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Compounders have found a big revenue stream they don't want to easily give up

It's important to note that none of these improve outcomes, and niacin in particular worsens outcomes and insulin resistance, see the niacin article

Check with your pharmacist if you have questions about the best way to throw out drugs

What matters is understanding what the evidence actually shows, and how to plan a safe, realistic transition

We use carefully calibrated low doses as part of a holistic strategy that may support metabolic health while simultaneously addressing nutrition quality, movement patterns, hormonal balance, sleep optimization, stress management, and mindset