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In the 2010s, this excess was exported to the world market with subsidy support from the government

The effect of dipeptidyl peptidase-4 inhibitors on macrovascular and microvascular complications of diabetes mellitus: A systematic review

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doi:10.1016/j.ghir.2014.12.005

If needed for a clear medical indication (such as treating pellagra in a pregnant patient), niacinamide can be used with caution, but unnecessary high-dose B supplementation is avoided in pregnancy

2017;8(1):e2537