Dr. Chauncey W. Crandall, M.D. ischief of the Cardiac Transplant Program at the world-renowned Palm Beach Cardiovascular Clinic in Palm Beach Gardens, Fla.. He practices interventional, vascular, and transplant cardiology. Dr. Crandall received his post-graduate training at Yale University School of Medicine, where he also completed three years of research in the Cardiovascular Surgery Division. Dr. Crandall regularly lectures nationally and internationally on preventive cardiology, cardiology healthcare of the elderly, healing, interventional cardiology, and heart transplants. Known as the “Christian physician,” Dr. Crandall has been heralded for his values and message of hope to all his heart patients. Dr. Crandall is author of Dr. Crandall’s Heart Health Report newsletter.

Dr. Chauncey W. Crandall, M.D.

Flushing From Niacin: Should You Be Concerned?

Wednesday, 04 Dec 2013 09:31 AM

By Chauncey Crandall, M.D.

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Niacinamide, also known as niacin, is a water-soluble B vitamin that is used to help lower so-called “bad” LDL cholesterol, raise “good” HDL cholesterol, and lower triglycerides. It can also change the small, dangerous “A” particles of LDL cholesterol to the larger, fluffier “B” ones.
But niacin can cause flushing. Because it’s debatable whether or not “non-flushing” niacin is as effective, I still recommend regular niacin.
If you want to supplement with niacin to lower cholesterol, start off very slowly, at a low dosage of 250 to 500 mg, and double the dose every two months until you’re taking 3,000 mg a day.
You can also ease the flushing by taking one aspirin along with the niacin. Take the niacin at night so that if a flush does occur, you’ll be less likely to notice it while you are sleeping. Flushing is not a serious symptom. It merely indicates that the small blood vessels of the skin are opening up.

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