Adherence to medication is critical to reducing subsequent vascular events post stroke but is poor in up to 40% of stroke survivors
Heres why: Vitamins B1, B2, B3 (Thiamine, Riboflavin, Niacin) Needed for energy production Help the body process carbohydrates, fats and proteins Support the nervous system and mitochondrial function Niacinamide (a form of B3) is also used topically for acne due to its anti-inflammatory benefits Symptoms of deficiencies may include: Fatigue Cracked corners of the lips Inflammation of the tongue (glossitis) Skin problems like dermatitis Note: High doses of certain forms of niacin can trigger flushing, which may feel like its worsening skin conditions like rosacea

Common side effects include: Injection site reactions mild pain, redness, swelling, or bruising at the injection site, typically resolving within a few days Headache usually transient and manageable with standard analgesia Nausea or dizziness particularly in the initial treatment phase Skin reactions including itching, mild rash, or acneiform eruptions Temporary urine discolouration red or orange urine is harmless and expected Diarrhoea or flushing usually mild and self-limiting In patients with severe megaloblastic anaemia, low potassium levels (hypokalaemia) may occur during initial intensive treatment, but this is uncommon in routine maintenance therapy
And some medical professionals even endorse them