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Unlike nicotinic acid (niacin), niacinamide does not have significant lipid-modifying effects and does not share the same interaction profile

Most studies show no major change in clearance, but patients with kidney or liver problems should be monitored closely to avoid the risk of any side effects

There have also been signals consistent with the broader GLP-1 receptor agonist class relating to a potential increased risk of gallbladder-related conditions, such as cholelithiasis (gallstones), particularly in the context of rapid weight loss

In the pre-assessment phase, your anaesthetist will discuss how these medications might affect your anaesthesia, and a clear plan can be made to reduce any potential risks

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