Step I Quick question about niacin

[Phloston]

Let's say you start taking niacin, and your triglycerides + LDL drop, and your HDL rises. Then you stay on niacin for several months. What happens when you come off of it? Will there be a "rebound" effect that is detrimental?

Cheers,

 

[Boardz]

Let's say you start taking niacin, and your triglycerides + LDL drop, and your HDL rises. Then you stay on niacin for several months. What happens when you come off of it? Will there be a "rebound" effect that is detrimental?

Cheers,

not sure. but plausible considering you've upregulated your LDL receptors.

 

[Phloston]

I'm just trying to reason through if it's one of those meds that once you start, you "can't stop" for life.

 

[OveractiveBrain]

Let's say you start taking niacin, and your triglycerides + LDL drop, and your HDL rises. Then you stay on niacin for several months. What happens when you come off of it? Will there be a "rebound" effect that is detrimental?

Cheers,

Dont worry about it. Its not Step 1 Material.

New JNC is going to say Niacin blows anyway, and we should stop using it. more data points to non-hdl cholesterol as the target. To specifcally answer your question (and to intentionally bury it in this paragraph), once you start a lipid lowering agent, you are stuck on it, to remove it takes you back towards where you started, unless you are a hippie and believe diet and exercise actually works for more than 10 or 15 points of LDL.

The only thing you need to know for step 1 is "HDL up" and "flushing, take aspirin."