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(Outlines contraindications for niacin therapy, including active peptic ulcer disease, active liver disease with elevated enzymes, hypersensitivity to niacin, and arterial bleeding, as well as monitoring recommendations for blood pressure, glucose, uric acid, etc., due to niacins systemic effects)

Felt normal and not fatigued for the first time in a very long time

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Vitamin B12 Injection vs

Vitamin B12 is water-soluble, meaning excess amounts are naturally flushed from the body

That's available in just three ounces of sockeye salmon, per vitamin manufacturer Centrum, or a three-ounce lean beef hamburger, per SF Gate