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X-linked gene with mosaic expression in females Conversion of 6-phosphogluconolactone to 6-phosphogluconate by lactonase : irreversible Conversion of 6-phosphogluconate to ribulose-5-phosphate by 6-phosphogluconate dehydrogenase : irreversible NADPH produced, CO 2 released Reactions of the Non-Oxidative Phase: Interconversion of ribulose-5-phosphate and xylulose-5-phosphate by phosphopentose epimerase (ribulose-5-phosphate epimerase) : reversible Interconversion of ribulose-5-phosphate and ribose-5-phosphate by phosphopentose isomerase (ribose-5-phosphate ketoisomerase) : reversible Ribose is a major component of nucleic acids

Thakur V, Rupar CA, Ramsay DA, Singh R, Fraser DD

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If early nausea or side effects feel manageable, there's no need to reduce your dose