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Today, food manufacturers continue to fortify food so that pellagra isnt a concern for most people. Being undernourished may increase your risk for niacin deficiency

The Journal of physiology 181 , 103113 (1965)

95% CI: 3.98 to 1.11), though this result was not statistically significant

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen undergo extensive hepatic metabolism and carry a risk of idiosyncratic hepatotoxicity, though the mechanism differs from paracetamol

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