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Several Lactobacillus species require nicotinamide or nicotinic acid for growth 94

Meta-analysis reveals reproducible gut microbiome alterations in response to a high-fat diet (in Eng)

Disclose use to your GP or pharmacist without delay, and seek urgent medical attention via NHS 111 or 999 if you experience severe abdominal pain, persistent vomiting, dehydration, or symptoms of low blood sugar

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The most commonly reported side effects are mild injection site reactions and occasional headache, both of which are generally transient