It can cause respiratory failure (stopped breathing)
Because of this low oral bioavailability, clinical formulations of ALCAR must be dosed high enough to ensure that an adequate amount of the active compound survives the digestive process and reaches the blood-brain barrier
Niacin, at pharmacologic doses, has historically been used to modify lipid profiles, though current guidelines no longer routinely recommend it for cardiovascular risk reduction
Cd can also cause oxidative stress, which can lead to kidney damage and liver problems
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