Skip to the main content

Cholesterol and blood fats

Niacin (vitamin B3)and Total cholesterol

Only one source here so far, and it measured lower total cholesterol.

How sure anyone can be

Low certainty, level 2 of 4

Further research is likely to change this.

The numbers reported

-10 percent change
% relative reduction in total cholesterol with niacin (fibrates 11% in the same analysis)

None of these sources gave a likely range — the band the real answer probably sits in — so how precise these numbers are is still an open question here.

One source, newest first

What we read is the published abstract, not the full paper, so a blank below may still be printed in the paper itself. A fixed rule worked this out from the source’s own fields. Nobody checked this rating by hand.

  • Systematic review, 2005

    Low certainty, level 2 of 4

    Efficacy and safety of high-density lipoprotein cholesterol-increasing compounds: a meta-analysis of randomized controlled trials.

    J Am Coll Cardiol. 2005;45(2):185-97. doi:10.1016/j.jacc.2004.10.031. PMID:15653014.

    Number reported
    -10 percent change
    Which way it went
    Lower
    Likely range
    Not in the abstract
    Source’s own words
    % relative reduction in total cholesterol with niacin (fibrates 11% in the same analysis)
    Who was studied
    Adult
    Compared with
    trial control arms
    Amount taken
    Not in the abstract
    For how long
    Not in the abstract
    Disagreement between studies
    random-effects model; no I2 or CI given for the lipid percentages
    Kind of record
    Journal article
    How this rating was reachedstarts at High, 2 steps down: risk of bias and imprecision
    1. Starts at High
    2. Risk of bias brought it down to Moderatethe abstract reports no risk-of-bias or quality appraisal, so study limitations cannot be ruled outNot in the abstract
    3. Imprecision brought it down to Lowthe abstract reports no confidence interval for the estimateNot in the abstract
    4. Ends at Low2 steps down.
    Checked, nothing to step it down for
    indirectness
    Inconsistency
    No disagreement reported, and no count of studies behind it

    Imprecision stops at the first check that applies; others may apply too.

    AI-reviewed & signed — an AI agent re-read this finding against the saved source and checked that the quote, the numbers, the units and the direction match it. No person read it. The owner authorised the agent to sign the batch with the owner's key, and every build rechecks that signature against these exact bytes.

    Read the abstract on PubMed

What is still missing from these readings

  • One gives no likely range, so how precise that number is is unknown.
  • One do not say how many people took part.
  • Amount taken — Not in the abstract.
  • For how long — Not in the abstract.

Something nobody wrote down is never a zero and never a guess.

Nothing left on our list for Niacin (vitamin B3)

All four things on our list for Niacin (vitamin B3) have been read. That is rare here.

Still to read means nobody here has got to it, not that it was tried and did nothing or that no research exists. A pairing on no list is not a gap: we never set out to read it.

Read next

This is a library, not advice. No recommendation, no dose, no diagnosis, no ranking. We never ask about your symptoms, and nothing here is tailored to you.