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Nicotinamide (niacinamide) does not cause flushing and has fewer side effects, with nausea and liver toxicity reported only at very high intakes ~3 g/day)

Not only that, ALA has been shown to help restore nerves (15) and can provide strong protection to the liver from numerous types of insults (16-18)

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Findings support the scales content validity and its suitability as a clinically meaningful outcome measure for future trials in this population