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Dermatologists sometimes prescribe it to women too, particularly those who are postmenopausal or those using reliable contraception
To counteract this many people take supplements to help improve their B12 levels
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Niacinamide does not cause the dramatic flush of niacin, so titration to mitigate flushing is usually not necessary
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A safe, compliant pathway is to use licensed telehealth or in-person clinics that can evaluate your symptoms, confirm deficiency when appropriate, and prescribe an approved product
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