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Niacyna B3 w leczeniu

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Najnowsze badania tłumaczą brak wpływu preparatów zawierających HNI na redukcję kwasów tłuszczowych faktem, iż HNI nie zawiera biologicznie przyswajalnej niacyny. Severe niacin deficiency, or pellagra, mostly occurs in developing countries, where diets are not as varied. With long-term use, the adverse effects of high-dose niacin therapy (750mg per day) also include liver failure (associated with fatigue, nausea, and loss of appetite), hepatitis, and acute liver failure; [3] [5] these hepatotoxic effects of niacin occur more often when extended-release dosage forms are used.

Tłuszcze te są potrzebne do wytwarzania lipoproteiny bardzo małej gęstości (VLDL) w wątrobie, która to lipoproteina jest prekursorem lipoproteiny niskiej gęstości (LDL) – złego cholesterolu. For that reason, children and women who are pregnant or breastfeeding should not take niacin supplements in excess of the DRI unless it's recommended by a doctor.Nedostatkem niacinu jsou ohroženi zejména alkoholici a lidé s genetickou poruchou metabolismu tryptofanu. Niacin also directly inhibits the action of diacylglycerol O-acyltransferase 2 (DGAT2) a key enzyme for triglyceride synthesis. In the United States, niacin is sold as a non-prescription dietary supplement with a range of 100 to 1000mg per serving. This colorless, water-soluble solid is a derivative of pyridine, with a carboxyl group (COOH) at the 3-position.

These doses could pose risks, such as liver damage, gastrointestinal problems, or glucose intolerance. It can cause liver problems, stomach ulcers, changes to glucose levels, muscle damage, low blood pressure, heart rhythm changes, and other issues.a b Schandelmaier S, Briel M, Saccilotto R, Olu KK, Arpagaus A, Hemkens LG, Nordmann AJ (June 2017). Niacyna może wchodzić w interakcje z niektórymi lekami, w tym stosowanymi w leczeniu gruźlicy i cukrzycy. Study Raises Questions About Cholesterol Drug’s Benefit, The New York Times, 15 listopada 2009 [zarchiwizowane z adresu 2011-12-25] . Při nedostatku vitamínu B3 vzniká Pellagra charakterizovaná třemi D – demence, diarrhoea (průjem), dermatitida (zánět kůže). People who are malnourished — which may stem from HIV/AIDS, anorexia nervosa, liver failure, alcohol abuse, or other medical problems, or poverty — are most at risk.

Benyó Z, Gille A, Kero J, Csiky M, Suchánková MC, Nüsing RM, Moers A, Pfeffer K, Offermanns S (December 2005).Vegetarian and vegan diets can provide adequate amounts if products such as nutritional yeast, peanuts, peanut butter, tahini, brown rice, mushrooms, avocado and sunflower seeds are included. Ponadto organizacje American Heart Association oraz National Cholesterol Education Program uważają, że tylko przepisywana niacyna może być używana do leczenia dyslipidemii aterogennej i tylko pod kontrolą lekarską.

Pomimo tego, iż niacyna w większych dawkach zwiększa zawartość glukozy w osoczu, przez co pogarszając cukrzycę [14], ostatnie badania wykazały, że wpływ niacyny na poziom cukru w osoczu nie był większy niż 5–10% [21]. This explains why a Latin-American culture that used alkali-treated cornmeal to make tortilla was not at risk for niacin deficiency. Z wyżej wymienionych powodów, obecnie nie ma wystarczających dowodów aby polecać IHN do leczenia dyslipidemii aterogennej. In lieu of an RDA, Adequate Intakes (AIs) are identified for populations for which there is not sufficient evidence to identify a dietary intake level that is sufficient to meet the nutrient requirements of most people.These products are contraindicated for women who are lactating because it is known that niacin is excreted into human milk, but the amount and potential for adverse effects in the nursing infant are not known. Guidelines for Niacin Therapy For the Treatment of Elevated Lipoprotein a (Lpa), Rush University Medical Center, 15 sierpnia 2002 [zarchiwizowane z adresu 2011-07-22], Cytat: facial flushing is a common side effect of niacin therapy that usually subsides after several weeks of consistent niacin use , Aktualizacja 27 lipca 2005.

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