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In these patients chronic proximal bowel decom- pression using a nasogastric tube or a percutaneous gastros- tomy (PEG-)tube or treatment with octreotide or scopolamine butylbromide are applicable options , 10, 13, 41]. Niacin is usable both as niacin (nicotinic acid) and as niacinamide proven rumalaya 60pills treatment herniated disc. 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