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Friday, December, 05, 2008

Niacin: Myths and Facts

by  Dr. William Davis
Monday, December 17, 2007
Dr. William Davis
Dr. William Davis
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Heart Disease Specialist

Dr. William Davis is a vocal advocate of early heart disease...

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For a simple, available treatment that can dramatically reduce risk for heart attack, niacin has suffered more than its share of knocks, insults, and undeserved criticism...

 

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  1. Inositol Hexaniacinate
    Liam Johnson
    Tuesday, December 18, 2007 at 11:41 AM

    Inositol hecaniacinate may be "no flush" niacin, but it is NOT "no-side-effect" niacin.

     

    I had extreme flushing with a niacin regimen for my cholesterol, so my doctor and I tried this formulation.  It is true that the extreme flushing went away, but in its place, I got extreme itching.  I mean extreme, as in raking my skin so hard it bled.  It was horrible.

     

    Now, I don't know that this is a common reaction, but it certainly was mine.


    By the way, there is a third formulation of Niacin available, Niacinimide, which is not mentioned in this article (or at least, I didn't notice it if it was).  According to my doctor, niacinimide does not work as a cholesterol lowering agent.  You need nicotinic acid.

     

    Liam


    reply
  2. Niacinamide
    Liam Johnson
    Wednesday, December 19, 2007 at 09:04 AM

    My apologies.  I re-read the article and there was the comment about niacinamide right there at the tail end, I'd just missed it.

     

    Liam.


    reply
  3. Niacin Really Works, but...
    Diane Mounce
    Saturday, January 26, 2008 at 08:57 PM
    Dr. Davis, you are correct about Niacin, it really does work.  I was on a starter kit and eventually was taking two 500 mg tablets twice a day.  It dramatically reduced my Trigliceride levels and LDL as well as my overall cholesterol.  But the total was not enough for my doctors so they wanted me to add a low does of Provacal.  I have had problems in the past with statin drugs, but figured if it was low enough I would give it a try.  I don't know if it was the combination of the two or just the Niacin by itself, but I developed extremely dry itchy skin and it started to discolor becoming very dark brown in certain areas under the arms and inner thighs. I stopped taking the Niacin and in a couple fo weeks those symptoms cleared up.  I do not know what to do.  P.S.  The doctor never told me about drinking the extra water to help with the flushes, which I still had on occasion after slowly building up my tollerance.
    reply
  4. Untitled Comment
    Diane Mounce
    Saturday, January 26, 2008 at 09:01 PM
    Sorry, on my last post it should have read Pravastatin not Pravacal.
    reply
  5. Thank For The Helpful Advice
    mkatz2m
    Sunday, January 27, 2008 at 09:47 AM
    For years, I have been taking the no-flush version of Niacin where I had no side effects, but I also came to realize that this has done nothing for me.  What helped me the most was eating healthier and exercising more and losing some weight.  I found I could not tolerate regular Niacin no matter what else I took before, during, or after taking it.  I ordered and tried the SloNiacin product you mentioned and so far have had no side effects. I started the 250mg for a few months ago and recently switched to the 500mg and only had a short term burning face problem one time during the first few days of switching to the higher mg version. Now, I have no side effects and I plan to take a blood test later this year to see if my HDL (has always been too low, now it is at 32, never higher than 37) is any higher.
    reply
  6. Regarding Niacin and Itchy Feet
    Robbia
    Sunday, March 30, 2008 at 08:14 PM

    Dr. Davis mentioned that sometimes people think their itchy feet is being caused by niacin.  That intrigues me, since I am a diabetic and sometimes have itchy feet occasionally.  What causes the itchy feet?  Incidentally, I don't take niacin.

     

    Also, does Dr. Davis have an opinion regarding CholestOff (by Nature Made) being used as a cholesterol-lowering agent?


    reply
    re: Regarding Niacin and Itchy Feet
    Dr. Davis
    Monday, March 31, 2008 at 09:57 PM

    Thanks for your comment.

     

    Cholestoff is a combination of sterol and stanol esters. Both components clearly work to reduce LDL, occasionally as effectively as a low-dose statin drug.

     

    However, I continue to have reservations about the sterol component. There are data, principally in the European literature, though originating with a very respected Finnish group, that suggest that there may be a segment of the population that absorbs sterol esters into the blood--which is not supposed to happen. It is probably a problem in only a small portion of the population, if at all, but it has made me wary of advocating the sterol product. 

     

    If you would like to take advantage of the stanol ester alone, you'll find that in the butter substitute, Benecol.  


    reply
    re: re: Regarding Niacin and Itchy Feet
    Robbia
    Thursday, April 03, 2008 at 04:01 PM
    Thanks very much for the info regarding sterols and stanol esters.  Now I need to know what each of them is, and how they affect the body--particularly the sterols getting into one's bloodstream.  What would be the symptoms (and possible end result) from that happening?  Also, any opinion about the itchy feet I experience from time to time? (I'm diabetic)
    reply

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