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similarly, while the niacinamide in this compounded B-Complex is in a moderate dose, caution is advised in patients with untreated peptic ulcers or significant hepatic impairment, as even moderate niacin supplementation could aggravate these conditions (e.g
A serum B12 level test and, ideally, a methylmalonic acid (MMA) test should precede any B12 injection recommendation
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