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This is a professional-use prescription pharmaceutical rather than a consumer self-selected product, so it should be used only as directed by a healthcare professional, following proper sterile technique and the product's labelling for reconstitution, dilution, compatibility, and multiple-dose vial handling

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(Outlines contraindications for niacin therapy, including active peptic ulcer disease, active liver disease with elevated enzymes, hypersensitivity to niacin, and arterial bleeding, as well as monitoring recommendations for blood pressure, glucose, uric acid, etc., due to niacins systemic effects)

An autoimmune condition means your immune system, the body's natural defence system that protects against illness and infection, attacks your body's healthy cells

They might ask for blood tests, such as ferritin, hemoglobin, and transferrin saturation