ecstatichamster
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A terminal metabolite of niacin promotes vascular inflammation and contributes to cardiovascular disease risk - Nature Medicine
Following the observation that higher circulating levels of metabolites derived from niacin—an essential micronutrient that is fortified in cereals—are associated with a higher risk for cardiovascular events, genetic and preclinical studies established links among niacin-derived metabolites...
www.nature.com
This study obliquely suggests that heart patients have lots of niacinamide metabolites in their bloodstream, and therefore suggests niacin is bad.