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However, bacterial biofilm in chronic wounds may cause irreversible bacterial adhesion, leading to persistent inflammation, tissue damage, and ongoing infection [43, 45, 46]

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Niacin can also cause bloating, burping, facial redness, and increased gas

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If you're taking any of these, consider switching formulations (iron bisglycinate, magnesium glycinate, or enteric-coated fish oil) or temporarily discontinuing during the worst escalation weeks