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Elevated Cholesterol and Atherosclerosis—Effective
Nutritional Therapy with Niacin 20% to 30% Reduction in LDL— 10% to 14% Rise in HDL Levels When niacin is given in therapeutic doses, most
studies report between 20% and 30% reductions in low density lipoprotein
(LDL, the bad cholesterol) levels. Of all the lipid lowering substances,
including drugs, niacin probably produces the greatest elevations in
protective high density lipoprotein (HDL, the good cholesterol) levels,
with many studies reporting rises between 10 and 15 mg./dl.(1,9) Niacin has also been shown to enhance the effects of
cholesterol-lowering drugs.(1,9,10) Because of the potential
adverse side effects of cholesterol-lowering drugs, the National
Institute of Health urges that "maximal efforts" at dietary
therapy be made before initiating drug therapy. How Niacin Counteracts the Atherosclerotic Processes Niacin produces a number of beneficial effects to
counteract the atherosclerotic processes. Niacin reduces production of LDL and VLDL (very low density
lipoprotein) in the liver. LDL, which is dependent upon VLDL for its
production, draws cholesterol into the lining of the arteries,
resulting in an atherosclerotic build-up of occluding plaque.(1,5,6) At therapeutic levels, niacin has been shown to increase HDL. HDL
draws cholesterol away from the lining of the arteries, thus
counteracting the effect of LDL.(1,5,6,9) Niacin appears to have a strong effect on the production of
prostaglandins. PGI2 has been shown conclusively to be
involved with platelet aggregation in the blood. Without sufficient
PGI2, blood has more tendency to clot and the risk of
vascular occlusion is increased.(1,6) Niacin also removes triglycerides from the blood through a process
called lipoprotein lipase activity. When triglycerides are reduced
in the blood, LDL levels are reduced as well.(1,6,7) Niacin dilates the blood vessels which improves circulation and
helps flush out existing plaque.(3) Niacin is metabolized by the body to form niacinamide,
but only niacin, not the niacinamide, lowers cholesterol. It is
speculated that the cholesterol lowering action in the liver occurs at
the time of metabolism from niacin to niacinamide.(1) Best Results Achieved with Sustained Release Niacin Early research called for 1500 to 6000 mg of niacin
daily as an effective therapeutic dose for cholesterol reduction.
However, sustained release niacin allows cholesterol lowering effects to
be achieved using about half the amount needed with other niacin
supplements. Many users report even better results using sustained
release niacin, taking only half the amount they had previously taken of
standard niacin products. Sustained release niacin also reduces or eliminates
the noticeable "flush" experienced by some people using
standard niacin preparations. The flush is a tingly, prickly sensation
of the skin, primarily on the arms, shoulders, back and chest. Often the
skin will turn pink or red as though one had been in the sun. The flush
is completely harmless and will lessen or disappear with continued use.(1,2,3)
Some people find the flush objectionable, while others find the
sensation pleasant. Using standard niacin preparations, some people may
experience this flush with doses as low as 50 mg.(1) Niacin Required in More than Fifty Metabolic Reactions Niacin functions in over fifty metabolic reactions.
It plays a key role in glycolysis, the conversion of pyruvic acid to
acetyl CoA and reactions of the Krebs Cycle and the hexose monophosphate
shunt. All of these reactions are important in the release of energy
from carbohydrates.(2) Niacin is also important in the beta oxidation of
fatty acids. It is essential for the formation of steroids, the
metabolism of several drugs and toxicants and in the formation of red
blood cells. Because of its diverse and critical role in so many
metabolic pathways, niacin is vital in supplying energy to, and
maintaining the integrity of, all body cells.(2) Niacin deficiency, known as pellagra, affects every
cell, but is most critical in tissues with rapid turnover such as the
skin, the gastrointestinal tract and the nerves. The U.S. R.D.A. for
Niacin is based on calorie intake, 6.6 mg. per 1000 calories, but no
less than 13 mg. daily. Pellagra will result in most people with less
than 7.5 mg. per day of dietary niacin.(2,3) A Wide Range of Conditions Respond to Niacin Therapy Supplemental niacin has been shown to be beneficial
in a number of conditions: Elevate blood cholesterol levels have been lowered using niacin
alone or in combination with a low fat/high fiber diet, as well as
with cholesterol-lowering drugs.(1,3,5,6,7,8,9,10) Diarrhea has been completely cleared up in as little as two days.(3) Atherosclerosis, attacks of Menier's syndrome (vertigo) and some
cases of progressive deafness have improved or even disappeared.(3) Niacin is often used to reduce high blood pressure and increase
circulation in cramped, painful legs of the elderly.(3) Since niacin stimulates the production of hydrochloric acid, it
has been used as an aid to impaired digestion.(3) Many insomniacs respond well to the sleep inducing effects of
niacin.(3) Niacin has been successfully used in the treatment of acne in
doses of 100 mg. three times daily for 2 or 3 weeks.(3,4) Niacin is important for brain metabolism. In studies, Niacin along
with other vitamins, relieved such schizophrenic symptoms as
paranoia and hallucinations. Niacin has also been used successfully in the treatment of alcohol
and drug dependency and reduces the effects of hallucinogens such as
LSD and mescaline.(3) Because of its ability to elevate and stabilize blood sugar
levels, niacin is beneficial to hypoglycemics as well as diabetics,
an may be helpful in weight loss programs.(3) Because of its ability to dilate blood vessels, niacin may be
helpful in alleviating the pain of migraine headaches. Niacin is found in small quantities in foods and is
manufactured within the body from the amino acid tryptophan. The vitamin
is absorbed in the intestine and stored primarily in the liver. Any
excess is eliminated through the urine. No real toxic effects are known;
however, patients with active peptic ulcer, liver disease, severe heart
arrhythmias, diabetes or gout should be closely monitored by their
doctors when taking this vitamin in large doses.(1,2,3) Excessive consumption of sugar and starches will
deplete the body's supply of niacin as will certain antibiotics. During
pregnancy, lactation, illness, tissue trauma, growth periods and after
physical exercise, daily requirements are increased.(2,3) WARNING: This publication and the product
contained herein have not been approved or evaluated by the Food and
Drug Administration. This publication, and the product contained herein
are not intended to diagnose, treat, cure or prevent any disease. The
product relates to nutritional support only. REFERENCES 1. Kowalski, Robert E., The 8-Week Cholesterol Cure, Harper & Row, New York, 1987. 2. Garrison, Robert H., Jr., M.A., R.Ph. and Somer, Elizabeth, M.A., The Nutrition Desk Reference, Keats Publishing, New Canaan, CT, 1985. 3. Kirschmann, John D. and Dunne, Lavon J., Nutrition Almanac, Second Edition, McGraw-Hill, 1984. 4. Clark, Linda, Know Your Nutrition, Keats Publishing, New Canaan, CT, 1973. 5. Council on Scientific Affairs, "Dietary and Pharmacologic Therapy for the Lipid Risk Factors", Journal of the American Medical Association, 1983, Vol. 250, No. 14, p. 1873-79. 6. Hotz, W., "Nicotinic Acid and It's Derivatives: A Short Survey", Advances in Lipid Research, 1983: Vol. 20, p. 195-217. 7. Wahlqvist, M.L., "Effects on Plasma Cholesterol of Nicotinic Acid and its Analogues (Niacin)", Vitamins in Human Biology and Medicine, CRC Press, Boca Raton, FL, 1981, p. 81-94 8. Hunninghake, D.B., "Pharmacologic Therapy for the Hyperlipidemic Patient", American Journal of Medicine, 1983: Vol. 74, No. 5A, p. 19-22. 9. Paoletti, R., et al., "Influence of Bezafibrate, Fenofibrate, Nicotinic Acid and Etofibrate on Plasma High-Density Lipoprotein Levels", American Journal of Cardiology, 1983. 10. Kane, J.P., et al., "Normalization of Low-Density Lipoprotein Levels in Heterozygous Familial Hypercholesterolemia with a combined Drug Regimen", New England Journal of Medicine, 1981, Vol. 304, No. 5, p. 251-258. NIACIN SUSTAINED RELEASE Each tablet contains: % Daily Value Formulated to release over several hours. Other ingredients: modified cellulose gums, vegetable oil, silica, stearic acid, magnesium stearate, food coating. Recommended Use: For lowering elevated blood cholesterol, therapeutic doses of one to three tablets daily are recommended. Product No. 435 Fill Size: 100 Tablets
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