Niacin (vitamin B3) was one of the first drugs that was ever used to improve cholesterol levels. It was frequently used with good results before the introduction of statin medications. Now it is common for conventional medical doctors to tell patients to stop taking niacin and take statins instead. When Statins for High Cholesterol Are Patient Incompatible In 2019, Lipitor was the most prescribed drug in the United States and is still considered the standard of care for anyone with an LDL over 100. Typical statins (lipid-lowering medications) include Crestor (rosuvastatin), Lipitor (atorvastatin), Zocor (simvastatin), Livalo (ptivistatin), Mevacor (lovastatin), and pravastatin (Pravachol). Statins work by blocking an enzyme called HMGCoA reductase. Unfortunately, this mechanism also blocks the body's production of coenzyme Q10. About 25% of patients are statin intolerant or do not fill their prescriptions. The most common symptoms I see are tendinitis, muscle pain, joint pain, elevated blood sugar, and cognitive difficulties. Recent studies point to less benefits from statins in the elderly. In patients who do not tolerate statins well I have had good results with lowering the dose of the statin medication and adding niacin. I sometimes use niacin alone or with a number of other natural...