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High-dose niacin therapy is normally contraindicated in individuals with active peptic ulcer disease or active liver disease

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(fastest) once per day ---For off tasteing milk you can also try -1 tea of baking yeast twice a day (only use this for a week, as there is a danger of phosporous poisoning) it can raise the levels of phosphorous over time ---A cobalt lick, or cobalt salt blend will often solve a recurring B vit deficiency

Annual physical with E/M for illness

Possible Side Effects May include nausea, constipation, headache, or mild injection site discomfort