Alcoholism and niacin

The relationship of Bill W., one of the founders of Alcoholics Anonymous, with niacin therapy is controversial. I first became aware of Bill W. and A.A. in Dr. Abram Hoffer’s book How to Live with Schizophrenia. ‘PASS IT ON’ the biography of Bill Wilson also discusses this chapter in A.A.’s development.

Dr. Abram Hoffer used megadoses of niacin to treat his schizophrenic and alcoholic patients because his research indicated that they were suffering from a vitamin B3 deficiency, similar to what is seen with pellagra. Pellagra is cured by introducing B3 into the diet just like scurvy is cured by ingesting vitamin C. One indication of a possible vitamin B3 deficiency is nicotine or alcohol addiction, another is severe acne.

I wish I had known about vitamin B3 when Chris developed severe acne as a teenager. Instead, I put him on medication. There may be no causal connection whatsoever, but within a few months of going off the medication, Chris was starting to develop psychosis. He may have already been developing early signs of psychosis due to the acne.

Vitamin B3 also lowers blood cholesterol. I can personally attest to this. I take 3 grams of niacinimide every day and six grams of vitamin C, along with a B complex vitamin. Every two years I see the company medical service for a check-up. The doctor remarks that while my good cholesterol is somewhat elevated, my “bad” cholesterol readings are the lowest she has ever seen.

I am a big fan on megavitamin therapy because I have personally experienced the results. So it is a bit troubling to read that Bill W., who also found niacin therapy very helpful in treating his addictions, parted ways with A.A. over niacin.

‘PASS IT ON’ describes the rift that developed over Bill W. endorsing a product or ethos that was outside of A.A.’s considered mandate. Now, apart from the fact that Bill W. may have been overzealous in trying to convert others in the organization to the benefits of niacin, I question why an organization dedicated to helping people with alcohol problems wouldn’t be more open-minded on the subject of vitamin therapy. Vitamins are not patented. You can buy whatever brand of niacin and vitamin C you choose, and they will all be more or less the same. Bill W. didn’t appear to be saying that A.A. should be aligning itself with a certain vitamin producing company or brand of vitamins. He was saying that A. A. could be aligning itself with the belief that alcoholics could also improve their health with niacin.

Having read both Dr. Hoffer’s and A.A.’s book, I now understand how the alcoholism came to be viewed as a disease. Prior to the vitamin research done in the 1940s, alcoholism was viewed as a moral weaknesses. The beginnings of A.A. grew out of the Oxford Group, which took a more Christian attitude to the problems of alcoholism. Indeed, it was Carl Jung who advised Roland H. to find a religious experience if he was ever going to beat this. Bill W. got quite far in his recovery from alcoholism by subscribing to the A.A. 12 steps, but he also became interested in the biochemical model of alcoholism when he met Doctors Hoffer and Osmond, who had initially introduced him to LSD. He felt that the LSD experience was beneficial, and he further benefited from the niacin work done by the same doctors.

To me, Bill W. was doing what responsible people should when it comes to their own health, which is to be open-minded to more than one intervention. A.A. embraced the alcoholism as disease concept, but fell short of presenting further information to its members about vitamins that they could choose to follow or not. There is a lesson here about organizations and your freedom to choose. Take the best of what they can offer, but keep in mind that your allegiance is to your own health. There will often be a conflict.

Acne

Can psychosis be kick-started by taking certain prescription medications? We all know that recreational drug use can bring on psychosis, so why not prescription meds?

When Chris was about sixteen, he had severe acne. This, according to Dr. Abram Hoffer, is also a sign of pellagra (vitamin B deficiency). He noticed that many of his schizophrenic patients reported having severe acne as a teenager, therefore he concluded that vitamin B deficiency is associated with schizophrenia.

Not thinking much about it at the time, and on my friend’s suggestion, Chris started taking a certain acne drug. It cleared up his acne in no time, but it also was so strong that it caused the skin on his lips to literally flake off. After taking it for a couple of months, he stopped. About a year later (or was it only six months? I can’t exactly remember), he started showing early signs of psychosis.

Maybe there is no connection to taking the drug and his later psychosis. One can really never know for sure about this things. Many young men who aren’t taking medication begin to develop psychosis around the age of 18. Still, it is a powerful drug. So is angel dust, and marijuana, and cocaine and . . .

Dr. Carl Pfeiffer’s 29 medical causes of schizophrenia

When people first fall into the rabbit hole of schizophrenia, the logical question to ask is “what causes schizophrenia?” A psychiatrist’s standard answer to this question is that “nobody knows” what causes it and then, rather inexplicably will hasten to add “but there are good treatments available to manage it”. Technically, the psychiatrist is correct, at least as far as the cause goes, because no medical explanation has yet evolved to apply in a general sense to all of its victims.

As a parent, I want to know what causes my child’s schizophrenia. I’m not interested in schizophrenia in a population.

A lady I am acquainted with was convinced that a particular acne medication may have triggered her sixteen year old daughter’s psychosis. The doctor told her that her daughter’s psychosis was of unknown origin. She was very, very angry because she felt the doctor patronized her by denying possible causality in the case of the acne medication. It is also patronizing of a doctor to believe that he or she knows more than the mother or father as to what makes their child tick.

It is difficult to say what causes psychosis in a particular individual because there may be multiple factors involved, but that is not to say that one shouldn’t look for cause. I am convinced that from knowing cause comes cure. Cure is a word that you are not supposed to use in the context of schizophrenia.

In his book Nutrition and Mental Illness, Dr. Carl Pfeiffer states that there are 29 medical causes of schizophrenia, ranging from pellagra to drug intoxications, to heavy metal toxicity, to wheat-gluten insensitivity, to chronic candidiasis, to a host of other rare and not so rare ailments. That does not necessarily mean that your schizophrenia can be pinned down to one of these 29 medical causes. What I find incredible is that no doctor in Chris’s hospitals bothered to ask me if there was a family history of any of these ailments or called for tests to rule them out.

It is worth noting that Dr. Pfeiffer is referring to 29 “medical” causes of schizophrenia. Half the fun of schizophrenia is figuring out the non-medical, i.e. psychological causes of schizophrenia. Understanding and treating the emotional underpinnings of schizophrenia has been pushed aside over the past few decades in favor of the biochemical model. I am getting ahead of myself here. There will be plenty of time to delve into this fascinating subject in later blogs.

Trauma in suburbia

The trauma or shock basis of schizophrenia seems to be accepted by the holistic medical community but does not get a lot of play in the mainstream medical community. In fact, no medical doctor we consulted ever raised the issue with us. What they did say was a little different. I remember being asked by two different doctors what Chris was like at the age of ten. This seemed like a strange question at the time. I was too shell-shocked myself from the diagnosis to ask them why they raised the question. So, instead I answered,”well, uh, let’s see. He was overweight and into playing Magic cards. Other than that, there’s not much to report. He had friends, he seemed normal”.

After learning about the role of shock in schizophrenia, I reviewed Chris’s childhood for signs of shock, but nothing I could think of pointed to a dramatic, isolating event. We lived in suburbia – how dramatic is that? We went to church, my husband and I hadn’t divorced, Chris and his brothers attended Cub Scouts, we had neighborhood boys tearing through the house in great numbers. It seemed white bread boring compared to the kind of shock that schizophrenia produces on the radar screen.

What I do know is this: Chris was a ten month pregnancy and he barely moved in utero. That is unusual. His birth was long and difficult. He didn’t have a lot of energy as a child but he also never got sick. He was abnormally healthy, almost supernaturally so. I did find it a bit strange that a child who never even had a cold developed severe acne as a teenager. Dr. Abram Hoffer observes that his patients tended never to be sick as children and that many people who subsequently develop schizophrenia had severe acne in their teenage years. (Severe acne is characteristic of pellagra, or lack of vitamin B3.)

Chris was not given to emotional outbursts and apart from crying as a baby I remember seeing him cry only once when a door slammed on his finger. He had trouble making choices and he avoided confrontation. He left it to others to choose for him. Me: “Carrots or peas, Chris?” He: “Oh, I don’t care, you decide.” While this was troubling, it wasn’t so troubling that we thought about doing something about it. Chris was a thinker and he was musically talented. He did well in school and he had interests and activities so we overlooked this aspect of his personality, hoping that time would rectify it. I remember thinking, this kid is too perfect. Being perfect was troubling, even then. I felt we were overdue somehow for “the big one.”