• @ro1982 – how are you doing since that last dose (which we know may have been a tiny bit too high to start at for comfort, 4 g +) … I hope the 2.5-3 g doses, if adjusted to after that bigger one, have been going much more smoothly for you?

      • ^ Also, I want to reassure you that any early heart rate &/or blood pressure fluctuations that seem erratic are in fact flush niacin (powered by equimolar glutamine) trying to repair your microvascular architecture but just not having enough (and sometimes just a bit too much – like if above the 2.5 g + 3 g N + G dose for the first time) dose each dose to start or dosing prolonged yet to have repaired all your vascular tissue to make it smooth just yet. On top of this, you can add the whole surprise / novelty factor of finally getting real medicine and starting to get more ATP made more easily out of nowhere, which can be startling, even subliminally a bit unsuspecting to say the least, leading one to be a bit subliminally then panicky and the heart rate jump. However, please note – that this is literally just temporarily for a few minutes and the first few times. Nevertheless, as proved in various trials now, at the conclusion of these early sessions with usually not enough dosing just yet to have made it more comfortable (or too much the very first time and it being overwhelming acutely in that sense), where the heart rate is emperically shown to increase, these are temporary increases (again, likely mainly due to the shock/novelty factor) that then cool down within minutes and resolve back normal within an hour. You have to build back your microvascular architecture to have it all smooth again acutely like the college males in the below trial also linked… flush niacin + equimolar glutamine at sufficient (but not too overwhelming like beyond 2.5 + 3 g for adults that first time) dosing allows this to happen more expeditiously and smoothly. And again, this complaint in the beginning is a result in itself of the damaged microvascular tissue as a result of the lack of niacin + glutamine to have protected it, with the only way now to repair being to restore the niacin + glutamine. So it’s a good Catch-22. Please check out the excerpts from these aforementioned trials showing all this. Per the second one, with continued sufficient dosing, we will eventually get like these college kids to have even 1 g niacin (with equimolar glutamine) acutely improve our BP and HR (if needed right then) and ultimately keep it modulated at ideal levels as we keep dosing. However, to do that, we have to replete the niacin + equimolar glutamine forward. The fluctuations you will see will minimize forward with dosing accordingly…

        “Immediately after drug instillation, an increase in pulse rate (maximum 45%) and blood pressure (maximum 20%) appeared, indicating rapid absorption. The pulse rate was normalized after 20 min. The increase in blood pressure, however, was ultimately followed by a decrease and normalized after 20-50 min. “

        GI Absorption of Niacin in Humans

        https://sci-hub.ru/https://doi.org/10.1002/jps.2600660635

        “Resting systolic blood pressure (mmHg) was significantly decreased from baseline (124.7±11.9) at 30 min (120.6±10.5), 40 min (120.3±12.7), 50 min (120.8±14.9), 60 min (119.3±12.4), 70 min (117.9±12.6), 80 min (118.5±11.9, and 90 min (119.4±8.9) post-consumption. Resting diastolic blood pressure (mmHg) was significantly decreased from baseline (77.8±9.1) at 20 min (75.8±7.4) and at 80 min (74.7±10.8) post-consumption. Resting heart rate (bpm) was significantly decreased from baseline (71.3±11.3) at 20 min (67.5±12.2), 30 min (68.2±13.2), 40 min (66.7±12.5), 50 min (65.7±12.5), 60 min (66.2±11.4), 70 min (67.8±11.6) and 90 min (67.8±12.6) post-consumption.”

        THE EFFECTS OF ACUTE NIACIN SUPPLEMENTATION ON RESTING HEART RATE AND BLOOD PRESSURE IN COLLEGE-AGED MALES
        https://digitalcommons.wku.edu/ijesab/vol11/iss4/41/

        • Could it be that my system and what I have been doing for that last few years was in such bad shape that the process is having a major longer lasting impact? Could I feel worse because there was more damage to heal?

        • I’m sorry as I am just seeing this. I didn’t know how the message system worked. Thank you so much for the follow up. I felt a bit of anxiety last night as yesterday I took equimolar doses niacin 2 and then 1 and then 2.5.
          I felt a bit anxious overnight. I am using distilled water but I also take melatonin and magnesium to help with sleep.
          Today my gut is off.

          • The magnesium definitely is messing things up … and maybe the melatonin too … you do NOT want to use ANY other so-called “nutrients” … also I would go up with dosing to at least 2.5-3 N-G again and higher … everything will smoothen … also, try taking doses before meals too or alternatively .. please do not worry – you just go to overpower things back with niacin and glutamine … are you craving any foods / eating well?

            • I believe I am eating decently. I can probably improve upon my diet.

              • So it is very important not to add magnesium or interfere with melatonin … these two, any supplemented nutrients, can be hindrance … the gut is wrecked because of the lack of niacin and glutamine … entire digestive tract even fryin this whole time … it will all reconstitute back but need sufficient dosing of the two to over power… I think you will see going back to the 4 g + dose you were doing early will be readily achievable and smooth here very soon (and higher) … also – note a lot of the early GI responses are the remodulating going on, and we want it smoother, which will mandate higher dosing … you are doing fine … just don’t be deterred … please see the IBS/IBD group by the way!

                • Thank you

                  • Dmitry –
                    I feel body pain and maybe some more anxiety than I did before. I wonder if I’m doing something wrong?

                    • So which products are you using again (and water) + how are you preparing them? Also, what dosing?

            • I am using Pure Bulk Niacin in a bag and Pure Lglutamine. I am trying different doses as high as 3n 3.6g.
              Using distilled water but it is not from a glass container. I have chest pains and my heart has felt off particularly early morning around 5 AM. I just did (within last half hour) a 1 gram dose to keep up intake.

              • I am using Pure Bulk Niacin in a bag and Pure Lglutamine. I am trying different doses as high as 3n 3.6g.
                Using distilled water but it is not from a glass container. I have chest pains and my heart has felt off particularly early morning around 5 AM. I just did (within last half hour) a 1 gram dose to keep up intake.

                • Pure Bulk glutamine – in a bag?

                    • I’m sorry no it’s Pure in the white tub

                      • Ah, Pure Encapsulations then … did you get it from Amazon (and internationally)? I would immediately replace with the Pure Bulk Glutamine (I imagine it was sold out when you tried to first order with niacin, but it is available now: https://purebulk.com/products/l-glutamine?_pos=1&_sid=3237d51f2&_ss=r&variant=14294869082161 ). I would get the bags, as well as the bovine gel capsules (for flush niacin too). I feel that ANY non-Pure BULK glutamine products, given glutamine’s heat/light lability and sensitivity, are very hit-or-miss depending on who the middleman is on Amazon shipping it (even if domestic)… you will see a night and day difference with the real stuff

                • Can you take the bovine capsules whole or do you have to pour them out?

                  • Either way … will be more efficient with it out the capsules and dissolved in water, but we can definitely swallow the bovine gel caps to delight (with good clean water) … where did you order your Pure Encapsulations glutamine powder?

                    • Ordered from Amazon but I ordered lyre bulk tonight per your suggestions. Your right, I didn’t get it there the first time because it was sold out.

                      • Hi Dmitry…have you seen any studies or any benefits for ATTR CM?

                        • Firstly, please let me know when you get the correct PureBulk products (when you have both). It will be night and day difference you shall see.

                          Secondly, as for ATTR CM, that stuff is expensive attempt to try to restore NAD+… you are going to do much better on actual natural NAD+ via niacin + equimolar glutamine. have you not seen the amyloid plaque research of what flush niacin (even solo) does against established amyloid plaques (or the fourth D of pellagra being dementia itself)? I’m sorry, but do you not think or just yet realize this is all a flush niacin + equimolar glutamine deficiency?

                          • Hi Dmitry…
                            I have noticed anxiety increasing dramatically after I take niacin and Glutamine. Both are pure bulk. I look Ed up both in relation to anxiety and saw the glutamine and it’s increasing of fans can cause anxiety feelings. I was wondering your take on this and if there is anything I can do.
                            Thank you

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