Table 2.

Timeline of care.

Initial visit	A comprehensive history of the present illness and physical examination performed
	Basic laboratory workup ordered
	Esophagogastroduodenoscopy ordered
First follow-up visit	Diagnosed with primary dietary niacin deficiency
	Instructed to take multivitamins containing 50 mg of niacin three times per day orally
	Second follow-up visit scheduled in 2 weeks
Second follow-up visit	Marked improvement in presenting symptoms
	Started on Helicobacter pylori eradication therapy