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NiaStat

Natural Pharmacy

Pharmaceutical Grade Niacin

A controlled-release niacin tablet formulated in a proprietary vegetarian matrix of rice bran and botanical extracts to support healthy lipid levels, including raising HDL, lowering triglycerides, and reducing Lipoprotein(a) while minimizing the flushing common with standard niacin.

Suggested use: Begin with one tablet daily with the evening meal, then titrate as directed by Dr. Hirt. Liver enzymes, fasting glucose and uric acid should be checked before starting and monitored during dose escalation; recheck your lipid panel after approximately eight weeks. Do not use if you have active liver disease, an active peptic ulcer, or are pregnant or nursing. Use with caution if you have gout or diabetes.

May help with

Low HDLElevated triglyceridesElevated Lipoprotein(a)Lipid management

Key ingredients

  • Niacin (nicotinic acid)
  • Rice bran
  • Botanical extracts

Product handout

NiaStat

Pharmaceutical Grade Niacin

WHAT IT IS:

  • A 500 mg proprietary-matrix niacin (nicotinic acid) tablet formulated for controlled release, better tolerability and comprehensive lipid support

WHY YOU NEED IT:

  • Raises HDL, the protective cholesterol fraction, by 15 to 30 percent in responders
  • Lowers triglycerides by 20 to 30 percent
  • One of the few agents available that meaningfully lowers Lipoprotein(a), a genetically driven cardiac risk marker
  • Shifts LDL particles toward the larger, less atherogenic pattern
  • Important for patients with low HDL, elevated triglycerides, or an elevated Lp(a)
  • Great for patients who cannot tolerate or prefer to avoid statin therapy
  • The wax-matrix delivery reduces flushing without the liver risk associated with other over-the-counter sustained-release niacin products

HOW IT HELPS:

Niacin has been used for lipid management since 1955 and remains one of the most broadly acting agents available. It works in the liver, reducing the packaging and export of fat into VLDL particles — which is why triglycerides fall — and slowing the breakdown of apolipoprotein A-I, the principal protein of HDL, which is why HDL rises. It is also one of the very few interventions that lowers Lipoprotein(a), a particle that is largely inherited and does not respond to diet, exercise or statins.

The obstacle with niacin has never been effectiveness. It has been tolerability. The over-the-counter, immediate-release niacin releases its full dose within an hour, producing the well-known flush: warmth, redness and tingling across the face, neck and chest. Old-style sustained-release products solved the flush but released so slowly that they placed a greater burden on the liver.

NiaStat uses a proprietary-matrix tablet. The niacin is embedded in a vegetarian base of rice bran and botanical extracts, which meters release over several hours — slow enough to blunt the flush, but not so slow as to create liver problems like most “no-flush” niacin products. Each tablet delivers 500 mg of true nicotinic acid.

If flushing does occur, it is harmless and typically fades within weeks as the body adapts. Take the tablet with food, avoid alcohol and hot beverages around the dose, and do not crush or chew the tablet.

Dosage:

Begin with one tablet daily with the evening meal, then titrate as directed by Dr. Hirt. Liver enzymes, fasting glucose and uric acid should be checked before starting and monitored during dose escalation; recheck your lipid panel after approximately eight weeks. Do not use if you have active liver disease, an active peptic ulcer, or are pregnant or nursing. Use with caution if you have gout or diabetes.