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Not everyone stops treatment for the same reason

Your doctor will also want to rule out other reasons for your joint pain and inflammation such as an infection, injury or other type of arthritis

Niacin-Induced Liver Failure September 19, 2024 Be aware of the risk of liver injury from use of very high dose niacin, as recently reported in an otherwise healthy, young woman who was taking niacin to manage anxiety and depression

Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), vegans and vegetarians, people with pernicious anaemia or gastrointestinal disorders affecting absorption, and those taking certain medications such as metformin or proton pump inhibitors

In one son, it works great

It works by attaching to the thrombopoietin receptor on megakaryocytes, encouraging platelet production