DEAR DR. GOTT:
I never fail to read your column in my daily newspaper for your good advice, although your article about niacin being an excellent choice for a non-prescription treatment for cholesterol was rather confusing to me.
The only niacin a person can buy without a prescription is the non-flushing kind that does nothing for high density lipoprotein (HDL) levels. The one that helps is Niaspan that requires a prescription and can definitely cause flushing — to the degree that some people cannot take it at all.
Can you please clear this up?
DEAR READER:
Non-flushing niacin contains an ingredient called inositol which does nothing for reducing cholesterol levels and may prevent the niacin from working correctly. Straight niacin or sustained-release niacin is available over-the-counter and does work toward reducing high counts. Flushing and itching are common side effects. However, taking an antihistamine or 81 mg aspirin 10 or 15 minutes prior to the niacin or splitting the daily intake between morning and evening may reduce or eliminate the unpleasant side effects. Another option is to work up to a higher level slowly.
Many readers have successfully used omega 3 fish oil, flax seed oil or a combination (niacin and one of the oils or both oils).
A low fat, low or no salt diet is a must for individuals with high cholesterol levels. See your physician for his or her recommendations. Prescription medications might be necessary to achieve lower readings. Periodic testing of cholesterol levels (and liver enzymes if on medication) should be done to be sure you are on the right track.
To give you related information, I am sending you a copy of my Health Report “Understanding Cholesterol”. Other readers who would like a copy should send a self-addressed, stamped, number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.
