This might be due to the side effects of niacin, or vitamin B3
The primary endpoint, a blinded assessment of the percentage over target (that is, time with dyskinesia or bradykinesia), recorded by home actimetry using a wristwatch, was significantly reduced on A-dopamine compared with that on oral treatment alone ( P = 0.027), with a median within-patient difference of 10.4 (Hedge g = 0.62 (95% confidence interval: 1.43, 0.08))
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These may include increased thirst and urination, increased appetite, and potential risks to liver function
If your deficiency has been long-standing, full mood recovery may take longer and often depends on addressing other contributing factors (sleep, stress, hormones) in parallel