Similarly, although hepatic dysfunction can occur with large niacin doses (1-3 grams daily over months) causing elevated liver enzymes or jaundice, niacinamide at 100 mg is very unlikely to have any adverse effect on the liver
The most common side effects are mild and transient: water retention, tingling or numbness (most often in the hands), and occasional fatigue or headache shortly after injection
Adequate vitamin B12 levels are crucial for producing healthy red blood cells
G., Kurth, T., Belanger, C., MacFadyen, J., & Gaziano, J
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More tests might include: Bone Marrow Biopsy: To check platelet production and look for bone marrow disorders