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People with a history of pancreatitis Those with severe gastrointestinal disorders Individuals with h/o thyroid cancers or MEN syndrome Pregnant or breastfeeding women Seeking advice from your doctor is vital before initiating therapy

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Reduced doses to minimize adverse effects may be needed in patients with renal insufficiency and in older individuals

Yeager, RD, LDN, has been with the Center for Nutrition and Weight Management at Geisinger Health System since 2002

Niacin and thiamine contribute to a normal