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The same review also examined two Phase II clinical trials involving patients with ulcers
[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares
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The most reliable approach is purchasing from vendors who provide detailed testing documentation, have established reputations in the research community, and demonstrate transparency about their manufacturing and QA processes
