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Gastrointestinal: All kinds of gastrointestinal side effects can occur (in decreasing order of incidence)Nausea (28%), vomiting (18%), diarrhea (14%, close to twice as often on medication as on placebo), constipation (13%), abdominal pain (10%), dyspepsia (indigestion

Glucagon receptor antagonism and lipid metabolism. Diabetes Obes Metab , 2016

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Niacin equivalents* are found in all dietary plant, animal, and fungal foods (like humans these organisms require NAD for life)

10 mg/mL concentration chart This high concentration is less common but available from some compounding pharmacies