Kaufman's niacinamide osteoarthritis protocol
Dr. William Kaufman treated osteoarthritis patients during the 1930s–40s, observing that both nicotinic acid and niacinamide reversed joint degeneration. He discovered that smaller, more frequent doses (e.g., 250 mg every 1.5–2 hours) were better tolerated and more effective than larger, less frequent ones. Patients regained joint mobility after about two months. Kaufman combined the niacinamide with vitamins C, B1, B2, A, and D3, and advocated dietary changes. He regarded osteoarthritis as a vitamin deficiency disease, specifically a niacinamide deficiency, and urged starting therapy as early as possible. The protocol was remarkably cheap and avoided all pharmaceutical anti-inflammatories. Czerniak notes that today such a protocol would likely result in a loss of medical license because it challenges the pharmaceutical paradigm.
Niacinamide is a direct precursor to NAD+ (nicotinamide adenine dinucleotide), which is a cofactor in over 500 enzymatic reactions, including those involved in DNA repair (PARP enzymes) and cellular energy metabolism. In joints, sufficient NAD+ is required for cartilage maintenance and repair. The frequent dosing ensures a constant supply of the precursor as NAD+ has a rapid turnover. Additionally, niacinamide influences the sirtuin pathways, which regulate inflammation and cellular aging, potentially reducing the inflammatory component of osteoarthritis.
stosowana była nawet co półtorej do dwóch godzin stosował od 400 do 4000 mg dziennie i nawet jako pierwszy lekarz zastosował dawkę 5000 mg witaminy PP dziennie po jny DW miesiącach poprawiła się mobilność stawów

