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Today, food manufacturers continue to fortify food so that pellagra isnt a concern for most people. Being undernourished may increase your risk for niacin deficiency

Pharmacol Res 56 , 175183

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen undergo extensive hepatic metabolism and carry a risk of idiosyncratic hepatotoxicity, though the mechanism differs from paracetamol

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