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Niacin deficiency may result from certain medical conditions such as alcohol abuse, malabsorption syndrome, Hartnup disease, poor diet, or long-term use of certain medications (such as isoniazid)

Autoimmune and nerve support Chronic inflammation often plays a role in autoimmune diseases and nerve dysfunction

this excessive inflammatory response not only worsens nodular lesions but also creates a window for secondary microbial invasion 141

Tendon Surgery If tendons rupture, reconstructive surgery can restore function