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Injections avoid the digestive tract

Similarly, although hepatic dysfunction can occur with large niacin doses (1-3 grams daily over months) causing elevated liver enzymes or jaundice, niacinamide at 100 mg is very unlikely to have any adverse effect on the liver

The primary reasons people become deficient usually fall into two categories: Dietary Factors: Since B12 is mainly found in animal products (meat, fish, dairy, eggs), vegans and strict vegetarians are particularly susceptible if they dont consume fortified foods or specific supplements

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