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[8] Although not an absolute contraindication, patients with coronary artery disease or unstable angina should only use B-Complex injections containing niacinamide under physician supervision, since high-dose niacin supplements have been linked to arrhythmias in such patients

Its targeted mechanism makes it a valuable tool for researchers studying enzyme-driven metabolic regulation, pathway efficiency, and integrated cellular energy systems

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All the doctors agreed to change to the criteria identified by the authors , the practice nurses were advised accordingly , and a follow-up collection of data was undertaken