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Luis Felipe Tornes, a neurologist, told Medical News Today

However, current American Diabetes Association (ADA) and American College of Cardiology/American Heart Association (ACC/AHA) guidelines no longer routinely recommend niacin for cardiovascular risk reduction due to lack of demonstrated outcome benefits and potential adverse effects

Use the standard titration schedule with heightened attention to hypoglycemia (particularly postprandial reactive hypoglycemia, which bariatric patients already experience) and to dehydration risk from GI adverse events