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Prolonged deficiency leads to numbness, tingling, and nerve damage that's hard to reverse

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If needed for a clear medical indication (such as treating pellagra in a pregnant patient), niacinamide can be used with caution, but unnecessary high-dose B supplementation is avoided in pregnancy

Services that fall under the umbrella of the law include adaptive behavior treatment such as ABA therapy, psychiatric care, psychological care, pharmacy care, and speech, physical and occupational therapy