Major Niacin Study: More Problems: AIM HIGH (pt2) - FORD BREWER

[@bobkoure]

Great reviews of these studies. I read them when they came out, came to substantially similar conclusions, didn't realize this video was here until I came across a link to it in one of your more recent vids. Excellent presentation - please keep it up - and thanks!

[@PrevMedHealth]

Thank you very much

[@SawmillerSmith]

When I was 47 years old I figured I needed to change my lifestyle, so I quit smoking two packs of cigarettes a day and a case of beer a day. I stated studying about health and now at the age of 70 I'm a lot healthier than when I was 47. I made my mind up I wanted to live and also I wanted to not feel old and be able to do things beside sit around watching TV.

[@PrevMedHealth]

Congratulations! I applaud you what you’re doing. Easy things you can do to help us help others prevent heart attack and stroke: 1. Subscribe to KZbin channel - and click the Bell icon 🔔. You’re more likely to get a notice when we publish a new video; 2. Share the videos with others using email, Facebook, LinkedIn, Twitter & other social media ( these shares tell the KZbin algorithm that this is important information - so it will share); 3. Comment and Like videos early (and often- lots of vids). (Again, this tells YT to share the videos more.) Even Dislikes increase spread - the YT algorithm likes debate); 4. Translation volunteer services- we hope to set these up soon. We don’t all understand English (especially my English with a Southern drawl). Volunteer to help if you know another language- por favor, s’il vous plait…(kzbin.info_cs_panel?tab=2&c=UCmoEsq6a6ePXxgZeA4CVrUw); and 5. Join the PrevMed community. Help us help you lead a longer, healthier life. mailchi.mp/1224fb9e00e7/lprevmed_community

[@sanderscupac7278]

Sawmiller Smith great to hear your story. Now everyone knows they can do it also. All depends on how much you want it,(to be healthy and live).

[@susanbolton6215]

Sawmiller Smith I was only 34 when I had a life changing experience and, like you, decided I wanted to live. Stopped smoking and read a lot on health and nutrition. I've got you beaten by a year. I'm 72....

[@jamescalifornia2964]

'😱´´ A *case* of beer ... _? !_

[@lj32920]

I have four favorite people to go to on the net to probably get truth. I have asked questions. You are the only one who either cared enough to answer or found time to answer. Thank you so much!

[@PrevMedHealth]

Thank you very much.

[@aatifsid007]

Doc I have started taking Niacin 500 mg from 10th Dec, my HDL was 28, now on 14 Feb it has improved to 48, at the same dose. Tgl 117, and LDL 95.

[@pamelawherey4583]

I use Niacin, I don't care for the flush effect so I cut the pills into 4 parts and take it throughout my days. It has made me feel warmer. Thank you🌸💐🌸. I have Doc visit in June so I will be getting blood work then. I will be back to give my report. I hate statins, all give my pain in my muscles, I'm supposing I am sensitive.

[@stevecrowson530]

Thank you for following this thread on niacin and AIM HIGH. Just one tweak to your comments about the KZbin video of Dr Bill Buten an author of AIM-HIGH and Dr John Chapman, who were interviewed about the Study. Dr Buten waffled mightily on the niacin results. It was Dr Chapman (not involved in the Study) who made the full-throated defense of niacin and the likely over-interpretation of negative (red herring) conclusions of the Study. This interview is a VERY important corrective. Thanks again

[@PrevMedHealth]

Thanks! You seem very knowledgable about this.

[@brucemackenzie4952]

I dropped my Triglyceride levels from 110 to 69 over 3 months. I am now 1/1 with Hdl to triglycerides!

[@PrevMedHealth]

Congratulations! Thanks for sharing that. How did you do it?

[@lj32920]

what was the name of the niacin product?

[@pin75us1]

What dose did you use?

[@davidjones4063]

I noticed a very significant level of flushing depending on the number of hours fasted when taking 500mg niacin. With food nearly no flush. Taking at 3 days in to a water fast, you would think you're going to self-combust. I would not recommend without kowing how days 1 and 2 effect you. My HDL is slowly increasing but no signs of my LDL decreasing (no statins for 1 year)

[@davidjones4063]

@John Lorscheider , thanks for the feedback! I remember one of Dr. Brewers video's talking about low flush greatly reducing niacins benifits in a study. This caught my attention about condition's that may maximize flushing. I also want to say thanks for your video's as well. You do a great job explaining the details.

[@davidstrong7854]

John Lorscheider I generally use a cold pack or frozen vegetables on my face and arms when I take niacin. If I can keep my face from burning the rest is not bad. It usually only takes about 5 min with the bag of frozen veggies to be tolerable. I do have a question in regards to exercise and niacin. When I take it before I exercise I seem to get low blood sugar or bonking. Is that normal?

[@T-Slider]

Extremely valuable info!!! Thanks Dr. Brewer

[@PrevMedHealth]

Thank you! Please do a few easy things to help us fight heart attack & stroke: 1. Subscribe to the KZbin channel - and click the Bell icon to get nofications when we publish a new video; 2. Share the videos with others using your email social media: FaceBook, Twitter, & LinkedIn. These shares tell the KZbin algorithm that this is information worth sharing. It will do the same; 3. Comment & Like lots of videos, preferably early. Again, this tells the algorithm to suggest the videos to others. (Even Dislikes increase video suggestions - the algorithm likes debate; 4. Join The PrevMed community mailchi.mp/1224fb9e00e7/prevmed_community Coming soon - Volunteer to translate a video caption for those that speak your language. Not everyone understands English, especially with my Southern US drawl. I’m still working on setting this up.

[@RS-pu9ti]

Wonderful information, thank you for sharing Dr. Brewer 🙏

[@PrevMedHealth]

Thanks

[@PrevMedHealth]

Thanks

[@betsycambareri5775]

My husband has been using NR for several years instead of niacin, but even with a statin his TG was too high, and his HDL too low. IS NR supposed to affect TG and HDL the way niacin can, and is it ok to take both?

[@richt6353]

Dr. Brewer, thank you for clearing up this confusing situation with using Niacin. I now have a better understanding of the facts involved and better able to make my choice. thanks.

[@PrevMedHealth]

Thanks. Easy things you can do to help us help others prevent heart attack and stroke: 1. Subscribe to KZbin channel - and click the Bell icon 🔔. You’re more likely to get a notice when we publish a new video; 2. Share the videos with others using email, Facebook, LinkedIn, Twitter & other social media ( these shares tell the KZbin algorithm that this is important information - so it will share); 3. Comment and Like videos early (and often- lots of vids). (Again, this tells YT to share the videos more.) Even Dislikes increase spread - the YT algorithm likes debate); 4. Translation volunteer services- we hope to set these up soon. We don’t all understand English (especially my English with a Southern drawl). Volunteer to help if you know another language- por favor, s’il vous plait…(kzbin.info_cs_panel?tab=2&c=UCmoEsq6a6ePXxgZeA4CVrUw); and 5. Join the PrevMed community. Help us help you lead a longer, healthier life. mailchi.mp/1224fb9e00e7/lprevmed_community

[@snoflake9485]

Ford Brewer MD MPH , my earnest contribution to you: you’ve had helpful responses and some good videos. The newly adapted adding several paragraphs to your signature begging to be more popular on KZbin is in bad taste and it is the first time in over ten years I have seen it. Instead, make the quality so high and it will happen naturally. You’ve shown improvement investing time in learning to use the incorporation of the digital screen slides which is more professional and will save you more time, money, and potential air pollution than printing and showing the camera. You might also question if the extra bradykinin from the ramipril (which happens to increase inflammation) is worth it when you could swap with potentially better once a day liver protecting, PPAR activating telmisartan or twice candesartan you are focusing on being a presenter especially as you plan on monetizing the educational videos in the future. Can also save our time with the ”brief introductions” and spelling your name when it is right there for us to read and telling how you went to Hopkins to run the place time after time in most videos. One video is enough on the KZbin and prevmed homepage.

[@kinpatu]

Interesting analysis. Thank you. I’m on rosuvastatin and ezetimibe, but my liver can’t tolerate ezetimibe at full dose, so I’m currently taking a 1/4 dose. I’ve been considering adding niacin even though my cardiologist basically said it’s of no benefit.

[@Lulu-kt6gr]

Can you effectively and safely take Niacin AND Niacinamide together? Niacinamide is said to be anti-aging and a completely different compound from Niacin. I’d like to take both. Thank you.

[@Ward625]

Dr Brewer, thank you for the video! You mentioned David Sinclair’s anti-aging pill. Can you make video on this topic, or you did already and I couldn’t find it?

[@jerrystephens9143]

Keep up the helpful videos Doc thank you very much. very encouraging to watch. God Bless.

[@PrevMedHealth]

Thanks!

[@insan3.0]

Here in turkey we don't have niacin. Here are only no flush products. How to find niacin is a problem here.

[@vickyshe8065]

I haven't been impressed with any other medical doctor's information as much as I am impressed by yours, Dr. Brewer. I tried purchasing 2 of your courses but it only takes me to PayPal. Is there a way to simply pay with a credit card? Think you.

[@larrysamuelson2223]

Thank you Dr. Brewer. I recently started taking Crestor 5mg daily. I also take Losartan 5mg daily. I have been taking niacin timed released 2000mg daily. My last 2 fasting blood sugars were 103 and 104. So I believe that I am at least a prediabetic and as such have insulin resistance. I am perhaps 10 lbs overweight at most. I walk 2 miles daily. Is there anything else I might do. Will be 70 years old next birthday.

[@mariposatherapy45]

Time released niacin affects the liver badly

[@kdcruz75]

Study homocysteine and methyl cycle ...it shows vitamin b12 also helps.. Supplement with vitamin b complex..and thiamine

[@kdcruz75]

google: curry leaves diabetes

[@melonmelon7427]

Losing those 10 pounds and more if you can. It's proven that a reduction of even 5% in body weight is very beneficial.

[@myhealthobs5290]

What dose of niacin should be safe to take for someone with ldl of 250? Does one need to slowly increase their dose to tolerate the flush Is slow release /non flushing niacin effective Excited that this is an option as I can tolerate a niacin flush (I tried up to 250g/day) over the myalgia that statins give me and was struggling to understand the paradox which I guess is a faster short term anti inflammatory effect from statins

[@myhealthobs5290]

John Lorscheider fantastic answer :thank you, you guys are doing great work .

[@redhotbits]

why the hell it should not be safe?! use flush version only!

[@DanScottChannel]

The only niacin that works for cholesterol control is pure nicotinic acid. All of the "niacin" brands sold in stores is "niacinimide" NOT nicotinic acid. To get the pure form of nicotinic acid, you have to buy it online at Amazon or other sellers. It comes in bulk powder form and you can mix it with a drink.

[@redhotbits]

Dan Scott i buy lifeextension 500mg its 5-6$ a bottle

[@robrae14]

@@myhealthobs5290 where's is John's comment?

[@DanScottChannel]

The "niacin" sold in stores is not pure nicotinic acid. According to Dr. Abram Hoffer, the "niacinimide" form sold in most stores will not work for cholesterol control. Only the nicotinic acid will work. You will not find this pure form in any store. You have to purchase it online at Amazon or other sellers.

[@starrynight8007]

Dan Scott perfect thanks Dan! I am a 57-year-old daughter of an 86-year-old father. He has perhaps early signs of cognitive decline not bad for the past 1.5 yrs. I’m trying to understand niacin in terms of helping with cognition-protection.

[@deepun9091]

Had my first flush today. Was a bit breathless, (have mild asthma), Started 25 mg, flush came at 225 mg. Flush lasted about 1 hour 10 mins, then 45 mins itching, warmth, redness on legs. After a total of 1 hour 58 mins, my knee legs are still warm, some redness on knees. Felt no peace or well being during or after. Will the above decrease or increase if up the dose? 2 half hours later notice strong appetite, been trying to gain weight! As very underweight with no appetite. Taking it for mental health. Shall I just take it once a day at 225 mg till flush is less strong then increase dose after a week or so? Obviously, I cannot take it 3 times a day at this point as flush was so long....any suggestions, please??

[@c4p4c1t1v3]

I take around 100 mg four times throughout the day. Sometimes I get a little flush but it doesn't last very long. Ive seen taking smaller doses more frequently is better for absorption

[@user-wu1he1xq5q]

Hello Dr. am.taking statin with f for 5 years post MI . My LDL.stands at 70 TGL 240 ( after adding finofiberate ) HDL 22 am diabetic also taking' metformin and glimiperide, , BP medication and blood thinner Clopilet .75 mg . Pls advise if I can Niacin instead of statin to increase HDL and decrease TGL. Or shall I take both together ?? Will it be beneficial am 48 male from india.

[@frankenz66]

The statin drug, Crestor, and it's generic, has warnings on contraindication with taking Niacin at the same time inside the label? Did they always or is this a new development?

[@PrevMedHealth]

It does. I’ve seen it long ago.

[@indman101]

So for Niacin to be effective it needs to be Flush Free?Inositol Hexanicotinate flush free 500 Mg one time a day is what I have been taking not sure what to buy, my HDL is 39 and my LDL 87 Triglycerides 97 Blood sugar 110 fasting I know my sugar level was on the high side.

[@indman101]

@John Lorscheider Thank You for the information will put it to use,I had asked my Doctor was there something I could do to raise my HDL levels he had told me there has to be a reason for death.

[@hannah5245]

Aug 2018 my triglycerides was 175, hdl 48, ldl 106. Total chol 189 . Oct 2019, triglycerides dropped to 94, hdl 51, ldl 118. Total chol 187. I took 500 mg inositol haxanicotinate , no flush , 3x a day for 2 mths before my 2nd cholesterol test. Today im still doing 500 mg, 2 or 3x /day more regularly.

[@147DegreesWest]

Dr Brewer, is nutritional yeast a good source niacin? What are some foods that are high in Niacin?

[@salmanalih95]

147DegreesWest you won’t be able to find doses of niacin outside of a supplement to give cholesterol management benefits.

[@147DegreesWest]

I seem to be ok using it thus far - I use copious amounts. Obviously if my numbers get to dangerous levels, I will add a supplement. It is also noteworthy that tryptophan can also be converted into niacin by the body- so a daily meal that includes chicken or poultry and nutritional yeast should keep this old gal in niacin. (I am not taking capsules, I buy it bulk and bread my chicken and fish with it, and I do get a high enough B3 for the flush)

[@robrae14]

For full flush (if only using to help with LPa) what is lowest dose possible for good effect? My Lpa dropped to 29 nmol after 9 months ... want to know what dose to keep it there. Thanks,

[@tomkeyser8384]

I am wondering how alma (Indian gooseberry) and niacin combined would effect lipids. Alma is supposed to lower LDL

[@PrevMedHealth]

Hmm. Good question. I'm not familiar with it. Usually if it lowers it significantly, pharma would try to coopt it.

[@tomkeyser8384]

@@PrevMedHealth thanks for the response. I really appreciate your input.

[@OpulentRed]

Actually it's called Amla.

[@lj32920]

I was once put on niacin for high triglycerides, and didn't have a problem, but I moved and didn't get the prescription renewed. Recently, after several decades, I bought a bottle of niacin that said it was guaranteed to lower triglycerides. It warned against flushing, and I experienced some flushing in my legs, but it only lasted 15 min. The next time I took a capsule, and I got severe flushing all over my body from head to toe, and I was miserable. But I thought I could tolerate it for 15 min. But it lasted over an hour and made me really weak, I cou;dn't even stand. Obviously, I won't take it any more. Anybody know of an effective niacin that wouldn't cause such misery?

[@PrevMedHealth]

I use Rugby & Enduracin. My patients indicate that Enduracin is more tolerable.

[@slickyricky2430]

Doc are there any side effects to long term Niacin supplementation such as damage to the bodies cholesterol transportation and utilization pathways? And are you familiar with the studies proving Niacin supplementation significantly increases your chances of new onset diabetes?

[@PrevMedHealth]

The diabetes trend is very well known. It’s short term and appears to be outweighed by the benefits

[@slickyricky2430]

@@PrevMedHealth Are the changes to the bodies ability to deal with Glucose temporary or is it a structural long term change, same thing can be said about the inhibition of cholesterol. I have found as a pharmaceutical researcher, that compounds that inhibit cholesterol can actually weaken the bodies ability to deal with cholesterol after cessation of the medical compound.

[@jerj9433]

Hello Dr. Brewer, I received my test. Triglyceride 1120, hdl 28, ldl 145. I powerlift 3 times a week without suppliements and without cardio. Diet isn't great but not terrible. 41yrs, 5'10 and 220ib. I eat 4-5 x day. Have gout. I don't have any symptoms. I can't understand why my level is so high. I'M going to try niacin, red yeast rice and omega 3 with a lifestyle changes. Any other suggestions would be great.

[@PrevMedHealth]

Any idea what your fat content is? RFM?

[@jerj9433]

@@PrevMedHealth It was from my yearly uric level blood test for gout. I added cholesterol test with it. What is RFM? 26% bodyfat. Waistline 36 I was eating 4500 to 5000 calories per day from eggs, chk breast, pork, veggies, pasta, rice, and beers on the weekends. Doctor wants to put me on meds. I want to try changing my workouts and eat 2 meals within 5 hours. Omega, red yeast, and niacin supplements. Is my triglyceride too high to fix my levels without taking statins? I have been walking for 50 minutes with 45 minutes of heavy workout this week.

[@brozep]

is niacin also thins blood?

[@nikitaonassis6090]

If niacin works what about Nicotinamide Riboside ?

[@PrevMedHealth]

I’ve got some videos videos coming out on that. I think it does.

[@nikitaonassis6090]

@@PrevMedHealth Looking forward to it. I was wondering what it burns up in the process in methylation ? When I took glucosamine without calcium, I got arthritis instead only to find out I needed calcium as a fuel to burn for it to work. I tried NAD Tru niagen for 5 days stopped a month, then tried it for another 5 days but found my energy reduced. So I suspect like 3/6/9 omega, there is some ratio for it to work ok and must use something up in process. Since then, I use it 3 to 5 days, then stop for 3 months.

[@davidstrong7854]

I have a question. Can niacin cause blood vessel breakage or weakening of the connective tissue or blood vessels. And can things like citrulline/arginine or niacin, beetroot have “blowback” effects. I mean after we take these can we have an opposite effect after it wears off? Will it cause a blood vessel constricting after the fact? I’ve taken some niacin (500mg) and started busting blood vessels again. Could be other stuff I’ve done but looking to narrow things down.

[@davidstrong7854]

John Lorscheider thank you. I was sick recently and started doing an uptick of fresh Garlic, ginger and a little clove. But also niacin and red wine. , My red blood cells typically runs low to low normal the last this was happening was Garlic, cinnamon, ginger and magnesium sulfate. At this point it has to be the I’m thinking fresh Garlic and alcohol. 😢. I thought I had a pes aneserine bursitis , then a bruise appeared a few days later just under the inside of the knee. Rested it some. Rode my bike last night , and noticed a bit of aggravation. Then today my calf, and food are swollen. Local Dr said take ibuprofen and elevate and ice. Ok that takes care of the temporary problem, but because of the connective tissue and blood vessels are the underlying cause I guess, I’ll keep looking.

[@davidstrong7854]

John Lorscheider very interesting list. I take no medications. I knew a few of these cause it, and found a couple more that are in my diet. I saw ginkgo, and I do avoid that, but would ashwaganda be on that list, I do supplement with that? Thanks for your help in advance. I’ve looked before and didn’t see it as a side effect, that I could find.

[@lizryan6289]

@@davidstrong7854 I cannot take Ibuprofen as it gives me tiny blue spots here and there on my arms.

[@fordfiveohh]

it's interesting what you said about crashing carbs ... I did an experiment on myself where I did a low-carb diet for several months and tried really hard to keep my blood sugar under 100 and it obliterated my cholesterol and my triglycerides :-) ... I ate lots of bacon actually.... And even when I'm not on a low-carb diet I try to eat less than a hundred grams of carbohydrates per day...just because I have a family history of diabetes and I don't agree with the nutritional guidelines for carbohydrates...I think they have to be wrong... if they're not wrong why in the world is everybody getting diabetes.... Or I guess said another way, the carbohydrate levels are not appropriate as they don't match most people's activity levels.... Most people don't need two or three hundred grams of carbohydrates per day... I suppose...

[@PrevMedHealth]

Thanks! kzbin.info/www/bejne/lWfTd5mGZbeZjLc

[@davidsterrett3306]

First, Thanks for all the info in your videos. Tremendously helpful. I started taking Niacin about a month ago (Slo-Niacin Brand - Time Release) and saw a significant rise in blood sugar throughout the day - from around 95 to 130. (2G of Niacin a Day, 1g in AM and 1G in PM). If have the freestyle LIbre CGM, so feel like relative rise is real. How long for this effect to abate ? Is Niacin just not for everyone ? When is discontinuation advise ?

[@PrevMedHealth]

It’s usually 2-4 months. If it goes to 6 months, there is probably something else going on. Have you actually alternated days/weeks? It’s surprising to hear that amount of change on a daily basis.

[@davidsterrett3306]

I titrated up quickly (1 week). Perhaps that would explain some of the response. Will go back to 1g a day (500mg am/pm) and see if this helps and then try to titrate up from there.

[@mariposatherapy45]

Time released niacin affects the liver badly

[@bernadettebecher5668]

Thank you for the informative video

[@PrevMedHealth]

Thanks!

[@bolee6820]

I am taking Niacinamide for osteoarthritis,any thoughts on that?

[@robncoly]

Me too, did it work for you?

[@erwin021777]

I love statins. I'm not a hater My father, aunt and grandma all took statins. My father died of liver failure and heart attack after 2 years. My aunt of breast cancer and my grandma liver cancer. So I love it when I was prescribed statins...

[@c4p4c1t1v3]

Yeah well look into the actual science. Sure, statins may lower your cholesterol but increases mortality.. LDLc is a worthless predictor for heart disease

[@erwin021777]

@@c4p4c1t1v3 precisely. My comment was a sarcasm 🤣

[@c4p4c1t1v3]

@@erwin021777 derp. sarcasm is hard in text

[@erwin021777]

@@c4p4c1t1v3 no problem. When statins is supposed to prolong life but then blocks CoQ10 and causes heart attack, the very thing it's supposed to prevent plus other side effects like muscle atrophy, cancer, sleep problems, ED, dementia it's common sense to stop it. I'm glad I did. Changing lifestyle and diet plus supplements, I'm healthier now in my 40s than in my 30s

[@geraldfriend256]

Please y'all spread the word..no one should take statins

[@kellyclover5953]

Any similar studies on pantethine?

[@PrevMedHealth]

Not exactly the same. But I saw something on this last week. Now if I could just remember where....

[@DannyB-cs9vx]

Seems like the study showed Statins interfere with the benefits of Niacin.

[@starrynight8007]

DannyB1954 It does ..

[@kdcruz75]

The chemistry of statin ..is thwt it cuts cholesterol supply.. Ur bodybrequiree choleeresterol fo all processess.. When one has high ldl..that is the body mending the inflammation .. Refined foods create sorbitol and high insulin..both inflammatory Its a signal to change ones diet.. Using statin ..is like cutting off ur hand ..to cut ur nails off

[@geraldfriend256]

F statins they are hideous.

[@MrJam110104]

Notice MD Anderson is the sponsor of this video what is surprise

[@logancole2881]

I read that niacin can cause liver damage, is this true?

[@PrevMedHealth]

Yes. Very few things are harmless. I wouldn’t take The 2 most important cv supplements (Vit D & Niacin) if they weren’t needed.

[@rocketmoonshine9205]

@@PrevMedHealth ... Vitamin D causes liver damage too?

[@akanecortich8197]

I stopped taking statins. My HDL is high, Trigs very low.

[@PrevMedHealth]

Any idea re: your inflammation?

[@rakanaltassan7797]

Akane Cortich Which 19 are using flash free?

[@commentoria]

Where is Part 1 please?

[@ariloo8178]

All geniuses have very high levels of cholesterol.

[@PrevMedHealth]

Hmm. I’ve always had a low cholesterol. Not so good for me, huh?

[@elisafrye2115]

Dr Brewer, thank you for another excellent video. So, my recent reading of a meta-analysis of several clinical studies leads me to the conclusion that Niacin can contribute to diabetes. As a diet-controlled T2diabetic this concerns me. And despite having a good A-1C, I wonder if taking Niacin could cause problems for me if I took it for lipid improvement. It looks like a trade-off. PS...I’m working on losing 12 pounds of too much me but my trigs are very low and my other lipids are where they should be, although my LDL was a bit elevated last time. Because of co-morbidities ( hypertension as well as T2, ) my very good PCP has referred me to a cardiologist next month for a full cardiac screening “ just to be sure. we aren’t missing something .” I’m going to ask him for a CIMT and possibly a GTT.

[@PrevMedHealth]

Thanks for sharing that. The OGTT is very good. Another consideration is a full Kraft Insulin Survey. That depends on your situation. The increase in glucose is minimal, temporary & outweighed by the benefits. Glad to hear you have access to good care. So few do!

[@adrian781]

Hi thank you for all your very informative thorough videos. A Naturalpath told me to take 6000mg of niacin for anxiety. Six thousand seems way too high. Is niacin effective for anxiety and what dose?

[@PrevMedHealth]

I agree that sounds like a big dose. I’ve heard of that before, re: mental health. But I haven’t seen the evidence.

[@PrevMedHealth]

We recommend 2,000 total/day.

[@palladio7476]

Does niacin increase fasting blood sugar?

[@PrevMedHealth]

Yes. But only temporarily. The benefit outweighs this.

[@palladio7476]

@@PrevMedHealth I agree about the benefits and I am taking it daily. I am trying to solve the mystery of why my FBS in the mornings stays slightly over 100 when I am eating less than 50 grams of carbs per day and my a1c is 5.1.

[@PrevMedHealth]

Have you read about the dawn effect?

[@palladio7476]

@@PrevMedHealth Do you have a video on this?

[@frankenz66]

By what percentage I wonder? I take chromium polynicotinate (as usual) less than 4.5 mgs worth of nicotinate though, the evening before fasting tests. Never thought about it. Fastings run a bit elevated, 98-105.

[@truckertrow]

How much dossage should you take aday

[@alleyratAnderson]

I accidentally got 500mg niacin capsules last weekend, they are over 3000% RDA. Sunday I had the flush from hell after I took my first capsule, but i found that if I take my niacin immediately after a meal the flushing is much less. I would suggest 100mg, there may be some flushing, but it will pass quickly. The flushing can scare a person if they have never experienced it, it feels like a serious allergic reaction, but it will pass.

[@PrevMedHealth]

It can be scary if you’re not expecting it. I remember having one years ago that felt like my scalp was burning off.

[@MisterDivineAdVenture]

AY! 2 thumbs up.

[@PrevMedHealth]

Thanks

[@stevesettlemier5916]

Really? Might be better if u got your G-D head out of the way!

[@bobcox6063]

.