I assume you're aware of the research that you should be taking it in one dose once a day? Sustained niacin (the flushing kind) that lasts day in and day out can cause liver damage in about 10-15 percent of people.
OTOH, there are well-designed studies that show folks who take statins AND niacin at high doses have a 90% reduction in heart attacks.
So it's worth it. But make sure it's a single dose per day.
.....OTOH, there are well-designed studies that show folks who take statins AND niacin at high doses have a 90% reduction in heart attacks.....
Ok, I tried to save typing a few words and didn't mention the statin.
I started on niacin, no flush. Niacin alone didn't adjust the numbers to suit my doctor. He added Lipator after one year. That did the job and adjusted all the numbers to acceptable levels. At my next annual, he suggested switching to Advicor, a 2000 mg time release tablet with a statin included. I have been taking that combinatio for 2 years now. I take it a bed time and the flush takes place while I'm asleep.
Lastly, I take one 325 mg aspiirin as well. I carry 2 aspirin tablets with me all the time..... a heart attack first aid kit. It is now pretty well established that two aspirin chewed at the onset of symptoms can reduce or eliminate big damage.
Regarding liver damage, there are lots of drugs that can daqmage your liver. My doctor kept a close eye on my numbers and liver function via 60 day lab checks. Once it was pretty well assured the treatment was ok, the extra lab checks ceased.
Spring is coming and my regular exercise will resume. I just don't get outdoors much in the winter like I use to. Exercise seems to have the most positive effect of all the rest.