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Long-term oral supplement use, however, may cause cramping or bloating and could lower zinc levels
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]
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