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When the vagus nerve is affected by head trauma, gut motility can become erratic, resulting in symptoms such as constipation, reflux, nausea, or bloating (13)

Niacin may help you with your digestion, and some believe it helps relieve nausea

But because these effects are dose-dependent, clinical trial data has consistently shown that the frequency and severity of GI side effects are significantly higher at the maximum therapeutic doses compared to the lower, initial titration doses

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The medication works by stimulating insulin production in the pancreas