★★★★★
Also tried spirolactone for1 year no help. No acne topical, no oral or topical antibiotics worked, gluten free 1 year no worked. Dermatologist two visits in 5 years only shame you. So I have used oral niacin 2x 500mg per day and it has prevented cysts. it did not help healing the existing one sore I had but did prevent new ones.
As a scientist, I am trying to figure out how niacin works for my skin. I am in great health otherwise_ athletic and real food. Are the sores a result of pellagra? Any thoughts?
Anxiety, Cystic Acne, Acne Scars
★★★★★
Anyway, as I was increasing my dose, I discovered that my cystic acne was going away. Up til then I had horribly painful deep cysts that would persist longer than regular acne. I also noticed that the cysts I had once developed on my upper thighs and even sometimes my armpits were COMPLETELY gone. I have not had them since. And like I said, that was 8 years ago when I started.
Now, PLEASE do your research about niacin first. While I have never had any issues with it (aside from accidentally taking time release niacin which raised my liver enzymes and caused my ankles to swell - very scary. Once I stopped it, all went back to normal), it does cause a flush. This flush can be anywhere from a slight warmth to feeling like a bad sunburn. It can take 15 minutes to an hour to pass. That is why I started at a VERY low dose and very gradually worked up.
I took the 25mg 3x a day and increased by 25mg per dose every 2-3weeks. I only started flushing when I started taking 50-100mg each dose. I believe it detours the liver and that may have something to do with it getting rid of the acne. I RARELY even have a pimple now when prior to starting it, I had a horrible pizza face with redness and discoloration from the scarring.
My scarring is 95% gone too. I'm sorry for the long post but felt this was a good one to share. Again, I ONLY use pure niacin (flush niacin), not niacinamide and definitely not time release niacin. Those two are dangerous to the liver from what I've read.