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It often supplements (rather than replaces) other therapies

Most are shipped as a lyophilized (freeze-dried) powder, which is the most stable form for long-term storage

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In clinic, I prioritise non-flush forms of niacin to reduce the risk of this happening

[DOI] [PMC free article] [PubMed] [Google Scholar] 11.Yajnik CS, Deshpande SS, Panchanadikar AV, Naik SS, Deshpande JA, Coyaji KJ, Fall C, Refsum H

I would imagine its part of a basic blood panel although our gp practise is abominable so its anyones guess