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Phase 2b primary endpoints failed in the largest published trial
MUMS GPs will consult with you to determine the cause of your Vitamin B1 deficiency
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
Staying well-hydrated is crucial, particularly if experiencing vomiting or diarrhea, though large volumes of fluid with meals should be avoided as this may worsen symptoms
One crucial piece of this complex puzzle is Vitamin B12 , specifically in its active form known as methylcobalamin
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