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[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares

PubMed alternative-therapies.com Not FDA approved and appears on lists of substances of concern for compounding and anti doping (WADA S0 unapproved class)

For those already exercising, continue your current routine but pay particular attention to fueling appropriately

Do we get vaccinated again and again

Plus, alcohol can dehydrate you, which, as we mentioned earlier, isnt ideal after a B12 shot