From the very beginning I was able to flush on niacin, starting at 200mg, then 350mg for a while. Like I said, I just tried 3g of niacin because that is where I have gotten to in search for my lost flush. I bought a pill crusher so I could take it powdered just to make sure. I ate 2-3 hours ago. Mild flush to be generous. I've heard of people taking this much, but not anyone in the POIS community.
I have not been taking naicin all that much as I just found out how to get it to help my POIS symptoms. I have tried fasting, and it helps, but I am still not getting the effect I once was (i'd say this latest attempt with 3g powdered niacin was 10% of what my flush needs to be to be effective). I am using the same brand that was effective before. I have been using it frequently to match my strong sex drive. I wonder if my body is very quick to adjust to niacin flush?
I know niacin has benefits/interactions for people with high cholesterol. But what about high triglycerides? I'm 25 years old, but I have very high triglyceride levels as a side effect of a medication I have to be on. Can that be contributing to my low affinity?
I was talking with a guy at my local GNC store who told me some people take lots more niacin at a time than I do (this was when I was getting a flush at 350-500mg). I am looking to take more.
Hi Nightingale!
Re: high triglycerides -- niacin
is recommended by cardiologists specifically to lower triglyceride levels and LDL levels, not to improve cholesterol levels, ("Niaspan" -- a prescription, long-acting, minimal flush form is by prescription only, and I doubt that it would help with POIS -- it's slow release). It isn't the first-line drug that's recommended for elevated triglycerides, and is usually recommended to people who don't respond to prescription meds (statins) to decrease these levels.
One of the men in my office -- 36 y/o -- had a very high triglyceride level (1500!!) but the rest of his lipid profile was normal. He is on meds for a neurological disorder, narcolepsy, and in his case it was most likely related to the combination of his meds, his particular metabolism, and his diet (triglycerides get elevated from ingesting too much sugary foods (including alcohol, fruit, white flour breads/cakes, and of course, plain old sugar). But certain meds also definitely cause these elevations, even with a great diet. He happens to be very slim -- but was eating a lot of sweetened yogurt -- a quart/day!!!
So, his primary care doc advised trying 500mgs of the OTC flush-type niacin (he says he likes the flush!!). His triglyceride levels are down to 500 now after at least three months of daily dosing --
and he still gets the flush. He takes it daily (in the evening) and has his liver enzymes monitored carefully, per his doc's recommendations. Not taking it for POIS, however.
(I will ask him which brand he uses.)If you're taking a tablet (not a capsule), perhaps crushing the tablet isn't the best way to absorb it in your case. Maybe taking the pill whole, with at least one cup (8oz) of water -- or even two cups -- on an empty stomach, would improve the absorption and produces the flush.
There are so many variables with medications/vitamins/supplements -- including each person's unique metabolism and other meds that are being taken. This is why you might benefit by talking this over with the doc who's prescribing the meds that are elevating the triglycerides. He/she might suggest lowering the dose on some of those other meds on a temporary trial basis, for example -- that could make a difference. Or, he/she might recommend taking the niacin at a different time of day, away from the time that the other meds reach their peak level in your blood.
Of course, don't lower your other meds or change the times of dosages on your own!! Be upfront with your physician and get some input on this.
Nightingale, if the niacin worked so well for you,
it will work again. so please pursue it,
but with your doc's input. Have a heart-to-heart with your doc. Taking higher and higher doses could be harmful -- so please don't do it without discussing it with your doc.
It could be that with POIS, for it to be effective it just can't be taken daily -- or very frequently.
Stef