with appropriate support
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Patients should seek immediate medical attention for severe persistent abdominal pain (possible pancreatitis), right upper quadrant pain with fever or jaundice (possible gallbladder disease), or signs of dehydration
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