First, this case is a perfect example of the extensive role Internet nowadays plays in self-practiced healthcare especially by young adult population due to its uninhibited use. Second, lack of FDA regulations on nutritional and herbal supplements is quite concerning. As healthcare providers, we should be aware of the fact that our patients may be exposed to unreliable medical information leading to use of unrestricted drug paraphernalia resulting in increased incidence of various overdoses such as niacin with a myriad of clinical presentations.
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