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The addition of niacinamide is not just an arbitrary choice

Science 212 , 628635 (1981)

It replicates a 15-amino-acid fragment of the BPC protein naturally present in human gastric juice

However, inhaled corticosteroids may increase the risk of pneumonia (Spencer 2011) and osteoporosis (Leib 2011), and inhaled anticholinergics may increase the risk of death (Singh 2011)