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Functions

 

Niacin (vitamin B3) participates in energy metabolism as an enzyme system (NAD, NADP) for transfer of hydrogen, metabolism of amino acids and carbohydrates. It is needed in fat synthesis and tissue respiration, and is essential for healthy skin, blood, tongue and gastrointestinal tract. Niacin is also used in the synthesis of several hormones relating to the control of blood sugar, normal adrenal function, thyroid function, and sex hormones. Niacin helps to repair daily damage done to genetic materials.

It is synthesized by intestinal bacteria.

 

Uses

 

Used to decrease cholesterol, in cardiovascular disease, diabetes, depression, anxiety, insomnia, migraines, nerve conditions.

Deficiency

 

Niacin deficiency symptoms include: weakness and decreased appetite, skin eruptions, dark, scaly dermatitis, diarrhea, nervous depression , neuritis. Severe deficiency may cause confusion and pellagra, a condition of dermatitis, diarrhea and dementia.

Antagonists

Diets high in the amino acid leucine may cause niacin deficiency.

Co-factors

 

Niacin is absorbed in the small intestine, where bacteria can convert it to a useable form from extrinsic NAD or NADP. It is also made from tryptophan where enough iron, riboflavin and vitamin B6 are present.

Niacin may enhance zinc and iron utilization.

 

Drug Interactions

 

May reduce toxic side effects of adriamycin (anti-cancer). May enhance effectiveness of anticonvulsant drugs. Antibiotics may cause niacin flushes to be more severe. Isoniazid may cause niacin deficiency. Oral contraceptives may increase conversion of tryptophan to niacin. Alcohol increases the need for niacin.

Dose

 

RDA:

Men 16 mg, Women 14 mg, Pregnancy 18 mg, Lactation 17 mg

Use inositol hexanicotinate as it may be safer than nicotinic acid or niacinamide, although note that these have different therapeutic uses.

 

Toxicity

 

Can injure liver, causes skin flushing, itching, heartburn.

Don't use without advice if you have impaired liver function, gall bladder disease, migraine or active peptic ulcer.

 

Sources

 

Vitamin B3 is found in:

  • Peanuts
  • Legumes
  • Milk
  • Fish
  • Liver
  • Meat
  • Poultry
  • Many grains
  • Eggs

Only about 30% of dietary niacin is absorbed from these sources.

 

 

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