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Description
Influence of tryptophan and serotonin on mood and cognition with a possible role of the gut-brain axis

The NewcastleOttawa quality assessment scale was performed to assess the qualities of the included studies (eTable 2)
During niacin treatment, fasting glucose, insulin and HOMA1-IR (insulin resistance score based on blood glucose and insulin) increased in some individuals up to 1.9-fold after niacin dose of 500 mg, suggesting increased insulin resistance (Fig
Whether it's the underlying cause or not clearly is a big question

They are, however, strict and unforgiving
Third-party tested
