Mitragynine is changed in the body through Phase I and Phase II mechanisms by hydrolysis reaction at the Methyl ester group at position 16, O-demethylation occurs at the Methoxy group at positions 9 and 17, Oxidation and Reduction reactions occur, changing the Aldehyde group to Carboxylic. Acid and Alcohol, respectively, are then connected with Glucuronide and Sulfate groups and then excreted in the urine.
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