In my ongoing quest to perfect my approach to managing my health issues, my doctor and I agreed 2 months ago to try doubling the dosage of Niacin that I take daily. The goal was to further reduce my triglycerides. The good news is it worked, cutting them by a third and bringing them into a comfortable range. The bad news is, it also scoured my system of 1/4 of the HDL I had been getting the two previous tests, dropping me to 30 from 39 – I have been struggling desperately to get that number up over 40 so this was a major bummer. Back to 500mg Niacin twice daily instead of 1000mg, and possibly this means some form of statin for me in the coming months, something which I have been trying really hard to not do. Sigh. One step forward, one back.