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They may recommend restarting at a lower dose and re-titrating to avoid a surge of GI side effects

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[DOI] [PMC free article] [PubMed] [Google Scholar] 5.Fabozzi G., Verdone G., Allori M., Cimadomo D., Tatone C., Stuppia L., Franzago M., Ubaldi N., Vaiarelli A., Ubaldi F.M., et al

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(Outlines contraindications for niacin therapy, including active peptic ulcer disease, active liver disease with elevated enzymes, hypersensitivity to niacin, and arterial bleeding, as well as monitoring recommendations for blood pressure, glucose, uric acid, etc., due to niacins systemic effects)