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Prior to 1940, pellagra was common in the southern United States, until enriching grain products with niacin and other B-vitamins became standard

However, high-dose niacin (as a medication for cholesterol) is generally not recommended during breastfeeding, because significant amounts could enter milk and cause unwanted effects in the nursing infant (flushing, for example)

This guide explains why the risk arises, how to recognise symptoms, what monitoring is recommended on the NHS, and which supplementation options are available, helping patients and clinicians manage this preventable but potentially irreversible condition effectively

Proper storage helps maintain sterility and product integrity

If you identify with any of the following scenarios, B12 shots might be particularly beneficial: - You are vegetarian or vegan and may not consume enough B12 through diet