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Pregnant or lactating women, diabetics, hypoglycemics, and people with known medical conditions and/or taking drugs should consult with a licensed physician and/or pharmacist prior to taking dietary supplements. Niacin may cause temporary flushing, tingling, skin reddening, itching, rash or gastric disturbances, particularly on an empty stomach. If these symptoms persist, discontinue use and consult a physician. Periodic liver function testing and supervision of a qualified physician are strongly recommended with niacin dosing in excess of 500 mg daily. Keep out of reach of children.
