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Source:    Braz J Med Biol Res. 2003 Oct;36(10):1409-17.
Date:        Epub 2003 Sep 16. PMID: 14502375

High doses of riboflavin and the elimination of dietary red meat promote the
recovery of some motor functions in Parkinson's disease patients.

Coimbra CG, Junqueira VB.

Setor de Neurologia, Hospital do Servidor P blico Municipal de S o Paulo,
S o Paulo, SP, Brasil.

Abnormal riboflavin status in the absence of a dietary deficiency was
detected in 31 consecutive outpatients with Parkinson's disease (PD),
while the classical  determinants of homocysteine levels (B6, folic acid,
and B12) were usually within normal limits. In contrast, only 3 of 10
consecutive outpatients with dementia without previous stroke had
abnormal riboflavin status. The data for 12 patients who did not complete
6 months of therapy or did not comply with the proposed treatment
paradigm were excluded from analysis. Nineteen PD patients (8 males
and 11 females, mean age   SD = 66.2   8.6 years; 3, 3, 2, 5, and 6
patients in Hoehn and Yahr stages I to V) received riboflavin orally (30 mg
every 8 h) plus their usual symptomatic medications and all red meat was
eliminated from their diet. After 1 month the riboflavin status of the
patients was normalized from 106.4   34.9 to 179.2   23 ng/ml (N = 9).
Motor capacity was measured by a modification of the scoring system of
Hoehn and Yahr, which reports motor capacity as percent. All 19 patients
who completed 6 months of treatment showed improved motor capacity
during the first three months and most reached a plateau while 5/19
continued to improve in the 3- to 6-month interval.
Their average motor capacity increased from 44 to 71% after 6 months,
increasing significantly every month compared with their own pretreatment
status (P < 0.001, Wilcoxon signed rank test). Discontinuation of riboflavin
for several days did not impair motor capacity and yellowish urine was the
only side effect observed. The data show that the proposed treatment
improves the clinical condition of PD patients. Riboflavin-sensitive
mechanisms involved in PD may include glutathione depletion, cumulative
mitochondrial DNA mutations, disturbed mitochondrial protein complexes,
and abnormal iron metabolism. More studies are required to identify the
mechanisms involved.

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