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[PubMed] [Google Scholar] 91.Fisher FM, Kim MS, Doridot L, Cunniff JC, Parker TS, Levine DM, Hellerstein MK, Hudgins LC, Maratos-Flier E, Herman MA

Because there are serious adverse side effects associated with high-dose niacin, niacin therapy should only be conducted under the supervision of a qualified health care provider

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The debate centers on whether the TMAO produced from supplemental carnitine meaningfully raises cardiovascular risk in practice, and the literature has not resolved it
