The first positive thing I'm seeing is DD3's acne is clearing up. Majorly. That is a biggie! She's actually taking her Niacin willingly now. For a teen's acne to clear up is big plus for her. But her mood is still stormy, though she seems happier. She is also admitting spotting, but doesn't seem to be that bothered by it.

So yesterday I had .75 g, a half tablet after breakfast and a tablet during supper and had a strong flush about an hour afterwards, though the day before when I had a tablet and a half after supper just a sleepy warm feeling. What gives with that! I will try having a half tablet at lunch also.

Looking through the studies, problems seem to occur with use of slow release types, but also in doses above 3 g daily. I see no reason to go to that high a level unless one was schizophrenic which is not the case here. We're seeing beneficial results with 500 mg.