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In the 1910s, Dr. Joseph Goldberger, a U.S. Public Health Service medical officer, was investigating the mystery of pellagra. This debilitating disease was sweeping South Carolina and other parts of the world, leaving a trail of severe symptoms: rough, scaly skin, digestive issues, and mental disturbances, with a fatality rate of 40 percent. Tens of thousands were affected, and the cause was a mystery. Most thought it was an infectious disease.
Goldberger suspected pellagra wasn't caused by a germ but by something missing from people's diets. By restricting corn and adding foods like fresh milk, buttermilk, eggs, beans, and peas to the diets of pellagra patients, Goldberger showed the symptoms could be reversed. But what was the magic ingredient in these foods?
Years later, a biochemist identified niacin as the specific factor behind this dietary solution. It turns out that niacin was the key to preventing pellagra and restoring health.
Special Talents
Niacin has many talents and roles, but a few main ones are highlighted below.
1. Energizer
Niacin is the star player in your body's grand energy production team. Fats, carbohydrates, and specific proteins are broken down into energy when you eat. Turning these foods into usable energy is where niacin truly shines. In the presence of oxygen, these nutrients travel through a series of pathways to transform the food you eat into energy, known as adenosine triphosphate (ATP), which powers nearly everything you do, from thinking to moving.
ATP is in constant demand but exists in only small, rapidly depleted amounts. To keep us alive, our cells must regenerate ATP continuously—and that's where niacin steps in as a genuine "energizer." Niacin, in the form of nicotinamide adenine dinucleotide (NAD), acts as the critical energy carrier in the pathways that convert nutrients into ATP, ensuring that despite our limited ATP stores, we always have a fresh supply ready to fuel every heartbeat, every breath, and every thought.
Without niacin, the body's energy production would cease, making this nutrient essential for sustaining life itself.