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Usually, individuals consider this option when they cannot tolerate the medication, for example, because of side effects

Also be cautious of extremely negative reviews that describe situations far outside the norm - every company has occasional bad experiences, and a single terrible review is less informative than a pattern of similar complaints

[1] Research into its effects on cardiovascular risk factors and glycaemic control in type 2 diabetes is ongoing

Niacin, especially in high doses, can cause hyperuricemia

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It interacts with the hypothalamus, a part of the brain involved in sexual function, and can help release neurotransmitters such as dopamine, which plays a role in arousal and pleasure