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Contains milk, according to traditional ayurvedic practice which gives KSM-66 the full-spectrum bioavailability. Warning: consult a physician or licensed qualified health care professional before using this product if you are pregnant, nursing, taking any medications, including blood thinners, planning any medical or surgical procedure or have any medical condition. Do not take more than 500 mg of niacin per day except under supervision of a physician. Discontinue immediately if any side effects occur. Not for use by individuals under the age of 18 years. Keep out of the reach of children.