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It also underscored that more is not always better: while 12 mg delivered the largest absolute weight loss, a slightly lower dose sometimes provided an excellent balance between efficacy and tolerability

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Tracking your progress Beyond the scale, track metrics that reveal whether the niacinamide is providing any subjective benefit: Energy levels: Rate 1-10 daily, look for trends over weeks Skin quality: Photograph monthly under consistent lighting Sleep quality: Track duration and how rested you feel Exercise performance: Log weights, reps, cardio duration GI symptoms: Severity and frequency After 8-12 weeks, review these metrics with your provider

On another note, someone with severe adrenal insufficiency can experience some of the more severe side effects