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Compared to the placebo group, patients who took 3 g of immediate-release nicotinic acid daily experienced an average 10% reduction in total blood cholesterol, a 26% decrease in triglycerides, a 27% reduction in recurrent nonfatal myocardial infarction, and a 26% reduction in cerebrovascular events (stroke and transient ischemic attacks)

10.1146/annurev-biophys-062920-063704 643 UverskyV

It is recommended to monitor the renal function of the patients for 7 days following administration of hydroxocobalamin

And the costs of these side effects far outweigh any benefit to DHT reduction and hair health

Orthostatic Intolerance One common sign of autonomic dysfunction is difficulty maintaining upright posture