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At pharmacologic doses (5002,000+ mg): monitor blood glucose if you have diabetes, as niacin can raise blood sugar and potentially oppose the glucose-lowering effect of your medication

Eat in a way that respects your rhythm Theres good evidence that gentle intermittent fasting (eating within an 8- to 10-hour window) may help reduce inflammation and support insulin balance

J Am Acad Dermatol 80:466-477.e16

Understanding each stage can help patients and providers prepare complete records and respond without unnecessary delay

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These observations help researchers form hypotheses about potential mechanisms of action, but they do not establish clinical relevance or real world outcomes