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Digestive disturbances: Symptoms may include loss of appetite, nausea, and diarrhea

Mistake 4: forgetting to clean the vial tops Vial stoppers are not sterile out of the box

Similarly, although hepatic dysfunction can occur with large niacin doses (1-3 grams daily over months) causing elevated liver enzymes or jaundice, niacinamide at 100 mg is very unlikely to have any adverse effect on the liver

Raj GM, Raveendran R (2019) Introduction to basics of pharmacology and toxicology: volume 1: general and molecular pharmacology: Principles of drug action

Vitamin B12 deficiency must be overseen by a medical professional to create the best treatment plan for the individual circumstances

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