Nutrition Navigator
Article
Sweating
it out with a "Niacin Flush"
Any time you start taking Niacin—also
known as Vitamin B3—in an amount that is significantly greater
than you normally consume, it is possible you will experience
what is known as a “Niacin flush.” And since many
individuals are severely lacking as far as having a regular intake
of B vitamins, even the introduction of a modest amount can be
considered “significantly greater” for those individuals.
This “flush” can be recognized by
an intense itchy feeling and reddening of the skin—especially
in the face. The chance of a severe Niacin flush when taking whole-food
supplements is much less likely since it involves natural food
ingredients; however, since the ingredients are concentrated,
it is still a possibility, and the health-seeking consumer should
be aware of it.
Repeated reactions will go away—usually
over a couple of days—as the body adjusts to the new level
of Niacin intake. If the flush is too unsettling for you, you
can also adjust the level of Niacin you are taking downwards,
then slowly increase it over time. However, if you are utilizing
a synthetic Niacin, there’s a good possibility that the
flush sensation will never go away.
So what exactly is happening when you experience
a “Niacin flush”?
The simple, short answer is that the small blood
vessels in the body are expanding due to the ingestion of the
Niacin. This is an understandable reaction since Niacin is an
essential nutrient for maintaining heart health and improving
blood circulation. In fact, it is so essential, and effective,
that is widely used as a natural, safe way to lower LDL cholesterol
and triglyceride levels. It is also beneficial for helping increase
the HDL (good) cholesterol level.
Many of the small blood vessels in the body—called
"capillaries”—are so small that blood cells can
pass through them only in single file. Sometimes the passageway
can actually become clogged and blood ceases to pass through at
all. Niacin is an essential nutrient for addressing this concern.
The body’s large organs have blood supplied
from large arteries, but many areas of the body—the skin
in particular—get their supply of blood only from these
small capillaries. And since oxygen is delivered through the blood,
when these small capillaries are not working at optimum the skin
(and surface areas just beneath the skin) is being starved of
both nutrients and oxygen.
When Niacin enters the system—especially
in concentrated doses—the capillaries expand and are able
to carry more blood. A capillary that was only letting one blood
cell at a time pass will now carry two or three at a time. The
end result is that circulation is improved considerably.
As this happens, you may experience the aforementioned
“reddening” of the skin. This is being caused simply
because there is more blood close to the surface of the body.
Along with the reddening of the skin, many people
also experience an “itchy” sensation. This, too, is
related to the improved circulation. As blood flows to these areas
the blood cells in the small capillaries are ridding themselves
of their waste products. As they carry out this natural process
they frequently produce “histamine.”
Histamine is a natural chemical which is produced
by cells in the body when they are under attack—such as
when you are experiencing a cold—or when the cells are expelling
toxins. It is this histamine that causes the itchy sensation,
and, once again, it can be more acute with a concentrated intake
of Niacin to which the body is not used to.
When a flush does occur, both the reddening
of the skin and the histamine “itch” should only last
a short while. For most people it will last from ten minutes to
one hour. As noted above, it is a beneficial and healthy “cleansing”
effect. Admittedly it could be unnerving for someone not familiar
with the process, which is why education of this natural process
is important.
In summary, if you take B-vitamin products which
include Vitamin B3, you may experience a Niacin flush if any of
the following conditions apply:
• You suddenly increase you intake of
B-vitamins significantly.
• You are taking a synthetic vitamin.
• You take Niacin on an empty stomach.
• You take Niacin with alcohol or a hot beverage.
If your current nutritional needs suggest that
you increase your intake of B-vitamins, and you feel you would
be uncomfortable experiencing a Niacin flush, then it would be
advisable to increase your intake gradually. In the event you
do experience a flush, it is advisable to avoid vigorous exercise
at the same time as it can exacerbate the symptoms.
Though B-vitamins are important for pregnant
women, if you are pregnant you should consult your health care
practitioner regarding significant changes in your intake of Niacin. |