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http://www.doctoryourself.com/bvitamins.html

 

B-INFORMED ABOUT B-VITAMINS

 

The safety record of the B-complex vitamins is extraordinarily good. Since

their discovery, beginning with thiamine (B-1) in 1911, many thousands of

studies have verified an unequaled therapeutic value of these essential

substances. Side effects have been rare, and toxicity is nearly nonexistent,

even at the highest doses. Some cautions are in order, of course, and here are

some of the most important.

Vitamin B-6 (pyridoxine) has been reported to cause temporary neurological

symptoms such as heaviness, tingling or numbness of the limbs in persons taking

very large doses. It is very important to realize that such cases are not

common, and when they do occur usually result from huge doses of pyridoxine

TAKEN ALONE. The B-vitamins are a team, and work best as a team. Upsetting the

balance by taking a lot of just one is like devoting all your baseball practice

time to your pitcher. You might get a lot of strikeouts, but if anybody hits

one, you are in trouble. No one player has ever won a World Series by himself,

and no single B-vitamin can do the job that the whole " team " can do.

B-6 by itself in doses of 2,000 to 6,000 milligrams daily (that's one thousand

to three thousand times the US RDA!) can produce side effects and is therefore

way too much to take. Very, very few persons report symptoms on 1,000 mg daily,

and only the rarest reports go any lower. When taken with, or as part of, a

complete B-complex supplement, B-6 side effects other than a harmless

deeper-colored urine are virtually unknown.

Premenstrual tension symptoms often improve dramatically with only a few hundred

mg/day of extra B-6. There is no need to " push the envelope " and take thousands

of milligrams when hundreds will do. At least 50 to 100 mg of supplemental B-6

daily is a virtual necessity for women taking oral contraceptives. The " pill "

causes some abnormal physiological changes that create a deficiency of B-6, as

well as lower serum levels of thiamine (B-1), and riboflavin (B-2), and niacin

(B-3), and folic acid, and B-12, and vitamin C! (Wynn, V. Lancet, March 8, 1975)

Laboratory animals receiving the human B-6 dose equivalent of just 75 mg daily

do not get strokes, even when fed a lousy diet (Atherosclerosis, vol. 22, 1975,

pp 125-127) Since women on oral contraceptives are three times more likely at

any age to have a stroke, there is an important lesson here. B-6 deficiency

produces hardening of the arteries (Rinehart and Greenberg, American Journal of

Pathology, vol. 25, 1949, pp 481-496.) Furthermore, B-6 is necessary in order

for your body to produce lecithin. Lecithin, a lipid- transporting substance

from soy, has been used clinically to clear out fatty livers... and even clogged

arteries. Another connection.

Niacin (vitamin B-3) has been used in doses up to tens of thousands of

milligrams per day for over 40 years by psychiatrists. It is an effective

alternative treatment for severe depression, psychotic behavior, and

schizophrenia. Most physicians have ignored niacin's usefulness until rather

recently. Niacin has finally gained popularity as one of the cheapest ways to

lower serum cholesterol. Changes in liver function tests have been reported in

persons taking one to five thousand milligrams daily of niacin BY ITSELF. Three

important points have generally gone unnoticed:

1. Niacin is much better tolerated when given with Vitamin C. Abram Hoffer,

M.D. pioneered high dose niacin therapy back in the 1950's. He repeatedly

published his observations that gram-sized doses of vitamin C greatly improve a

patient's niacin tolerance. Dr. Hoffer recommended at least as much vitamin C

per dose as niacin. With three thousand milligrams of niacin per day, then,

one would need a MINIMUM of three thousand milligrams of vitamin C. The medical

profession's unfounded resistance to large doses of vitamin C is embarrassingly

well known. It is useless to blame niacin for side effects caused by ignoring

expert medical advice on how to use it correctly along with vitamin C.

Vincent Zannoni at the University of Michigan Medical School has shown that

vitamin C protects the liver itself. Even doses as low as 500 milligrams daily

helped prevent fatty buildup and cirrhosis. 5,000 mg of vitamin C per day

appears to actually flush fats from the liver. (Ritter, M. " Study Says Vitamin

C Could Cut Liver Damage, " Associated Press, October 11, 1986) F. R. Klenner,

M.D. showed that very large doses of vitamin C (between 500 to 900 mg per

kilogram body weight per day) can cure hepatitis in two to four days (Smith, L.

H., ed. Clinical Guide To The Use Of VitaminC, Life Science Press, Tacoma

Washington, 1988, pp 22-23).

2. Niacin is also one of the team of B-vitamins and needs any massive intake to

be at least partly balanced with the rest of the B-complex, just like B-6

mentioned above. Would you pay for a tune up for your car and change only one

spark plug? If you have several kids, would you feed only one? Would you pay

for cable TV if there were only one channel? Taking only one B-vitamin is

neither logical nor efficient. So avoid doing it unless there is a good reason.

3. Many, perhaps most, persons showing changes in their liver function tests

upon ingestion of large amounts of niacin have been using alcohol. Accurate

information about sizable alcohol consumption is very difficult to get from a

patient: the more they use, the less they'll tell. Two thirds of all American

adults drink alcohol, averaging out to be about three drinks per day, seven days

a week, 52 weeks a year. If you do not drink that much, then somebody out there

is drinking MORE.

Alcohol does nothing if it doesn't hurt the liver. The French have the

highest per capita consumption of alcohol in the world. They also have the

world's highest percentage of deaths from cirrhosis of the liver. Working

hard, the human liver can detoxify about one drink every two hours. Know

anyone who drinks at a faster rate than that? Then marvel that they have a

liver that functions at all. Alcohol is a drug, and consumption and abuse is

more widespread and more serious than most persons imagine. Over two thirds

of all hospital admissions of the elderly are alcohol related. (New York State

Office of Alcoholism and Substance Abuse Services, Oasas Today, 1:1, Sept-Oct.

1992)

The liver undergoes profound changes in both its endoplasmic reticula and its

microsomal enzymes in order to detoxify alcohol. The unbalanced introduction of

very large doses of niacin to an overloaded liver may well overtax an

alcohol-strained system. This is likely where some changes in liver function

tests come from (American Journal of Medicine, vol 86, April, 1989, page 431

and vol. 87, August 1989, page 248; American Journal of Cardiology, vol. 64,

October 1, 1989 page 728).

4. Any hepatotoxic effects of niacin are almost invariably associated with the

sustained release form (Journal of the American Medical Association, March 2,

1994). Sustained release niacin generally enables higher doses with less

" flushing. " However, that warm sensation called flushing indicates niacin

saturation. Sustained release delivery may therefore be hiding this sign that

the body has had enough niacin at a given time.

5. Simply reducing the dosage reduces side effects. (Naito, H. " Reducing

Cardiac Deaths with Hypolipidemic Drugs, " Postgraduate Medicine, vol 82, no.

6, November 1987; Figge, H. L. et al: " Nicotinic Acid: A Review of its Clinical

Use in the Treatment of Lipid Disorders, " Pharmacotherapy, Vol. 8, no. 5, 1988)

Since the regular " immediate release " form of niacin also is effective in

lowering total cholesterol and actually improves beneficial HDL levels, why not

just use the plain tablets? Take less, but more often, and you approximate the

idea of a sustained release tablet, but with a lower dose. If there is a flush,

reduce the dose. The idea is to be comfortable. It is better to be able to use

less of the vitamin for a long time than to use a lot, have trouble, and quit.

American physicians often over prescribe anyway, and niacin is no exception.

Niacin is not a magic cholesterol bullet, nor is cholesterol the only factor in

heart disease. Niacin is PART of the picture, part of the B-vitamin team, and

part of a total health program. Granted, niacin is indeed important. This is

shown by even our inadequate US RDA, which recommends many times more niacin

than any other B-vitamin. However, persons truly seeking to lower their

cholesterol need to eat more fiber, more vegetables (especially carrots), more

vitamins E and C, and to exercise more. They also need to eat less sugar, less

fat, less meat, and reduce stress. There are ZERO harmful effects (and

countless side BENEFITS) in taking these steps.

People who do not want to change their diet and do not want to change their

lifestyle ask doctors for a pill instead. There is no such thing as

monotherapy for cardiovascular disease. If there was, we'd all use it and be

saving literally a million lives each year. Is it really that big a surprise

that niacin alone isn't enough to do the job right?

 

REFERENCES:

Alcohol:

Ray, O. and Ksir, C. Drugs, Society and Human Behavior, chapter 9. Mosby, 1990

(I'm sure most of the great book titles are already taken, so don't be fooled by

this one. This is an excellent book: clear, fact-filled and well written.

Highly recommended.)

Williams, R. J. Nutrition and Alcoholism (1951) and Alcoholism: The Nutritional

Approach (1959) may be out of print but are worth the search.

Therapeutic Uses of the B-Vitamins:

Bicknell and Prescott, The Vitamins in Medicine, 3rd ed., 1953 (This

out-of-print work stands as the definitive summary of most all vitamin research

up to the date of its publication. There are many thousands of references

here.)

Cheraskin, et al: Psychodietetics, Bantam Books, 1974 (A deservedly popular

book, loaded with references.)

Hoffer, A. and Walker, M. Orthomolecular Nutrition, Keats, 1978

( " Orthomolecular " essentially means " megavitamin. " Good introductory work.)

Pauling, L. How To Live Longer and Feel Better, Freeman, 1986. (Still the best

single health book ever written. Here is a good place to begin you

investigation of vitamin therapeutics.)

Psychiatric Utility of Niacin:

Hawkins, D. and Pauling, L. Orthomolecular Psychiatry, Freeman, 1973 (Here, in

one big volume, is more information than most doctors ever want to admit exists

on using niacin, especially in treating depression and psychoses.)

Hoffer, Abram Niacin Therapy in Psychiatry, Charles Thomas, 1962 (This is what

started it all; note the publishing date. Nobody knows niacin like Dr. Hoffer.)

Hoffer, A. and Osmond, H. The Chemical Basis of Clinical Psychiatry, Charles

Thomas,Springfield, Ill. (Even more in depth study of the biochemistry and uses

of niacin.)

Remember to try your library's Interlibrary Loan service to obtain out-of-print

works.

Copyright C 1999 and prior years Andrew W. Saul. From the books QUACK DOCTOR

and PAPERBACK CLINIC, available from Dr. Andrew Saul, Number 8 Van Buren

Street, Holley, New York 14470.

 

 

 

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