What’s a Herniated Disc, Pinched Nerve, Bulging Disc…?

There are many terms used to describe spinal disc problems, but it is best to focus on an understanding of the medical diagnosis. This article clarifies common disc conditions such as a herniated disc, pinched nerve, and degenerative disc disease.

Source: What’s a Herniated Disc, Pinched Nerve, Bulging Disc…?

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Acetaminophen

Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009.

With 100,000-plus hospital visits a year by users, it’s also the most likely to be taken inappropriately.

In fact, improper use, coupled with the drug’s narrow safety margin, means “a large fraction of users [are] close to a toxic dose in the ordinary course of use,” according to the Food and Drug Administration.

But for the sake of discussion, let’s ignore the safety issues for a moment. Is acetaminophen an effective pain reliever in the first place? Not for low back pain and pain attributable to knee / hip osteoarthritis, conclude the authors of a recent meta-analysis. The just-published review of 13 randomized trials has yielded “high-quality evidence” that paracetamol (acetaminophen) does not reduce pain intensity or disability, and does not improve quality of life, in the short term for people experiencing LBP; and provides only “minimal, short-term benefit” for people suffering from hip or knee pain caused by OA, stating that “the small effects … are not likely to be meaningful for clinicians or patients.”

Back to the safety issues surrounding acetaminophen, which the meta-analysis did little to dilute. According to the review researchers, “high-quality” evidence suggests paracetamol use results in a fourfold risk of an abnormal liver function test. Not surprising, since acetaminophen misuse (overdose) is now the most common cause of acute liver failure (exceeding all other medications combined) and the second most common cause of liver failure requiring transplantation.

In fact, the FDA has mandated that all acetaminophen-containing prescription products feature a “black box” warning (the administration’s strongest safety statement) noting an overdose can cause liver failure and even death; and have been urged to place similar language on OTC acetaminophen products.

How often do you use acetaminophen-containing over-the-counter and/or prescription medications for you LBP and OA pain, even as you pursue relief through chiropractic care?

How often do you take these drugs for your spinal / OA pain instead of visiting a chiropractor?

As this meta-analysis suggests, acetaminophen is ineffective for these types of pain. So give chiropractic a try – a proven natural pain reliever.

WMSC Logo black

Acetaminophen

By Editorial Staff – source: newsletter.html?articleId=2110

Resources:

Machado GC, et al. Efficacy and safety of paracetamol for spinal pain and osteoarthritis: systematic review and meta-analysis of randomised, placebo-controlled trials. Brit Med J, 2015;350. Full text available online.
Dal Pan GJ. “Acetaminophen: Background and Overview.” FDA Office of Surveillance and Epidemiology, Center for Drug Evaluation and Research, June 29, 2009.
Greenlaw E. “Your Guide to Over-the Counter Pain Relief. OTC Pain Relief: Understanding Acetaminophen.” WebMD.com.
Healy M. “Acetaminophen in Rx Drugs: For Liver’s Sake, Lower the Dose.” Los Angeles Times, April 28, 2014.
Gerth J, Miller TC. “Use Only as Directed.” ProPublica, Sept. 20, 2013.

Posted in back-pain, Chiropractic, Drugs, Food and Drug Administration, Knee, News, osteoarthritis, Pain | Tagged , , , , , , , , , | Leave a comment

Avoid Back Surgery: See a Chiropractor First

By Editorial Staff – To Your Health Newsletter


According to the Mayo Clinic -“back surgery is needed in only a small percentage of cases. Most back problems can be taken care of with nonsurgical treatments, such as anti-inflammatory medication, ice, heat, gentle massage and physical therapy.” Accurate on face value, but missing an important piece of the puzzle. Yes, while back pain is rampant, surgery is rarely required; even the Mayo Clinic admits that while “bacYou always have a choicek pain is extremely common … surgery often fails to relieve it.” However, chiropractic is glaringly absent from the nonsurgical recommendations, despite ample research evidence supporting chiropractic care for back pain and increasing reliance on chiropractic as a first-line treatment option.

So, what determines whether a patient undergoes spinal surgery?

A recent study attempted to answer that very question and came up with several predictive variables, perhaps the most interesting of which is the type of health care provider – namely a surgeon or a doctor of chiropractic – the back pain patient sees first.

The study authors, who note that “there is little evidence spine surgery is associated with improved population outcomes, yet surgery rates have increased dramatically since the 1990s,” found that Washington state workers with an occupational back injury who visited a surgeon (orthopedic, neuro or general) first were significantly more likely to receive spine surgery within three years (42.7 percent of workers) than workers whose first visit was to a doctor of chiropractic (only 1.5 percent of workers). This association held true even when controlling for injury severity and other measures.

Of the 174 workers (9.2 percent of the subject population) who had a surgery during the three-year time frame, the vast majority were decompression procedures (78.7 percent), with 3.4 percent undergoing fusion without decompression and 17.8 percent undergoing both on the same day.


 

For more insights into the perils of spine surgery, read “Back Surgery: Too Many, Too Costly and Too Ineffective” by clicking here. http://www.toyourhealth.com/mpacms/tyh/article.php?id=1447 or here to read the above article. http://www.chirolansing.com/tyh-newsletter.html…

Do you need professional advice about your back pain? Call Lansing Chiropractic Clinic today at 708-895-3228 to make an appointment for you to discuss your musculoskeletal pain, symptoms with one of our Chiropractic Physicians.

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Dr. Timothy K. Durnin – Orthopedics – Orthopedics – Health/Fitness – AllExperts.com

Click link to view prior questions answers by Dr. Timothy Durnin at AllExperts.com.

Dr. Timothy K. Durnin, Orthopedics, Orthopedics, Health,Fitness, AllExperts.com

Source: Dr. Timothy K. Durnin – Orthopedics – Orthopedics – Health/Fitness

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Axialtrac – Greatest advancement to Flexion-Distraction in the past 50 years!

We have added the most advanced piece of equipment that improves on the existing gold standard for non-invasive disc decompression.

There are only a few in the state of Illinois and make treatment times cut by 30% without any risk.  A perfectly safe inexpensive, fast way of getting away from certain surgery.  Here is a link to the most advanced methodology in existence for treatment of herniated disc with or without stenosis.  http://www.axialtrac.com

Axial Trac is the greatest advancement to Flexion-Distraction in the past 50 years!

Axialtrac is Now at Lansing Chiropractic Clinic in Lansing Illinois

Axialtrac is Now at Lansing Chiropractic Clinic in Lansing Illinois

Axial Trac is a true hybrid chiropractic table. It’s an adjusting table, a flexion-distraction table, and a decompression table. Axial Trac is the all in one chiropractic table to meet your needs.

Axial Trac ™ employs a new technology patented by W. Patrick Danzey, D.C. This chiropractic table combines variable amounts of long axis (axial) traction with each flexion stroke. The hallmark of Axial Trac™ is a sliding upper pelvic section that is mechanically forced into distraction as the table is flexed. The traction handle is fixed to a non-sliding portion of the pelvic section so it does not move away from the doctor.

There are three electric motors; one for table elevation up to 34”, one for spring tension and one to pre-select the amount of long axis traction. A multi-position headpiece is standard. Cervical drop, thoracic drop, lumbar drop and break away thoracic sections are available. Dr. Danzey has been utilizing flexion distraction for 25 years and realized the need for on demand additional traction. The technique is performed manually, allowing the amount of additional traction delivered with each flexion or lateral flexion stroke to be determined by the doctor’s feel and the patient’s tolerance. Table calibration allows the doctor to record the amount of enhanced flexion distraction given on each visit. The Axial Trac™ chiropractic table combines the best aspects of flexion distraction and spinal decompression in one multipurpose adjusting table.

The technique is highly specific allowing the doctor to target individual spinal levels and right or left sides. This is accomplished utilizing manual contact and lateral flexion. The design goal was to maintain this level of target site specificity while being able to deliver up to three times more traction than a conventional flexion distraction table.

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Reviews of Lansing Chiropractic Clinic & Wellness Medical (Illinois) on the net…

We just want to say thank you to all of our patients that have given us terrific feedback of our office over the decades.  Also, many ask where they can post their reviews about us.   Here’s the online list!  Feel free to stop in our office to view our binders full of written patient reviews.  Please click the following links to see how our patients have reviewed Lansing Chiropractic Clinic & Wellness Medical on the net…

Zocdoc Reviews –                                             http://www.zocdoc.com/doctor/timothy-durnin-dc-51637

Yellowbot Reviews –                                                  http://www.yellowbot.com/lansing-chiropractic-clinic-wellness-centers-lansing-il.html

Kudzu Reviews –                                                      http://www.kudzu.com/m/Lansing-Chiropractic-Clinic-Wellness-30154271/reviews/?src=GoogleLocal

Wellness Reviews –      http://www.wellness.com/dir/1189789/chiropractor/il/lansing/wellness-medical-sc

Yelp Reviews –                                                               http://www.yelp.com/biz/lansing-chiropractic-clinic-lansing

Google + Reviews –               https://plus.google.com/110467635662638158002/about

Dex-http://www.dexknows.com/business_profiles/lansing_chiropractic_clinic_and_wellness_centers-b925678

If you would like to give us a review please add yours to any of those sites or visit Facebook  https://www.facebook.com/LansingChiropracticClinic to see reviews from our Facebook Fans.

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Out of your hands – Carpal Tunnel Syndrome (CTS) – published in NWI.COM

Your fingers tingle and feel numb. Pain encircles your wrist and radiates all the way up your arm. The tingling, numbness and pain wake you up at night. Tennis players can have these symptoms. So can computer operators, grocery store cashiers, reporters, assembly line workers, secretaries, fast food cooks and jackhammer operators.

This diverse group of people may work at very different jobs in vastly different settings, but it shares one job hazard – repetitive, especially twisting, motion of the wrist and forearm that can lead to a condition called Carpal Tunnel Syndrome….

“When the wrist is twisted or subjected to a repetitive motion, the bones press against the nerve, causing inflammation or swelling. Fluid can build up in the carpal tunnel area. All that makes the already tight space even tighter and further compresses the nerve. In some cases, the carpal or wrist bones can become partially dislocated or misaligned, said Timothy Durnin, a chiropractic physician at the Lansing Chiropractic Clinic, Ltd.  All that can lead to those annoying, painful symptoms of CTS. And as the symptoms increase, even picking up a can of soda pop may become nearly impossible, Durnin said. That clumsiness is often what brings patients in for treatment, Dreyfuss and Durnin said.”

See full article by clicking the link below…

http://www.nwitimes.com/uncategorized/out-of-your-hands/article_08f98f41-f801-5e14-8f3d-5ee57bff9417.html

People on the Move – published in NWI.COM

Dr. Timothy Durnin has been accepted as a member of the American Association of Spine Physicians. This is an international organization of neurosurgeons and chiropractic physicians dedicated to improving the quality of spine care through cooperative and conservative efforts.”

http://www.nwitimes.com/uncategorized/people-on-the-move/article_ea5e9556-9066-59cb-a5dc-8d49b9e53576.html

A Shot in the Arm – published in NWI.COM

“Those who don’t get inoculated may wind up with a low-grade fever (below 101 degrees), chills and fatigue, among other symptoms, in December or January, health officials said. The bout could last up to three weeks, said Dr. Timothy Durnin, a chiropractor at Complete Wellness Medical Center in Lansing. [currently Lansing Chiropractic Clinic and Wellness Medical] It may feel like last year’s flu, but it isn’t, he said. ‘These viruses are smart. They mutate. Each year, it’s a new virus,’ he said. Also available are pneumonia vaccinations, which protect against viral strains of the disease. Health officials recommend them for anyone over age 65 and call it “a lifetime dose.” The inoculation is available for younger people, but lasts only 10 years.”

See full article by clicking the link below…

http://www.nwitimes.com/uncategorized/a-shot-in-the-arm/article_2d5c4da8-9816-5068-81c6-f93b755b39ad.html

Contact Us for more information!

18037  Torrence Avenue  Lansing, IL  60438

Phone:  708-895-3228     Fax:  708-895-1057

Our clinic is located in the south suburbs of Chicago, one mile south of I 80/94 on Torrence Avenue in downtown Lansing. We have been in the same location since 1953, and employ a multidisciplinary approach to holistic health care.

Our mission at Lansing Chiropractic Clinic and Wellness Medical, S.C. is to provide affordable high-quality care to people of all ages. We strive to not only correct a person’s health problems, but to educate and enlighten people so that they do not encounter similar problems in the future.

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Sports Injuries – Part 2

Although there is no such thing as a “safe” sport, highly competitive sports, such as football, weightlifting, gymnastics, and wrestling, pose particularly higher risks of injuries, especially among children.

According to experts, as much as 20 percent of all sports-related injuries involve the lower back or neck. Running and weightlifting, and other sports that involve repetitive impact, expose children to a high risk for lumbar (lower back) injuries. Contact sports, such as soccer and football, expose the cervical spine, or neck, to injury. More than one-third of all high school football players sustain some type of injury. Soccer participants are easy candidates for mild to severe head traumas, neck injuries, cervical spine damage, headache, neck pain, dizziness, irritability, and insomnia. Heading the ball, the act of using the head to re-direct the soccer ball, has been linked with cervical injuries in children and adults. The trampoline and gymnastics also present significant risks for spinal cord injuries from unexpected and brute falls or contact with hard surfaces.

Here’s a look at some of the other common injuries by sport:

  • Bicycling – Poor posture can greatly increase your risks of a back injury during cycling. When riding a bike, your lower back is constantly flexing sideways and up and down. Upper back injuries can involve the flexing of the neck. And the bumps and jars incurred on the road during cycling can wreak havoc and possible compression injuries to your spine.

  • Golf – Common injuries incurred during the sport of golf usually involve muscle sprains and strains to the lower back.

  • Running/jogging – Running and jogging puts a great deal of stress on your back, since the constant pounding against a hard surface can jar, and possibly compress, structures such as vertebrae, joints, and discs.

  • Skiing – Skiing involves a great deal of twisting and turning motions, as well as jarring landings, all of which can cause muscle sprains and strains and in some cases, minor spinal fractures.

  • Swimming – Swimmers are known to incur lower back injuries. Motions such as the crawl or breaststroke can cause the lumbar region to be hyperextended. If the swimmer is not properly conditioned or warmed up, the hyperextension sometimes doesn’t subside.

  • Tennis – “Tennis elbow” is a layman’s term for pain on the lateral, or outside part of the elbow, on or near the bony protrusion. Tennis elbow is caused when the tendon from the elbow bone tears or is ruptured. It is no surprise that professional tennis players can become inflicted with this with all of the stress and strain they place on the joint during play. In addition, tennis players are in constant motion, and the repeated twisting and trunk rotations can cause injuries. Shoulder injuries and turned ankles and knees also are common. The act of serving the ball also has been shown to hyperextend the lower back, and possibly compress discs.

  • Weight lifting/body building – Body builders are at a significant risk for a host of serious back, shoulder, neck, and knee injuries. Resistance training has been known to cause muscle sprains and strains, ligament and tendon injuries, and in some cases, stress fractures (also called spondylolysis). Older people seem to be at higher risk since their bones and discs are more brittle.

http://www.chirolansing.com/library/3971/SportsInjuries.html

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Sports Injuries – Part 1

Participation in sports or exercise is an important step in maintaining your health. Exercise strengthens your heart, bones, and joints and reduces stress, among many other benefits.

Unfortunately, injuries during participation in sports are all too common. Often, these injuries occur in someone who is just taking up sports as a form of activity, doesn’t use proper safety equipment, or becomes overzealous about the exercise regimen.

The more commonly injured areas of the body are the ankles, knees, shoulders, elbows, and spine. Remember that you should discuss any exercise program with your doctor of chiropractic before undertaking such activities.

Strains and Sprains
Although bones can sometimes be fractured with acute sports injuries, the most commonly injured structures are the muscles, tendons, and ligaments. Tendons attach muscles to bones, and ligaments attach one bone to another.

An acute twisting or overextension of a joint can lead to tears of muscles and tendons, called “strains,” and tears of ligaments result in “sprains.” These tears range from mild to severe. In mild injuries, just a few fibers are torn or stretched. Severe injuries, where there is a tear through the full thickness of the structure, are most often considered unstable injuries and frequently require surgical intervention. The intervertebral disc, a ligament between the vertebrae of the spine that works as a shock absorber, can also be torn, resulting in a disc bulge and/or herniation.

Ankle sprains most often involve tears of one or more of the ligaments along the outside of the ankle. Knee ligaments, including the larger external supportive ligaments and the smaller internal stabilizing ligaments, can also be torn. The cartilage on the back of the patella (knee-cap) can also become eroded from overuse, leading to a condition termed chondromalacia patella.

Tendinosis
In those who are training too much, overuse of a particular joint or joints in the body can result in pain and dysfunction. These injuries are called “overuse syndromes.” A common overuse injury is tendinosis, also called tendinitis. In this condition, the tendon becomes inflamed from repetitive use. In the shoulder, the rotator cuff (a complex of muscles that stabilizes and moves the shoulder) becomes inflamed, resulting in rotator cuff tendinitis. Tennis elbow is another form of tendinitis that occurs along the outside of the elbow, most commonly in tennis players. In golfer’s elbow, the tendons on the inside of the elbow are affected.

Stress Fractures
Some athletes may experience a stress fracture, also called a fatigue fracture. This type of fracture occurs when an abnormal amount of stress is placed on a normal bone. This might occur in a runner who rapidly increases the amount of mileage while training for a race. Stress fractures also occur in people who begin running as a form of exercise but overdo it from the start, rather than gradually progress to longer distances.

One final common injury is worth mentioning, and that is shin splints. This overuse injury is caused by microfractures on the front surface of the tibia (shin bone). This is most often seen in runners, although other athletes can also be affected.

Diagnosis and Treatment
Sports injuries are most often diagnosed from the history of the activity that brought on the pain, along with a physical examination. In some cases, x-rays are necessary to rule out a fracture. Magnetic resonance imaging (MRI) and diagnostic ultrasound are also used in finding soft-tissue injuries, like tendinitis and sprains.

Fractures require the application of some stabilizing device, such as a cast, after the bone is put back into position. Rarely, surgical intervention is required. There is a relatively standard treatment protocol for most of the other overuse types of injuries. This protocol involves the following:

Rest
Generally no more than 48 hours of rest and/or immobilization is needed, depending on the severity of the injury. In most cases, the sooner the person becomes active after an injury, the more rapid is the recovery. In fact, long-term immobilization can sometimes be harmful to recovery. Your doctor of chiropractic will guide this process, as too early a return to activity, choosing the wrong type of activity, or excessive activity can be detrimental.

Ice
Ice can be helpful with pain reduction and tissue healing.

Compression
Compression of the area may reduce the amount of swelling from the injury. Your doctor of chiropractic will determine if this will be beneficial in your case.

Elevation
Elevation of the injured arm or leg above the level of the heart is thought to be helpful in reducing swelling.

Pain relievers
Recent research has demonstrated that some nonsteroidal anti-inflammatory drugs may actually slow the healing process by restricting the body’s natural healing mechanisms, so they should be used sparingly.

Joint manipulation
Recent research has shown us that, in some cases, joint manipulation can be helpful with pain reduction and more rapid recovery. Your doctor of chiropractic will determine if this procedure will be helpful in your case.

A Word about Prevention
In many cases, sports injuries can be prevented. Proper conditioning and warm-up and cool-down procedures, as well as appropriate safety equipment, can substantially reduce injuries. Understanding proper techniques can also go a long way toward preventing injuries.
Sufficient water intake is also an important preventive measure.


Source: http://www.acatoday.org/content_css.cfm?CID=3135

Also see Lansing Chiropractic Clinic’s website for more information on sports injuries. http://www.chirolansing.com/library/3971/SportsInjuries.html

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What is Niacin?

Niacin (vitamin B3, nicotinic acid), Niacinamide

Background

Niacin (vitamin B3, nicotinic acid), Niacinamide

Vitamin B3 is made up of niacin (nicotinic acid) and its amide, niacinamide, and can be found in many foods, including yeast, meat, fish, milk, eggs, green vegetables, and cereal grains. Dietary tryptophan is also converted to niacin in the body. Vitamin B3 is often found in combination with other B vitamins including thiamine, riboflavin, pantothenic acid, pyridoxine, cyanocobalamin, and folic acid.

Source: http://www.mayoclinic.com/health/niacin/NS_patient-niacin


Evidence

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Key to grades

 Grading rationale

High cholesterol (niacin)

Niacin is a well-accepted treatment for high cholesterol. Multiple studies show that niacin (not niacinamide) has significant benefits on levels of high-density cholesterol (HDL or “good cholesterol”), with better results than prescription drugs such as “statins” like atorvastatin (Lipitor®). There are also benefits on levels of low-density cholesterol (LDL or “bad cholesterol”), although these effects are less dramatic. Adding niacin to a second drug such as a statin may increase the effects on low-density lipoproteins. The use of niacin for the treatment of dyslipidemia associated with type 2 diabetes has been controversial because of the possibility of worsening glycemic control. Patients should check with a physician and pharmacist before starting niacin.

Pellagra (niacin)

Niacin (vitamin B3) and niacinamide are U.S. Food and Drug Administration (FDA)-approved for the treatment of niacin deficiency. Pellagra is a nutritional disease that develops due to insufficient dietary amounts of vitamin B3 or the chemical it is made from, tryptophan. Symptoms of pellagra include skin disease, diarrhea, dementia, and depression.

Atherosclerosis (niacin)

Niacin decreases blood levels of cholesterol and lipoprotein (a), which may reduce the risk of atherosclerosis (“hardening” of the arteries). However, niacin also can increase homocysteine levels, which may have the opposite effect. Overall, the scientific evidence supports the use of niacin in combination with other drugs (but not alone) to decrease cholesterol and slow the process of atherosclerosis. More research is needed in this area before a firm conclusion can be drawn.

Prevention of a second heart attack (niacin)

Niacin decreases levels of cholesterol, lipoprotein (a), and fibrinogen, which can reduce the risk of heart disease. However, niacin also increases homocysteine levels, which can increase this risk. Numerous studies have looked at the effects of niacin, alone and in combination with other drugs, for the prevention of heart disease and fatal heart attacks. Overall, this research suggests benefits of niacin, especially when combined with other cholesterol-lowering drugs.

Age-related macular degeneration (AMD)

Niacin may benefit the choroidal blood vessels, which underlie the region of the retina called the macula. Age-related macular degeneration (AMD) may result from disrupted blood flow in the choroidal vessels. Studies suggest that niacin may be used to treat AMD, but more well-designed studies are needed.

Alzheimer’s disease/ cognitive decline

Dementia can be caused by severe niacin insufficiency, but it is unclear whether variation in intake of niacin in the usual diet is linked to neurodegenerative decline or Alzheimer’s disease (AD). Further research is needed before a conclusion can be drawn.

Diabetes (Type 1/Type 2)

Niacinamide may prevent diabetes or delay the need for insulin. More research is needed to determine if niacinamide delays or prevents the onset of insulin dependence in individuals with type 1 diabetes. Niacin has been used to treat dyslipidemia associated with type 2 diabetes. However, this treatment has been controversial because it may worsen glycemic control. Patients should seek medical advice before starting niacin.

Headaches

There is not enough information about the treatment or prevention of headaches with niacin. More research is needed.

High blood phosphorous level (hyperphosphatemia)

Niacinamide may reduce the high serum phosphate levels in hyperphosphatemia. However, more research is needed before niacinamide can be used to treat hyperphosphatemia.

Osteoarthritis (niacinamide)

Preliminary human studies suggest that niacinamide may be useful in the treatment of osteoarthritis. Further research is needed before a recommendation can be made.

Skin conditions

Niacinamide has been used in skin care products, including moisturizers, anti-aging products, and rosacea treatments. The benefits of niacinamide in skin care needs to be further studied before recommendations are made.

Type 1 diabetes mellitus prevention (niacinamide)

Niacinamide (not niacin) does not appear to delay the development of diabetes mellitus (type 1). Evidence is mixed and more study is needed in this area.

Source: http://www.mayoclinic.com/health/niacin/NS_patient-niacin/DSECTION=evidence

Posted in Atherosclerosis, Chiropractic, Grades, High-cholesterol, Mayo-Clinic, Research, Supplements | Tagged , , , , , , | 1 Comment