Niacin vs. Niacinamide

Learn more about niacin vs. niacinamide and the benefits of both.


0:00 Introduction: Vitamin B3 explained
0:10 Niacin vs. niacinamide
1:55 The dangers of niacin
3:35 Benefits of niacin
4:25 Benefits of niacinamide
7:03 Learn more about what niacin can do for your cholesterol!

Today we’re going to cover the difference between the two forms of vitamin B3: niacin and niacinamide.

Both niacin and niacinamide chemically work similarly but have different benefits.

• Gives a flushing response
• Has lipid benefits
• Helps lower cholesterol
• Helps lower LDL
• Helps increase HDL
• Helps decrease inflammation in the arteries
• Supports a healthy liver
• May help with schizophrenia
• May help with drug-induced dyskinesia

• Won’t cause a flush
• Helps with certain skin conditions (acne, dermatitis, rosacea, and psoriasis)
• Helps lower histamines
• Helps reduce immune inflammatory factors
• Helps decrease flaking skin
• Helps reduce sebum
• May help reduce inflammation
• May help with arthritis
• Is used for anti-aging
• Is used for hyperpigmentation
• May help reduce anger and anxiety

Many people are discouraged from taking niacin because of potential side effects. But the dangers are rare and are typically involved in those taking very high doses over long periods and time-release niacin.

Dr. Eric Berg DC Bio:
Dr. Berg, age 57, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.

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Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

#keto #ketodiet #weightloss #ketolifestyle

Thanks for watching! I hope this helps you better understand niacin vs. niacinamide and the benefits of both. I’ll see you in the next video.


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  1. Natalia Pyshnenko on February 23, 2023 at 11:07 am

    Sounds weird but I have exact same allergic reaction on my skin to both. Niacin is often in enriched flour and store bought cookies contain it, I get tiny rash pimples on my cheeks if I eat it, and niacinamide is often in skincare products, all products that contain it, my cheeks get the exact same reaction. So I am steering clear from them

    • Mo Jo on February 23, 2023 at 3:20 pm

      Isn’t that just a form of the flush? It’s easy to confuse the flush to an allergic reaction… how long does it last?

  2. nimra rashid on February 23, 2023 at 11:10 am

    actually this story is about my personal experience taking high doses of vitamin d and a because my platelets were very low and decreasing rapidly. my mother used to tell me i had eczema since birth. i was born underweight and breastfed for 1 year. so its probably genetic. you discussed polymorphism regarding vitamin A and D in your videos. i took the tablet having 200,000 iu vitamin D and 40,000 Iu vitamin A along with kefir. this dosage didnt let my eczema come back for about a week. i took this tablet once a week for 3 months.
    i wanted to ask you is it possible than genetic eczema is actually caused by polymorphism of Vitamin A and D receptor genes? please make a video on this.

    • Andrew Dunn on February 23, 2023 at 1:06 pm

      Hope you are also taking vitamin K2 in conjunction with D3. Without it you may get calcium build up in your blood.

    • Andy Bryant on February 23, 2023 at 1:48 pm

      I had eczema since birth also hay fever most springs, some hives related to foods. When I was young I was taken to a faith healer. She laid hands on me and did whatever mumbo jumbo faith healers do. The main thing she told my grandparents that put me on the road to healing was let him go dirty. I obviously had poor tolerance to most soaps 🧼

  3. Yankee 🌹 Rose on February 23, 2023 at 11:20 am

    Sharing new facts daily Dr. Berg ❤
    You are our vitamin!!

    • Dr. Eric Berg DC on February 23, 2023 at 12:36 pm

      Thanks. Glad to help.

    • Yankee 🌹 Rose on February 23, 2023 at 1:02 pm

      @Dr. Eric Berg DC we love you! ❤

    • innercore on February 23, 2023 at 1:43 pm

      Dr Berg is Super Multi-VitaMed!!!!!!

    • How to Fashion on February 23, 2023 at 3:06 pm

      ​@innercore yes indeed 😊

    • How to Fashion on February 23, 2023 at 3:07 pm

      ​@Yankee 🌹 Rose no doubt ☺️❤️

  4. Sabrina and husband on February 23, 2023 at 11:33 am

    Nigella seed oil has a significant amount of niacin too. Thanks for the info Berg 🌸

    • Candid Ly on February 23, 2023 at 12:26 pm

      Thank you good to know 👍 is this also what they call Black seed oil?

    • Sabrina and husband on February 23, 2023 at 12:49 pm

      ​​@Candid Ly Yes It’s Black or dark seed oil. It’s more high in class & beneficial than the other ones..

    • Ronnie & mum Battling Islamophobia & Corruption.. on February 23, 2023 at 12:53 pm


    • M R on February 23, 2023 at 2:45 pm

      That’s why my blood pressure goes down after taking the black seed oil.

  5. Queenie 1949 on February 23, 2023 at 11:54 am

    Thank you for clarifying the differences. Following your previous video I bought Niacin.
    I don’t take statins as I had terrible side effects from three different statin types the Doctor prescribed. Consequently my cholesterol is sky high.
    I started taking Niacin as you recommended and have had no side effects whatsoever. Those horrid little yellow spots on my eye lid are slowly decreasing.
    When I have my yearly blood test later this year I will let you know how effective taking Niacin is.
    Thank you for your advice, kind regards Sally, 😊👏🇬🇧

    • Born Free on February 23, 2023 at 12:17 pm

      Diatomaceous earth is supose to lower cholesterol, might be worth looking into.

    • Queenie 1949 on February 23, 2023 at 1:02 pm

      @Born Free thank you for the tip, will look it up😊👏🇬🇧
      Have looked this up. Not sure I want to use this myself.

  6. Wardrobelion on February 23, 2023 at 12:04 pm

    Very interesting 🤔, Dr. Berg. I was unaware of the differences of these. I always thought niacinamide was a synthetic form of niacin. So glad you cleared this up for me, so I’m benefiting no matter which I take. The flush actually makes sense, doesn’t it😊, since your body is burning 🔥 fuel for energy.

  7. Andrew on February 23, 2023 at 12:42 pm

    That’s a usefull vid. But a few words about dosage would have been nice. Personally I take around 100 mg of Niacin every day. I would take more, but I am actually hesitant because of possible liver damage.

  8. Kent Borges on February 23, 2023 at 12:53 pm

    I certainly appreciate this doctor ! He has done his research and has also greatly improved his health. Much respect to him !

    • Al Hamilton on February 23, 2023 at 2:12 pm

      Thank you Dr. Berg for explaining the benefits of both substances and if used correctly how it would help to balance out your system in many ways mostly would be using myosin, but sometimes you just need a smooth energy breakdown for niacinamide to do it thing. Appreciate your information looking for more.

    • The Rat News on February 23, 2023 at 2:43 pm

      Mój Pan jest Jedyny i nie ma innych!

  9. Andrew Dunn on February 23, 2023 at 1:05 pm

    Love this!! Was literally just searching your past niacin clips yesterday! I’ve started taking 500mg of niacin a day to reduce LDL, triglycerides, and blood pressure, all of which are very high in me.

    • Titanium Master on February 23, 2023 at 1:39 pm

      The nictonic acid version? Flushing ?

    • Andrew Dunn on February 23, 2023 at 3:33 pm

      @Titanium Master flushing. The reaction can be overwhelming, don’t take it in public! I typically take it right before bed so I sleep through the albeit harmless effects.

    • Titanium Master on February 23, 2023 at 3:37 pm

      @Andrew Dunn Thank you! Yes O was wondering because that’s a hefty dose for the flushing one! Is it a time release flush?

    • Andrew Dunn on February 23, 2023 at 4:44 pm

      @Titanium Master I take regular release. Time release is thought to be more harmful on the liver. I suppose similar to how constantly snacking puts strain on your pancreas to keep producing insulin. Extended release is a continuous strain on the liver. The flush is obviously worse with regular release, but safe and I just sleep through it.

  10. Lynda Barry on February 23, 2023 at 1:08 pm

    I take it for migraine as it’s a vasa dilator and migraine goes – I take it daily in the mornings but during my walk, just slightly embarrassing due to looking like a tomato- only 50mgs is enough for me 😊

  11. Mike S on February 23, 2023 at 1:27 pm

    Thanks for the great videos. I’m new to fasting and eat two meals a day. At 12 and 430 and feel so much better than I used to. I’m wondering what your thoughts on fasting while doing multi day hikes. I typically would be eating frequently along the trail to keep my body fuelled. Would you recommend maintaining two meals a day or during these activities? Thanks again for the great videos and information.

  12. Daniel Boyce on February 23, 2023 at 1:44 pm

    Dr. Berg, I’ve lost 67lbs(now at 181lbs),but more importantly, by listening to your advice I have gained discipline and am now experimenting with the intensity levels of Intermittent Fasting and Keto. All the while I’ve been loosing about 5lbs a month.. It’s been effortless, just had to educate myself on Insulin Resistance and the rest has taken care of itself

  13. Don Rechtman on February 23, 2023 at 1:45 pm

    Something you hinted at is the principle of effective dose, the idea that there are three windows of consequence for any medication. Any drug (or vitamin) will have a window of ineffectiveness, a window of benefit or effectiveness, and a window of toxicity. In almost all cases this is dose-related–a dose that is too low will have no benefit; a dose above that window and below the toxic window will be beneficial. The RDAs for example are supposed to be in a range that matches that middle window. This also helps one understand the potentially severe side effects of some medications such as those used in chemotherapy–the benefits window is so small that it is easy for the therapeutic dose to cross over into the toxic window.
    In very sharp contrast, with only a few exceptions (iron, copper, vitamin D2, etc.) the benefits windows of supplements are quite large and permit relatively large doses without entering the toxicity window.

  14. mamineben on February 23, 2023 at 1:45 pm

    Great video 🙂 Since I have two problems (steatosis and high cholesterol). I bought both (Niacin 500mg and Niacinamide 250mg). I will take them alternately one day and the other. this way my body will have the benefit of both without having too much of both.

  15. Alia Wells on February 23, 2023 at 1:51 pm

    I always feel happier after I take niacin. I love it. This is my husband’s go to vitamin for anything. He believes it is a cure for almost anything. Gets a cold takes niacin and various other things. I use it for headaches. I take it regularly, but only after eating. Made the mistake of taking it without food and that was terrible for my stomach.

  16. comlbbeau on February 23, 2023 at 1:54 pm

    This is purely anecdotal, but after having a small squamous cell carcinoma removed from my forearm, my dermatologist recommended two 1000 mg tablets of niacinamide daily, which I took for about two years. You didn’t touch on recommended dosage, but this amount I was taking is 62 times the RDA as I understand it. I am older, in my early seventies, and thinning of the skin comes with the territory, but I noticed even the slightest brush with a thorn or small limb would result in bleeding, and any significant contact with an object with my hand or arm resulted in an almost immediate bruising. I also noticed an increase in heart rate. I recently took myself off the niacinamide and noticed these symptoms disappear in a matter of days. From the “for what it’s worth” department….

  17. Jeena Yo on February 23, 2023 at 2:00 pm

    Thanks to Dr. Berg. I have high cholesterol and LDL. I have been taking 100mg of Niacin. I don’t really experience the flush too much but I noticed that I experience itchiness for about 15-20minutes. It’s manageable though. I take it before I ho to bed. After 3 months, I’ll have another blood test and see if there is really a difference.😊 will update everyone on YT.

    • Shogun of Harlem on February 23, 2023 at 3:10 pm

      Take it with a fatty meal.

    • shaktishaker on February 23, 2023 at 4:28 pm

      Dosing generally has to be much higher to get ldl changes

    • KD on February 23, 2023 at 4:41 pm

      Some people take 100mg 3x per day.

  18. Lorrieonline on February 23, 2023 at 2:23 pm

    When I started taking Niacin, I thought there must have accidentally been gluten in something I ate. Seemed like an allergic reaction. When I realized it was just the Niacin flush and came to understand that it’s a beneficial reaction, I just take it after my evening meal and don’t worry about the flush.

  19. God's Servant on February 23, 2023 at 2:50 pm

    This answered questions I’ve had for years! Thanks Dr. Berg. 🌟 Also, I have been meaning to ask you to please do a video on the differences between natural B1 and Benfotamine, because of my type 1 diabetic child. Which one is best for what conditions, and should we go back and forth between the two? And will the body need higher doses with more advanced conditions? I have so many questions about B1 and Benfotamine. 🧐🤔Just not sure when to take which one. Thanks so much.😊

  20. HealthyFolks on February 23, 2023 at 4:17 pm

    Niacin and niacinamide are two forms of vitamin B3, which is an essential nutrient that plays an important role in many processes in the body, including energy production and DNA repair. While they are chemically similar, there are some important differences between niacin and niacinamide.

    One key difference is their effect on the body’s blood vessels. Niacin is known to cause a dilation of blood vessels, which can lead to a sensation of warmth and flushing of the skin, sometimes called the “niacin flush”. This effect is thought to be beneficial for cardiovascular health, as it can help to lower blood pressure and improve blood flow.

    In contrast, niacinamide does not have this effect on blood vessels and does not cause flushing. However, niacinamide has been shown to have its own unique health benefits. It has been found to be effective in treating a variety of skin conditions, such as acne, rosacea, and hyperpigmentation. It also has anti-inflammatory properties and has been studied for its potential to help manage conditions such as osteoarthritis and inflammatory bowel disease.

    So, while both niacin and niacinamide are forms of vitamin B3 and have some overlapping health benefits, they do have some distinct differences in their effects on the body.

    • lurdes rebollo on February 23, 2023 at 5:44 pm

      Entonces es correcto tomar ambas?

    • HealthyFolks on February 23, 2023 at 5:58 pm

      @lurdes rebollo Yes, it is generally safe to take both niacin and niacinamide together, as they are both forms of vitamin B3 and do not interact negatively with each other. In fact, some supplements and medications may contain both forms of vitamin B3 to provide a comprehensive range of benefits.

      However, it is important to note that high doses of niacin can cause side effects such as flushing, itching, and liver damage. These side effects are less common with niacinamide. Therefore, if you are considering taking niacin supplements, it is recommended that you consult with your healthcare provider to determine the appropriate dosage and to monitor for any potential side effects.

    • Greg Allen on February 23, 2023 at 6:34 pm

      Should Niacin be taken with or without food. My bottle doesn’t say

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