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Although it is unknown whether it is excreted in human milk, caution is advised
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Although rare in developed countries, pellagra remains endemic in poorer regions, with risk factors including low socioeconomic status, alcoholism, anorexia nervosa, cancer, and malabsorptive disorders, such as Crohn’s disease, as well as the use of some specific medications such as immunosuppressive and anti-tuberculosis drugs (12, 54)