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Tramadol is an opioid analgesic that works by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain

your provider will recommend based on your goals and medical history

In the process of metabolizing neurotransmitters, monoamine oxidase B enzyme uses FAD (derived from riboflavin ) and produces hydrogen peroxide .[ref] Excess hydrogen peroxide causes oxidative stress, so MAO-B needs to be maintained at the right levels