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Key Facts about Vitamin B3

Feb. 26, 2026

Scientists recently discovered that vitamin B3 supplementation, when tested in mice, can successfully treat a devastating genetic disease known as NAXD deficiency.

About Vitamin B3:

  • Vitamin B3, or Niacin, is a water-soluble vitamin.
  • Niacin is naturally present in many foods, added to some food products, and available as a dietary supplement.
  • There are two main chemical forms of niacin:
    • nicotinic acid
    • niacinamide (sometimes called nicotinamide)
  • Your body gets niacin through food, but it also makes small amounts from the amino acid tryptophan, which can be found in protein sources like turkey and other animal foods.
  • Function:
    • Niacin works in the body as a coenzyme, with enzymes dependent on it for various reactions.
    • Niacin helps to convert nutrients into energy, create cholesterol and fats, create and repair DNA, and exert antioxidant effects.
  • Food Sources: A niacin deficiency is rare because it is found in many foods, both from animals and plants.
    • Red meat: beef, beef liver, pork
    • Poultry
    • Fish
    • Brown rice
    • Fortified cereals and breads
    • Nuts, seeds
    • Legumes
    • Bananas
  • Deficiency:
  • A severe niacin deficiency leads to pellagra, a condition that causes a dark, sometimes scaly rash to develop on skin areas exposed to sunlight; bright redness of the tongue; and constipation/diarrhea.
  • Other signs of severe niacin deficiency include:
    • Depression
    • Headache
    • Fatigue
    • Memory loss
    • Hallucinations

What is NAD(P)HX dehydratase (NAXD)?

  • It is an essential cellular enzyme that helps repair damaged forms of key metabolic molecules, ensuring normal energy production and cell survival.
  • NAXD deficiency is a rare neurometabolic disease with infantile onset marked by repeated episodes of developmental regression and progressive neurodegeneration, often triggered by febrile illnesses.
  • Clinical features include lethargy, hypotonia, irritability, gait ataxia, loss of speech, movement disorders, seizures, ophthalmoplegia, and hearing loss.

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