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Some users report altered appetite signals that may shift eating patterns

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Studies have shown that niacin therapy can increase fasting glucose by approximately 4-11 mg/dL on average, with some patients experiencing more substantial elevations

They added that future studies with agent-specific exposure assessment and clinically adjudicated ophthalmic outcomes are needed to clarify whether the signals observed across recent studies reflect causal risk, residual confounding or differences in study design
