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Niacinamide (12 mg): This form of Vitamin B3 is essential for cellular energy metabolism and antioxidant functions

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The Institute of Medicine reports that no adverse effects have been associated with excess vitamin B12 intake from food and supplements in healthy individuals. However, if youre not deficient in vitamin B12 to begin with or you dont address the underlying reasons you might be deficient, i.e

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Your IgM is elevated which is concerning for multiple myeloma or lymphoma however the remainder of your labs are not directly consistent with this