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Isolated riboflavin deficiency is rare and typically associated with risk factors including the acute or chronic consumption of alcohol, the use of birth control pills, and the administration of antimalarial agents and antidepressants, which can impair absorption (44, 45)

Possible contributing factors to muscle mass reduction and sarcopenia in liver cirrhosis include elevated serum ammonia, impaired protein synthesis, reduced anabolic hormones, and an inflammatory state in liver cirrhosis [18]

Xenoestrogen-induced ERK-1 and ERK-2 activation via multiple membrane-initiated signaling pathways

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