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Therefore, its unknown whether its necessary to cycle DSIP
For example, laboratory work by Santra et al
Starting low and adjusting based on results and tolerance is the recommended approach
21 NiemeyerP.PestkaJ
(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)
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