Dr. Saul offers a powerful example of how niacin can help address violent behavioral problems and/or attention deficit disorders:
"I knew a neighbor who had a boy who was really, really in trouble – constantly in trouble at school, constantly in trouble at home. He was violent. This was really serious. This was more than ADHD. I'm calling it ADHD, because that's what the boy's doctors called it. But the fact is it was far beyond that. Nevertheless, they gave him one of the usual drugs for attention deficit disorder, and it made him worse.
So now he was even more violent and even more psychotic. The parents were in a state as you can imagine; the kid's only 13, everything's falling apart at home. They learned about Dr. Hoffer's niacin approach. And because it was a child, they figured, 'Well, we'll start him at a lower level.' They gave him 1,500 milligrams a day of niacinamide.
Now, niacinamide and niacin have the same psychiatric benefits. They both work. The difference is niacin will cause a flush in almost everyone who takes it in quantity, especially for the first couple of weeks...
... The parents noticed an immediate improvement. Within days, the child was less angry. He was less troubled at school. He was less oppositional. He was less violent. They immediately figured that if a little helped, maybe more would help more. They wouldn't know unless they tried, and they had no other options. Again, medication was making him worse not better.
They took him totally off of his medication, and they increased his niacin to ultimately about 5,000 milligrams a day. They even got the boy's psychiatrist to prescribe niacin, so he could take it at school. The school nurse was giving the boy niacinamide twice a day at school, as well as at home. All of a sudden, calls were coming from the teachers, saying, 'The kid was just transformed. He was doing great.' At home, everything was better.
This young teenager was taking nearly 5,000 milligrams a day of niacinamide. Now, this is an important caution for people thinking of doing this. Niacinamide has a disadvantage, and that is it's more likely to cause nausea at very high doses. And the boy did start experiencing nausea at around 5,000 milligrams a day. So, what they did was cut back the niacinamide quantity and started giving him more niacin. He got used to the flush. Then he was able to take the full high dose."