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It is not an appetite suppressant but reduces calorie intake by lowering fat absorption

Pyridoxine may protect the cerebellar granular cells against glutamate-induced toxicity

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Ophthalmic and systemic factors of acute nonarteritic anterior ischemic optic neuropathy in the Quark207 Treatment Trial

Specifically, it appears to increase populations of Akkermansia muciniphila, a bacterium associated with improved metabolic health but also known to produce hydrogen sulfide as a metabolic byproduct