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If the vial was out for 8+ hours at room temperature (2025C), the conservative approach is to discard it and start a fresh vial
Travelling by plane with over-the-counter and prescription medication abroad isnt just as simple as packing up your toiletries
doi: 10.1038/nature13198
Although it is rare, too much niacin from supplements could cause red skin, tingling in the face, arms and chest, and itching
