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What side effects or warning signs should I understand

Detection : Blood Tests : Check B12 levels, red blood cell count, and markers like homocysteine and methylmalonic acid (MMA)

Then, the question arose about whether adding niacin on top of high-potency statin therapy even provided added benefit or not. Researchers were also stumped by the so-called niacin paradox a reference to findings that showed that while niacin reduces LDL cholesterol, it doesnt always reduce the risk of cardiovascular disease