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The role of metabolism in the pathogenesis of osteoarthritis | Nature Reviews Rheumatology

The decreased levels of haemoglobin and the presence of hypochromic anaemia in riboflavin deficiency mainly occur due to the hindered release of iron from cells, namely, the liver’s ferritin [86], which necessitates the reduced forms of riboflavin, as indicated above

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One of the key mechanisms involved is the post-translational modification of endothelial nitric oxide synthase (eNOS) via S-glutathionylation, triggered by an increased GSSG/GSH ratio