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Journal of cardiology

During niacin treatment, fasting glucose, insulin and HOMA1-IR (insulin resistance score based on blood glucose and insulin) increased in some individuals up to 1.9-fold after niacin dose of 500 mg, suggesting increased insulin resistance (Fig

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& Chang, Y.-T

Once diagnosed, many practitioners may not focus on the autoimmune aspect, believing that there is little that can be done to alter the course of the disease