What is 4D Vitamin Deficiency and What Causes It?
                                
                                
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                                    4 min read                                
                            
                                According to the Cleveland Clinic, pellagra, a condition stemming from niacin (vitamin B3) deficiency, is characterized by the "4 Ds"—dermatitis, diarrhea, dementia, and death. While the term "4D vitamin deficiency" is not a formal medical diagnosis, it effectively describes the severe, multi-symptom nature of untreated pellagra. This article explores the causes, symptoms, and prevention of this serious nutritional disorder.