Skin Cancer Prevention: Early Supplement Use Boosts Protection
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nicotinamide Supplementation Substantially Reduces Risk of Recurrent Skin Cancer
Patients who began taking nicotinamide, a form of vitamin B3, after a first skin cancer diagnosis experienced a more than 50% reduction in their risk of developing subsequent cancers, according to a recent study.the research, published in JAMA Dermatology on February 14, 2024, followed over 33,000 veterans.
The study, led by Lee Wheless, M.D., Ph.D., assistant professor of dermatology at Vanderbilt University Medical Center, found that patients initiating nicotinamide treatment after their initial skin cancer diagnosis saw a 54% decrease in risk. The benefit diminished significantly with delays in starting the supplement,highlighting the importance of early intervention.
Study Details and Methodology
Researchers analyzed data from 33,242 veterans diagnosed with basal cell carcinoma or squamous cell carcinoma-the two most common types of skin cancer-between 2005 and 2018. the study tracked whether patients initiated nicotinamide supplementation after their initial diagnosis and monitored for the growth of subsequent skin cancers. Data was obtained from the Veterans Affairs healthcare system.
| Outcome | Nicotinamide Users | Non-Users |
|---|---|---|
| Risk Reduction | 54% | 0% (baseline) |
| Number of Participants | 10,148 | 23,094 |
| Follow-up Period (average) | Approximately 6 years | Approximately 6 years |
The study controlled for factors such as age,sex,race,smoking status,and other medical conditions to isolate the effect of nicotinamide. The researchers noted that approximately 75% of dermatologic surgeons already recommend nicotinamide for skin cancer prevention, but lacked clear guidance on optimal timing.
Why Timing Matters
The study’s findings underscore the importance of initiating nicotinamide supplementation as soon as possible after a skin cancer diagnosis. The protective effect was most pronounced in patients who started taking the supplement shortly after their first cancer was detected. The benefit decreased substantially for those who waited until they had developed multiple skin cancers.
“This study provides strong evidence that nicotinamide can be a valuable tool in
