Does nicotinic acid extend telomeres? Else you posted in the wrong forum.
If you want to take NA just take a couple of grams a day, at least 1g. Therapeutic dosage for heart disease is 3g. It's harmless.
The reason for avoiding extended release is not the "diabetes risk," it's because of the liver damage risk because nicotinic acid temporarily inhibits the release of triglycerides. But immediate release nicotinic acid does not pose a risk.
There is no diabetes risk, it's a myth. Nobody has gotten diabetes from taking massive dosages over years. It's only a theoretical possibility based upon an assumed mechanism but some evidence suggests that NA may exert positive effects on diabetes. A lot of vitamins and minerals have been said to potentially cause diabetes but it always turns out to be junk science.
ChatGPT says:
This information contains some inaccuracies and should be approached with caution. While niacin (nicotinic acid) is a form of vitamin B3 and is essential for health, it's crucial to be aware of potential side effects and interactions, especially when considering therapeutic dosages.
Dosage: The recommended daily allowance for niacin varies depending on factors such as age, sex, and overall health. Taking "a couple of grams a day" or a minimum of 1g may exceed recommended levels and lead to adverse effects.
Therapeutic dosage for heart disease: The therapeutic dosage for heart disease may vary for individuals, and a dosage of 3g should be determined under the guidance of a healthcare professional.
Harmlessness: While niacin is generally safe at recommended doses, taking high doses can lead to side effects such as flushing, itching, and liver problems. It's essential to discuss any supplementation with a healthcare provider.
Extended release vs. immediate release: The information about extended-release niacin and the risk of liver damage needs clarification. Both forms of niacin can have side effects, and their use should be discussed with a healthcare professional.
Diabetes risk: There is evidence linking high doses of niacin to an increased risk of insulin resistance, which could potentially contribute to diabetes. The assertion that there is no diabetes risk may not accurately represent the current understanding of the topic.
It's important to note that scientific knowledge evolves, and recommendations may change over time. Individuals considering niacin supplementation, especially at higher doses, should consult with a healthcare professional for personalized advice based on their health status and medical history.