Vitamin B3 (Niacin): Clinical Evidence & Substantiation Summary

Clinical Trials
112
Strongest Evidence
Lipid & DNA Support
Typical Dosage
16–1,000 mg/day
Common Forms
Nicotinic acid

What Is Vitamin B3 (Niacin)?

Niacin (Vitamin B3) is a water-soluble vitamin that is converted into nicotinamide adenine dinucleotide (NAD+), a coenzyme essential for hundreds of metabolic reactions, DNA repair, and cellular energy production.

Mechanism of action: NAD+ and its phosphate form (NADP+) are critical for redox reactions in glycolysis, the Krebs cycle, and electron transport. Niacin also acts on specific G-protein coupled receptors in adipose tissue and skin (causing the characteristic 'flush').

Clinical Evidence Summary

Below are 3 key clinical studies on Vitamin B3 (Niacin). Nutra Comp analyses 112+ studies in its full clinical evidence report.

Post-hoc analysis of large RCT2017PMID: 28612110

Niacin and cardiovascular risk: AIM-HIGH re-analysis

Population: 3,414 participants

Key finding: While niacin effectively raises HDL and lowers triglycerides, adding it to intensive statin therapy did not further reduce major vascular events in this population.

RCT (ONTRAC)2015PMID: 26466134

Niacinamide and skin cancer prevention

Population: 386 adults with skin cancer history

Key finding: 500 mg niacinamide BID significantly reduced the rate of new non-melanoma skin cancers by 23% (p=0.02) after 12 months.

Meta-analysis2020PMID: 32268543

Niacin and triglycerides: meta-analysis

Population: 22 RCTs

Key finding: Niacin supplementation significantly reduced triglycerides (WMD: -33.4 mg/dL, p<0.001) and increased HDL cholesterol.

Evidence-Based Structure–Function Claims

Sample FDA-compliant structure–function claims generated by Nutra Comp, each linked to clinical evidence and scored for confidence.

9
Supports healthy cellular energy and NAD+ levels
Category: Metabolism · Confidence: 9/10
9
Supports healthy cholesterol and triglyceride levels already within the normal range
Category: Cardiovascular · Confidence: 9/10
8
Supports healthy DNA repair and skin integrity
Category: Skin · Confidence: 8/10

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Related Ingredients

Vitamin B12
89 studies · Nervous System Support
Quercetin
36 studies · Immune & Anti-inflammatory
Resveratrol
41 studies · Cardiovascular & Anti-ageing

Key Terms

SubstantiationDaily Value (DV)Standardised Extract

Frequently Asked Questions

What is the 'niacin flush'?

Nicotinic acid causes blood vessels to dilate (vasodilation) near the skin surface, causing redness and warmth. This is harmless but can be uncomfortable. Niacinamide does not cause flushing.

Is niacin FDA approved?

Niacin is an essential nutrient with a DV of 16 mg. High-dose niacin (Niaspan) is also an FDA-approved prescription drug for lipid disorders.

What is the difference between niacin and niacinamide?

Both provide B3 activity, but only nicotinic acid (niacin) significantly affects cholesterol levels and causes flushing. Niacinamide is used primarily for skin health and DNA repair support without flushing.

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