Interesting read on why the world (mistakenly?) turned its back on Nicotinic Acid:
Go here: The Niacin Rebirth: Revisiting the Potential of Nicotinic Acid Therapy for Cardiovascular Disease and Niacin Supplementation for Healthy Aging esmed.org/MRA/mra/article/v...
Then right under the title on the left is a link to read the PDF.
It seems people were really high on NA until Statins came along and then two really big flawed studies were performed which scared everybody away from NA. The paper also points out that Statins may cause dementia.
Also, my own opinion here, people got so wrapped up in avoiding the horrible flush (it is not horrible) that they kept making changes that made the Niacin unhelpful or worse.
"In summary:
1. NA is the best agent to raise HDL cholesterol levels, which improves reverse cholesterol transport and helps “clean the pipes.” Higher levels of HDL have been linked to increased longevity.
2. NA is one of the best agents to reduce triglycerides, part of the dyslipidemia of metabolic syndrome that is increasing in our older population.
3. NA is quite good at reducing LDL cholesterol (15% to 20%), and specifically reduces the most pathogenic small dense LDL particles and prevents oxidation of LDL, which makes LDL pathogenic.
4. NA is the only oral agent that can reduce Lp(a), a pathogenic lipoprotein associated with CVD, especially stroke in older men.
5. Beyond lipid benefits, nicotinamide (a NA metabolite) as well as the nicotinamide form of niacin (vitamin B3) are essential for intracellular energy metabolism of every cell in the body. Nicotinamide also provides critical precursors to produce stem cells, which are necessary for replacing damaged cells in the body. This function is particularly important for older individuals.
6. NA, even in low dosages (100-500 mg, 1-3 times per day) can improve renal failure and help older people avoid progression to dialysis or transplant.
7. NA and its unique ability to reduce the monocyte chemo-attractant protein A-1 helps prevent intravascular plaque formation and reduce heart attack risk of pathogenic oral flora bacteria.
8. Last, but not least, our research has shown that the wax-matrix form of controlled-release NA is not only the best NA formulation to reduce LDL cholesterol without excess flushing or other side effects, it is also one of the least expensive therapeutic options currently available."