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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)

[DOI] [PubMed] [Google Scholar] 31.Fredrikson G, Tornqvist H, Belfrage P

If your B12 deficiency is due to an autoimmune disease or something that's not related to diet, you may need to get injections every two or three months for the rest of your life

Vitamin B12 is a water soluble vitamin necessary for the bone marrow to produce red blood cells