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Niacin, sometimes called vitamin B3, is the more common name for nicotinic acid. It is an antioxidant nutrient that helps the body inhibit the formation of damaging free radicals; it lowers blood levels of LDL (bad) cholesterol and triglycerides.
Pellagra is the name for niacin deficiency, describing the "raw skin" symptomology of the disease. In an absolute sense, niacin is not a vitamin; as the body can synthesize it starting with the amino acid tryptophan. In fact some cases of pellagra actually were tryptophan deficiencies, or reduced amounts of factors that help to convert tryptophan to niacin.
Niacin is the most common of the "fortified" nutrients in Canada and the United States. It is one of the most stable of the B-vitamins. It is resistant to the effects of heat, light, air, acid and alkali. A white crystalline substance that is soluble in both water and alcohol, niacin and niacinamide are both readily absorbed from the small intestine. Small amounts may be stored in the liver, but most of the excess is excreted in the urine. The only appreciable loss of niacin occurs when it leaches into cooking water.
Source Vitamin B3 comes in two basic forms - niacin (also called nicotinic acid) and niacinamide (also called nicotinamide). Inositol hexaniacinate, a "flush-free" niacin, is also available and has many of the same benefits of niacin, and is becoming increasingly popular. Dietary niacin and niacin formed within the body from the amino acid tryptophan are converted to niacinamide. Niacinamide is the biologically active form of niacin.
The best food sources of vitamin B3 are peanuts, brewer's yeast, fish and meat, and fortified breakfast cereals. Some vitamin B3 is also found in whole grains. Vitamin B3 is found in most vitamin supplements, but additional supplementation is needed to achieve many of the proven health benefits.
Food sources (mg per 100gm):- Rice bran (18.5)
- Tuna (11.6)
- Chicken liver (9.3)
- Chicken, white meat (8.1)
- Wheatgerm (5.6)
- Brown rice (4.7)
- Broccoli (0.8)
- Dried figs (0.4)
Another source of niacin is the biosynthesis of the amino acid tryptophan. Niacin can be maufactured within the body, but, if there is a deficiency in B1, B2 and B6, it becomes impossible for niacin to be produced from tryptophan. The rule of thumb here is: 1mg of niacin is equal to 60mg of dietary tryptophan.
Function; Reasons For Use Niacin is used in the process of releasing energy from carbohydrates, forming fat from carbohydrates and to metabolize alcohol. Niacin and niacinamide (nicotinamide) are critical in the co-enzyme nicotinamide adenine dinucleotide (NAD). NAD is involved in many biological redox reactions where it is used to transfer electrons.
Niacin helps increase energy through improving food utilization and has been used beneficially for treating fatigue, irritability, and digestive disorders, such as diarrhea, constipation, and indigestion. It may also stimulate extra hydrochloric acid production. Niacin, mainly as nicotinic acid, helps in the regulation of blood sugar (as part of glucose tolerance factor) in people with hypoglycemia problems and gives all of us a greater ability to handle stress. It is helpful in treating anxiety and possibly depression.
B3 has been used for various skin reactions and acne, as well as for problems of the teeth and gums. Niacin has many other common uses. It is sometimes helpful in the treatment of migraine-type headaches or arthritis, probably in both cases through stimulation of blood flow in the capillaries. This vitamin has also been used to stimulate the sex drive and enhance sexual experience, to help detoxify the body, and to protect it from certain toxins and pollutants. For most of these and the cardiovascular-related problems, the preference is to take the "flushing" form of niacin, or nicotinic acid, not niacinamide.
Nicotinic acid works rapidly, particularly in its beneficial effects on the cardiovascular system. It stimulates circulation and for this reason may be helpful in treating leg cramps caused by circulatory deficiency; headaches, especially the migraine type; and Meniere's syndrome, associated with hearing loss and vertigo. Nicotinic acid helps reduce blood pressure.
In addition, some neurologic problems, such as Bell's palsy and trigeminal neuralgia, have been helped by niacin supplementation.
Niacin has been an important addition to the arsenal of orthomolecular psychiatry for its use in a variety of mental disorders. It was initially well demonstrated to be helpful for the neuroses and psychoses described as the "dementia of pellagra," the niacin deficiency disease. Since then, it has been used in high amounts, well over 100mg per day and often over 1,000mg per day (up to 6,000mg), to treat a wide variety of psychological symptoms, including senility, alcoholism, drug problems, depression, and schizophrenia.
Niacin has been helpful in reversing the hallucinatory experience, delusional thinking or wide mood and energy shifts of some psychological disturbances. Though this therapy has its skeptics, as does all application of nutritional medicine, some studies show promising results in treatment of schizophrenia with niacin and other supplements. Other studies show little or no effect. More research is definitely needed on niacin's effect in mental disorders.
Alcoholics are commonly deficient in niacin and often need to be given a supplement of this vitamin [1] - preferably along with other members of the B complex.
High Cholesterol: Niacin, but not niacinamide, has been shown to lower blood cholesterol by an unknown mechanism [2]. Unfortunatley, in the doses (1-3gm/day) required to effect cholesterol levels, niacin causes flushing of the skin and liver abnormalities. The "megadoses" (usually grams per day) that need to be used for this purpose and any such supplementation should therefore only be done under full medical supervision. A compound known as Inositol Hexaniacinate is available to eliminate these problems.
Treatment with about 2gm per day of nicotinic acid has produced significant reductions in both blood cholesterol and triglyceride levels. To lower the LDL component and raise the good HDL cholesterol, people usually take 50-100mg. twice daily and then increase the amount slowly over two or three weeks to 1500-2500mg. Generally, for those with high cholesterol levels it has been used to help reduce the risk for atherosclerosis. Because of its vascular stimulation and effects of lowering cholesterol and blood pressure, vitamin B3 has been used preventively for such serious secondary problems of cardiovascular disease as myocardial infarctions (heart attacks) and strokes.
NOTE: Only nicotinic acid (NOT niacinamide) can lower blood fat levels.
Mental Health: High levels of niacin have been advocated in certain schizophrenic conditions [1] and although the information on this subject is conflicting, there are reported cases of quite remarkable recoveries using niacin.
Arthritis: Osteoarthritis and other painful joint conditions may also respond to niacin treatment (as niacinamide) [1]. In cases of osteoarthritis, to help reduce joint pain and improve mobility, niacinamide has been used in amounts beginning at 500mg twice daily up to 1,000mg three times a day along with 100mg daily of B complex.
Directions The US RDA for niacin is 20mg, and is easily achieved. Prescribed doses of the supplement go as high as 3gm per day and sometimes even higher.
Using 1000mg or more per day requires supervision from a knowledgeable health care practitioner.
Side-Effects; Counter-Indicators and Warnings Very high doses of nicotinic acid (3-6gm per day) may cause changes in liver structure, with the timed release form of the vitamin seeming more likely to be implicated in this respect. Time-released niacin preparations, while reducing annoying flushing, may significantly increase liver complications during niacin therapy. They are also the most expensive form. Safety data on niacinamide confirms that this form of niacin may be taken at higher supplement levels than nicotinic acid.
Niacin, taken orally as nicotinic acid, can produce redness, warmth, and itching over areas of the skin; this "niacin flush" usually occurs when doses of 50mg or more are taken and is a result of the release of histamine by the cells, which causes vasodilation. This reaction is harmless; it may even be helpful by enhancing blood flow to the "flushed" areas, and it lasts only 10-20 minutes. When these larger doses of niacin are taken regularly, this reaction no longer occurs because stores of histamine are reduced. Many people feel benefit from this "flush", but if it is not enjoyable, supplements that contain vitamin B3 in the form of niacinamide or nicotinamide can be used, as they will not produce this reaction.
In addition to flushing, it may cause headache and stomach ache in some people. Larger amounts can cause elevated blood sugar levels, jaundice, liver damage, and elevated blood levels of uric acid and may raise homocysteine levels. Symptoms caused by niacin supplements, such as flushing, have been reduced with sustained-release niacin products but these forms of niacin have caused significant liver toxicity, and are not advised. Niacinamide and inositol hexaniacinate have not been linked with the side-effects associated with niacin supplementation.
Large doses can increase the blood sugar in diabetics, increase risk of gout, and aggravate ulcers. Excessive use of niacin can cause irregular heart rates, cramps, headaches, and liver inflammation.
Supplements are not recommended for those suffering from peptic (stomach) ulcers, diabetes, colitis, asthma, liver disease, or gout.
References & Further Information [1]. "Handbook of Dietary Supplements", Pamela Mason, Blackwell Science, 1995.
[2]. Crouse JR III, "New developments in the use of niacin for treatment of hyperlipidaemia: new considerations in the use of an old drug."; Coron Artery Dis, 1996,7; 4: pp.321-6.
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Vitamin B3 (Niacin) can help with the following: |  |  |  | | Digestion | Not recommended for:
Gastric/Peptic/Duodenal Ulcers | Hormones |
Histapenia (Histamine Low)
Low HGH (Human Growth Hormone) | Lab Values |
LDL/HDL Ratio, High
High Total Cholesterol | Probably the best form of vitamin B3 to use for the purpose of cholesterol reduction is inositol hexoniacinate (flush-free niacin). It is often given at 500mg tid for two weeks, then increased to 1,000mg tid. If using regular niacin, start out with 100mg tid working up to 1,000mg tid with meals.
Niacinamide is not effective for lowering cholesterol. Niacin may also be helpful by transforming small unprotective HDL particles into larger ones which do offer a protective effect to the cardiovascular system. |
High Levels Of Triglycerides
Uric Acid Levels Low | Mental |
Poor Memory | Niacin (100mg daily) stimulates brain function and promotes blood flow by opening the arteries and veins, an action which usually causes a harmless flush. |
Schizophrenia | Since pellegra can mimic the symptoms of schizophrenia, the use of niacin to treat schizophrenia and depression is controversial. Some report improvements using mega vitamin therapy, while others obtain little or no results. The American Psychological Association disapproved the use of niacin to treat mental disorders in 1979, and has not changed its mind since. |
| Metabolic |
Metabolic Diet Type | Nervous System |
Bell's Palsy | 74 consecutive Bell's palsy patients were treated with niacin at a dose of 100-250mg with "excellent results" noted in all patients within 2 to 4 weeks. [Arch Otolaryngol 68: pp.28-32, 1958] |
| Nutrients |
Vitamin B3 Requirement | Organ Health |
Diabetes Type II | Although niacin increases low levels of high-density lipoprotein cholesterol, which frequently accompanies diabetes, past guidelines did not recommend the use of niacin in patients with diabetes because of concerns about adverse effects on glycemic control; however, this was based on limited clinical data. A 2000 study suggests that lipid-modifying dosages of niacin can be safely used in patients with diabetes and that niacin therapy may be considered as an alternative to statin drugs or fibrates for patients with diabetes in whom these agents are not tolerated or fail to sufficiently correct hypertriglyceridemia or low HDL-C levels. [JAMA. 2000;284: pp.1263-1270] |
Not recommended for:
Hepatitis | Uro-Genital |
Painful Menstruation (Dysmenorrhea) | Niacin (and possibly flush-free niacin) at 100mg every 2 to 3 hours in acute cases has been used. |
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KEY |  | May do some good |  |  | Likely to help |  |  | Highly recommended |  |  | May have adverse consequences |
GLOSSARY
Acne A chronic skin disorder due to inflammation of hair follicles and sebaceous glands (secretion glands in the skin).
Acute An illness or symptom of sudden onset, which generally has a short duration.
Amino Acid (Amino Acids) An organic acid containing nitrogen chemical building blocks that aid in the production of protein in the body. Eight of the twenty-two known amino acids are considered "essential," and must be obtained from dietary sources because the body can not synthesize them.
Antioxidant (Antioxidants) A chemical compound that slows or prevents oxygen from reacting with other compounds. Antioxidants are substances that protect cells from oxidative damage caused by molecules called free radicals. These chemicals can damage important parts of cells, such as proteins, membranes, and DNA. Some antioxidants have been shown to have cancer-protecting potential because they neutralize free radicals. Examples include vitamins C and E, beta carotene, the minerals selenium and germanium, superoxide dismutase (SOD), coenzyme Q10, catalase, and some amino acids.
Anxiety Apprehension of danger, or dread, accompanied by nervous restlessness, tension, increased heart rate, and shortness of breath unrelated to a clearly identifiable stimulus.
Arterial (Arteries, Artery) Blood that leaves the heart. When it leaves the right ventricle, it is venous blood; and when it leaves the left ventricle, through the aorta, it is fresh and oxygenated. After it has passed out to the capillaries and started to return, it is venous blood.
Arthritis (Arthritic) Inflammation of a joint, usually accompanied by pain, swelling, and stiffness, and resulting from infection, trauma, degenerative changes, metabolic disturbances, or other causes. It occurs in various forms, such as bacterial arthritis, osteoarthritis, or rheumatoid arthritis. Osteoarthritis, the most common form, is characterized by a gradual loss of cartilage and often an overgrowth of bone at the joints.
Asthma (Asthmatic) A lung disorder marked by attacks of breathing difficulty, wheezing, coughing, and thick mucus coming from the lungs. The episodes may be triggered by breathing foreign substances (allergens) or pollutants, infection, vigorous exercise, or emotional stress. Extrinsic Asthma is triggered by pollen, chemicals or some other external agent; Intrinsic Asthma is triggered by boggy membranes, congested tissues, or other native causes… even adrenalin stress or exertion.
Atherosclerosis Common form of arteriosclerosis associated with the formation of atheromas which are deposits of yellow plaques containing cholesterol, lipids, and lipophages within the intima and inner media of arteries. This results in a narrowing of the arteries, which reduces the blood and oxygen flow to the heart and brain as well as to other parts of the body and can lead to a heart attack, stroke, or loss of function or gangrene of other tissues.
Bell's Palsy One-sided facial paralysis of sudden onset and unknown cause. The mechanism is presumed to involve swelling of the nerve due to immune or viral disease, with ischemia and compression of the facial nerve in the narrow confines of its course through the temporal bone.
Carbohydrates (Carbohydrate) The sugars and starches in food. Sugars are called simple carbohydrates and found in such foods as fruit and table sugar. Complex carbohydrates are composed of large numbers of sugar molecules joined together, and are found in grains, legumes, and vegetables like potatoes, squash, and corn.
Cardiovascular Pertaining to the heart and blood vessels.
Cholesterol A waxy, fat-like substance manufactured in the liver and found in all tissues, it facilitates the transport and absorption of fatty acids. In foods, only animal products contain cholesterol. An excess of cholesterol in the bloodstream can contribute to the development of atherosclerosis.
Colitis Colon inflammation, usually involving the mucus membranes. Mucus colitis is a type with cramps, periods of constipation, and copious discharge of mucus with feces. Ulcerative colitis has pain, inflammation, ulceration, fever, and bleeding, all interspersed at various times - a long and serious illness.
Constipation (Constipated) Difficult, incomplete, or infrequent evacuation of dry, hardened feces from the bowels.
Cramp (Cramping, Cramps) A sudden, involuntary, painful muscular contraction.
Dementia (Senile Dementia) An acquired progressive impairment of intellectual function. Marked compromise exists in at least three of the following mental activity spheres: memory, language, personality, visuospatial skills, and cognition (i.e. abstraction and calculation).
Diabetes Mellitus (Diabetes, Diabetic, Diabetics) A disease with increased blood glucose levels due to lack or ineffectiveness of insulin. Diabetes is found in two forms; insulin-dependent diabetes (juvenile-onset) and non-insulin-dependent (adult-onset). Symptoms include increased thirst; increased urination; weight loss in spite of increased appetite; fatigue; nausea; vomiting; frequent infections including bladder, vaginal, and skin; blurred vision; impotence in men; bad breath; cessation of menses; diminished skin fullness. Other symptoms include bleeding gums; ear noise/buzzing; diarrhea; depression; confusion.
Diarrhea Excessive discharge of contents of bowel.
Enzymes (Enzyme) Specific protein catalysts produced by the cells that are crucial in chemical reactions and in building up or synthesizing most compounds in the body. Each enzyme performs a specific function without itself being consumed. For example, the digestive enzyme amylase acts on carbohydrates in foods to break them down.
Free Radical (Free Radicals) A free radical is an atom or group of atoms that has at least one unpaired electron. Because another element can easily pick up this free electron and cause a chemical reaction, these free radicals can effect dramatic and destructive changes in the body. Free radicals are activated in heated and rancid oils and by radiation in the atmosphere, among other things.
Glucose Tolerance Factor (GTF) A compound containing chromium that aids insulin in regulating blood sugar levels.
Gout A disease characterized by an increased blood uric acid level and sudden onset of episodes of acute arthritis.
Gram (gm, gms, Gramme, Grammes, Grams) A metric unit of weight, there being approximately 28 grams in one ounce.
Hepatitis Inflammation of the liver usually resulting in jaundice (yellowing of the skin), loss of appetite, stomach discomfort, abnormal liver function, clay-colored stools, and dark urine. May be caused by a bacterial or viral infection, parasitic infestation, alcohol, drugs, toxins or transfusion of incompatible blood. Can be life-threatening. Severe hepatitis may lead to cirrhosis and chronic liver dysfunction.
High-Density Lipoprotein (HDL) Also known as "good" cholesterol, HDLs are large, dense, protein-fat particles that circulate in the blood picking up already used and unused cholesterol and taking them back to the liver as part of a recycling process. Higher levels of HDLs are associated with a lower risk of cardiovascular disease because the cholesterol is cleared more readily from the blood.
Histamine A chemical in the body tissues, produced by the breakdown of histidine. It is released in allergic reactions and causes widening of capillaries, decreased blood pressure, increased release of gastric juice, fluid leakage forming itchy skin and hives, and tightening of smooth muscles of the bronchial tube and uterus. Histamine is the chemical that drives the initial acute allergic reaction, causing itching, swelling and congestion.
Hormones (Hormone) Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.
Hydrochloric Acid (HCl) An inorganic acidic compound, excreted by the stomach, that aids in digestion.
Hypoglycemia A condition characterized by an abnormally low blood glucose level. Severe hypoglycemia is rare and dangerous. It can be caused by medications such as insulin (diabetics are prone to hypoglycemia), severe physical exhaustion, and some illnesses.
Inositol Usually considered part of the vitamin B complex. It is thought that along with choline, inositol is necessary for the formation of lecithin within the body. Involved in calcium mobilization.
Jaundice Yellow discoloration of the skin, whites of the eyes and excreta as a result of an excess of the pigment bilirubin in the bloodstream.
Liver (Hepatic) The largest and one of the most complex organs of the body, the liver is responsible for much of the metabolism of fats, proteins and carbohydrates. It is the site of much of the body's detoxification. It is connected very closely with digestion and the regulation of blood sugar, among many other functions. Found behind the ribs on the right side of the abdomen, it has many important functions such as removing harmful material from the blood, making enzymes and bile that help digest food, and converting food into substances needed for life and growth. Hepatic: Pertaining to the liver.
Low-Density Lipoprotein (LDL) Also known as "bad" cholesterol, LDLs are large, dense, protein-fat particles composed of a moderate proportion of protein and a high proportion of cholesterol. Higher levels of LDLs are associated with a greater risk of cardiovascular disease.
Meniere's Disease (Menieres, Meniere's, Ménière's) An affliction of the middle ear characterized by vertigo, nausea, vomiting, tinnitus and progressive deafness.
Metabolism (Metabolic, Metabolize, Metabolizes, Metabolizing) The chemical processes of living cells in which energy is produced in order to replace and repair tissues and maintain a healthy body. Responsible for the production of energy, biosynthesis of important substances, and degradation of various compounds. Also defined as the sum total of changes in an organism in order to achieve a balance (homeostasis): Catabolic burns up, anabolic stores and builds up; the sum of their work is metabolism.
Migraine (Migraine Headache, Migraine Headaches, Migraines) Not just a headache, but a disorder affecting the whole body, characterized by clearly defined attacks lasting from about 4 to 72 hours, separated by headache-free periods; progresses through five distinct phases. Prodrome: experienced by about 50% of migraineurs and starting up to 24 hours before the headache - changes in mood, sensory perception, food craving, excessive yawning, or speech or memory problems. Aura: experienced by about 15% and starting within an hour before the headache - disruption of vision (flashing lights, shimmering zigzag lines, blind spot) or sensation (numbness or 'pins and needles' around the lips or hand), or difficulty speaking. Headache: usually pulsating and occurring on one side of the head, it may occur on both sides of the head and alternate from side to side. Muscles in the neck and scalp may be tender; there may be nausea and the desire not to eat, move, see or hear. Resolution: the headache disappears and the body returns to normal. Resolution may occur over several hours during sleep or rest; an intense emotional experience or vomiting may also end the headache. Postdrome: After the headache stops, the sufferer feels drained, fatigued and tired. Muscles ache, emotions are volatile and thinking is slow.
Milligram (mg, Milligrams) 0.001 or a thousandth of a gram.
Niacin (B3, B-3, Niacinamide, Vitamin B3) A coenzyme B-complex vitamin that assists in the breakdown of carbohydrates, fats and proteins. Essential for the health of the skin, nerves, tongue and digestive system. It is found in every cell of the body and is necessary for energy production. Niacin is also needed for DNA formation.
Osteoarthritis (Osteoarthritic) A condition involving degeneration of cartilage and supporting joint tissue, which results in pain, swelling and reduced mobility, as the cartilage wears away and allows bone to rub against bone.
Pellagra A disease caused by a deficiency of thiamine (B1), usually occurring in alcoholics or in persons with malabsorption disorders.
Pituitary (Pituitary Gland) The pituitary gland is a small (half-inch), bean-shaped organ that hangs down from the lower center of the brain on a stalk attached to another gland, the hypothalamus. Weighing less than one gram, the pituitary gland is often called the "master gland" since it controls the secretion of hormones by other endocrine glands. It regulates many body activities, and is partitioned into front and back lobes. The front lobe is stimulated by the hypothalamus, and produces any one of six different hormones that in turn stimulate the thyroid, adrenal and reproductive glands, and also breast milk production.
RDA (RDAs, US RDA, USRDA) Recommended Daily Allowance of vitamins or other nutrients as determined by the FDA. U.S. RDAs are more widely used than RDAs, and focus on 3 age groups: Infants of 0-12 months; Children of 1-4 years; Adults and children of more than 4 years.
Riboflavin (B2, B-2, Vitamin B2) A B-complex vitamin that acts as a coenzyme that activates the breakdown and utilization of carbohydrates, fats and proteins. It is essential for cellular oxidation and necessary for healthy skin and eyes.
Schizophrenia Any of a group of psychotic disorders usually characterized by withdrawal from reality, illogical patterns of thinking, delusions, and hallucinations, and accompanied in varying degrees by other emotional, behavioral, or intellectual disturbances. Schizophrenia is associated with dopamine imbalances in the brain and defects of the frontal lobe and is caused by genetic, other biological, and psychosocial factors.
Small Intestine (Small Bowel) The small intestine lies between the stomach and the large intestine. It is about 6 meters (20 feet) long and its primary function is to digest (break down) food and absorb nutrients (vitamins, minerals, proteins, carbohydrates, and fats). The small intestine makes up more than 70% of the length and 90% of the surface area of the gastrointestinal (GI) tract.
Statins (Statin) A class of drugs that lower cholesterol.
Stomach A hollow, muscular, J-shaped pouch located in the upper part of the abdomen to the left of the midline. The upper end (fundus) is large and dome-shaped; the area just below the fundus is called the body of the stomach. The fundus and the body are often referred to as the cardiac portion of the stomach. The lower (pyloric) portion curves downward and to the right and includes the antrum and the pylorus. The function of the stomach is to begin digestion by physically breaking down food received from the esophagus. The tissues of the stomach wall are composed of three types of muscle fibers: circular, longitudinal and oblique. These fibers create structural elasticity and contractibility, both of which are needed for digestion. The stomach mucosa contains cells which secrete hydrochloric acid and this in turn activates the other gastric enzymes pepsin and rennin. To protect itself from being destroyed by its own enzymes, the stomach’s mucous lining must constantly regenerate itself.
Syndrome A medical condition characterized by a collection of related symptoms (what the patient feels) and signs (what a doctor can observe or measure).
Thiamine (B1, B-1, Thiamin, Vitamin B1) A B-complex vitamin that acts as a coenzyme necessary for the conversion of carbohydrates into glucose, which is burned in the body for energy. It is essential for the functioning of the nervous system.
TID Three times a day.
Trigeminal Neuralgia (Facial Neuralgia, Tic Douloureux) This condition involves pain in the trigeminal nerve - chief sensory nerve of the face and the motor nerve enabling chewing. It is a disorder of the trigeminal nerve producing bouts of severe, lancinating pain lasting seconds to minutes in the distribution of one or more of its sensory divisions, most often the mandibular and/or maxillary. The cause is uncertain. Recently, at surgery or autopsy, arterial and - less often - venous loops have been found compressing the trigeminal nerve root at its entry point into the brainstem, which suggests that this is essentially a compressive neuropathy. Adults usually are affected, especially later in life. The pain is often set off by touching a trigger point or by activity (e.g. chewing or brushing the teeth). Although each bout of intense pain is brief, successive bouts may incapacitate the patient.
Triglyceride (Triglycerides) The main form of fat found in foods and the human body. Containing three fatty acids and one unit of glycerol, triglycerides are stored in adipose cells in the body, which, when broken down, release fatty acids into the blood. Triglycerides are fat storage molecules and are the major lipid component of the diet.
Tryptophan Essential amino acid. Natural relaxant and sleep aid due to its precursor role in serotonin (a neurotransmitter) synthesis. Along with tyrosine, it is used in the treatment of addictions.
Ulcer (Ulceration, Ulcers) Lesion on the skin or mucous membrane.
Uric Acid (Hyperuricemia) The final end product of certain native or dietary proteins, especially the nucleoproteins found in the nucleus of cells. Unlike the much smaller nitrogenous waste product urea, which is mostly recycled to form many amino acids, uric acid is an unrecycleable metabolite that must be excreted: nucleoprotein to purine to uric acid to the outside in the urine or the sweat. Hyperuricemia: Having elevated blood uric acid, either from a rapid rate of cell breakdown and synthesis (such as might occur from fasting, heavy training, trauma or any number of major diseases), a high consumption of organ meats, glandular supplements or spirulina, or the inability (usually hereditary) to excrete uric acid in the urine as fast as it is produced, even though production itself is not elevated.
Vascular Relating to the blood vessels of the body. The blood vessels of the body, as a group, are referred to as the vascular system. They are composed of arteries, veins and capillaries - arteries that pass oxygen-rich blood to the tissues of the body; veins which return oxygen-depleted blood from the tissues to the lungs for oxygen; and the capillaries that are the tiniest vessels and are between the arteries and veins.
Vasodilation (Vasodilator) Widening or enlarging of blood vessels, particularly arterioles, usually caused by nerve impulses or certain drugs that relax smooth muscle in the walls of the blood vessels.
Vertigo The sensation of spinning or whirling; a state in which you or your surroundings seem to whirl dizzily.
Vitamin B6 (B6, B-6) Influences many body functions including regulating blood glucose levels, manufacturing hemoglobin and aiding the utilization of protein, carbohydrates and fats. It also aids in the function of the nervous system.
Yeast A single-cell organism that may cause infection in the mouth, vagina, gastrointestinal tract, and any or all bodily parts. Common yeast infections include candidiasis and thrush.
Last updated: Oct 08, 2008
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