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It works by inhibiting the NNMT enzyme, which is associated with fat storage, insulin resistance, and reduced cellular energy

But these effects should go away pretty quickly

Niacin-Induced Liver Failure September 19, 2024 Be aware of the risk of liver injury from use of very high dose niacin, as recently reported in an otherwise healthy, young woman who was taking niacin to manage anxiety and depression

The band restricts the size of the stomach's upper pouch, making it difficult to consume adequate quantities of foods such as red meat, fish, eggs, and dairy products