Recently few ladies 30 to 35 yrs was treated for lethargies, weakness, burning extremities, recurrent rashes, depressive symptoms, lack of drive, excessive sleepiness by Vit. D after documentation of hypovitaminosis d of various degrees.but the symptoms didn't abate in few. So niacin blood level was done. It came low and was normalised b the tab of MV with 100 mg niacin x twice daily for month.
To my dismay the symptoms in most subsided and they felt much healthier and energetic. Is this prepellagra as they didn't have classic 3d symptoms of pellagra?
