Anyway, as I was increasing my dose, I discovered that my cystic acne was going away. Up til then I had horribly painful deep cysts that would persist longer than regular acne. I also noticed that the cysts I had once developed on my upper thighs and even sometimes my armpits were COMPLETELY gone. I have not had them since. And like I said, that was 8 years ago when I started.
Now, PLEASE do your research about niacin first. While I have never had any issues with it (aside from accidentally taking time release niacin which raised my liver enzymes and caused my ankles to swell - very scary. Once I stopped it, all went back to normal), it does cause a flush. This flush can be anywhere from a slight warmth to feeling like a bad sunburn. It can take 15 minutes to an hour to pass. That is why I started at a VERY low dose and very gradually worked up.
I took the 25mg 3x a day and increased by 25mg per dose every 2-3weeks. I only started flushing when I started taking 50-100mg each dose. I believe it detours the liver and that may have something to do with it getting rid of the acne. I RARELY even have a pimple now when prior to starting it, I had a horrible pizza face with redness and discoloration from the scarring.
My scarring is 95% gone too. I'm sorry for the long post but felt this was a good one to share. Again, I ONLY use pure niacin (flush niacin), not niacinamide and definitely not time release niacin. Those two are dangerous to the liver from what I've read.
Replied by Georgia from Branford Florida on 02/09/2024
What brand or brands would you recommend please.
Replied by Panem et circenses from Florida on 09/26/2025
Currently I take 21st Century Brand but I am having a hard time finding it. I have also used LifeExtension brand but they only have 500mg, I believe.