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"Can I just take niacinamide separately as a supplement?" Yes

GC-induced hyperglycemia has a multifactorial origin and can be explained by increased gluconeogenesis in the liver, inhibition of glucose uptake by adipose tissue, and changes in receptor and post-receptor functions [78]

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Martin Hamburger filed a proposed class action against the insurer and pharmacy benefit manager in September 2025 in the US District Court for the District of Columbia, alleging the exclusion amounted to an illegal denial of benefits and breach of fiduciary duty under ERISA

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