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similarly, while the niacinamide in this compounded B-Complex is in a moderate dose, caution is advised in patients with untreated peptic ulcers or significant hepatic impairment, as even moderate niacin supplementation could aggravate these conditions (e.g

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In addition, excess vitamin B12 that is not absorbed in the intestine can change the gut microbiome composition and may cause an overgrowth of intestinal bacteria