$Unique_ID{BRK01000} $Pretitle{} $Title{Is the Nicotine in Smoke Good for Lowering Cholesterol?} $Subject{smoking blood cholesterol niacin nicotinic acid vitamin B3 pellagra Nicotine nutrient nutrients nutrition diet food foods smoke} $Volume{D-26} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Is the Nicotine in Smoke Good for Lowering Cholesterol? ------------------------------------------------------------------------------ QUESTION: A long time friend says he has good authority for a statement that the nicotine in smoke is good for lowering cholesterol. He claims he read this in a medical magazine but can't find the clipping to prove it. Do you have any information that can help us figure this out? ------------------------------------------------------------------------------ ANSWER: You have to be careful when you read material about health and medicine. Many words seem so alike, but are in fact quite different. This is a real case of mistaken identity. It is most probable that your friend was reading about nicotinic acid, but though the name is similar, it has nothing to do either with smoke of the nicotine found in tobacco. Nicotinic acid is also called niacin as well as vitamin B3. While niacin is commonly used to treat a vitamin deficiency disease called pellagra, it is also known to be effective in lowering the cholesterol levels in the blood. Niacin is found naturally in meats, eggs milk and dairy products, and is not lost from the food during the cooking process. The recommended dietary allowance (RDA) for an adult male is about 18 mg per day, while women should have 13 mg daily (unless they are breast feeding in which case they should have 18 mg daily as well). To treat pellagra, doses in the range of 300 mg to 1000 mg are used. However, some people take much higher doses when using niacin to treat high cholesterol, as much as 3 grams a day (that's 3000 milligrams), and at that level side effects are common. These side effects include flushing, a redness of the skin especially the face and neck, and headaches. Although niacin is available over the counter as a vitamin supplement, it should only be used under the supervision of a physician when high doses are required for cholesterol control. Your friend won't have to search for his clipping now. His claim, based upon a bit of misreading, has just gone up in smoke. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.