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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)

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Clients often describe: Physical exhaustion, even after sleep Brain fog or trouble concentrating Mood swings or anxiety Tingling in fingers or toes Headaches or light-headedness Pale skin or brittle nails Sometimes its subtle like feeling off, or noticing that your motivation is missing