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W.ChoT.PrasadS.KojicL.et al (2009)

Many factors cause insomnia, and insomnia may also be a symptom of another medical condition, such as depression

Niacin deficiency and clinical signs of pellagra may appear in combination with other conditions including anorexia nervosa (22), alcoholism (23), acquired immunodeficiency syndrome (24), cancer (25), and chemotherapy (26)
The clinical case for Lp(a) is also compelling

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