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[8] Although not an absolute contraindication, patients with coronary artery disease or unstable angina should only use B-Complex injections containing niacinamide under physician supervision, since high-dose niacin supplements have been linked to arrhythmias in such patients
Safe options include: Gentle, soap-free cleansers Azelaic acid (in low concentrations) Topical niacinamide Light moisturisers labeled pregnancy-safe Avoid self-medication, as many acne products contain ingredients unsafe for pregnancy
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Through sirtuins, it dials down the inflammatory signals that break down joints over time
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