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Niacin is involved in the DNA metabolism and repair, cellular signaling events, cell migration [24], and decreases the expression of the pro-inflammatory cytokines, IL-1, IL-6, and TNF-α by the macrophages [25]
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However, most cases present alongside systemic findings, such as malabsorption, anemia, pancytopenia, and variable neuropsychiatric problems [3]
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