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Our charity (the b12 society) advise all b12 patients to eat a rich potassium diet to protect themselves from hypokalemia during loading doses of vitamin b12

Instead of either-or, they work best together

Open study with DSIP in patients with insomnia older study In another study (open-label), DSIP was administered to patients with severe insomnia sleep improved for most participants, and mental state and daytime functions were enhanced

Conversely, isoniazid and pyrazinamide (tuberculosis drugs) are structural analogs of niacin that can interfere with niacin metabolism, potentially precipitating pellagra in rare cases

Elevated blood glucose is a consideration for patients with prediabetes or insulin resistance, and we monitor for this during treatment