Discovering an effective vitamin B3-based treatment for reducing skin cancer in Veterans

A VA study has shed new light on the effectiveness of nicotinamide, a form of vitamin B3, in reducing skin cancer development.

The study involved over 12,000 patients over 25 years who had previously been exposed to nicotinamide, the dietary supplement, and had at least one prior type of skin cancer. This large sample size helped the research team perform a comprehensive analysis, using factors like demographics and the number of skin cancers Veterans had.

“Not only did we find an overall 14% reduced risk of developing new skin cancers… but we also discovered that patients who started nicotinamide after their first skin cancer saw a 54% reduction in the rate of new skin cancers,” said Dr. Lee Wheless, a VA Tennessee Valley Healthcare System staff physician and Vanderbilt University assistant professor of dermatology.

Previous research showed that Veterans have about a 70% increased risk of developing skin cancers compared to non-Veterans. According to Wheless, Veterans are a very high-risk population when it comes to dermatological conditions.

“This is an important study for Veterans given the large number who work in jobs that have significant sun exposure or other risk factors for skin cancer,” Associate Chief of Staff of Research and Development Dr. Stokes Peebles said. “There are very few interventions which can reduce the risk of recurrent cancer by such a large percentage.”

The future of skin cancer treatment

Given the increased risk of skin cancer among Veterans, this study highlights the potential for affordable treatment options.  

“We have patients that can get over 100 skin cancers, and that’s a lot of individual cancers to be treating, a lot of surgeries, and a lot of time healing from all,” Wheless said. “If we can reduce the rate of skin cancers by 50%, if a patient normally is getting, say 10 skin cancers per year… That’s five fewer surgeries and a major impact on that patient’s life.”

Looking ahead, Dr. Wheless wants to advance precision medicine in skin cancer treatment, ensuring the right treatment reaches the right patient at the right time.

“We’re really hopeful that we can reduce the number of skin cancers that we see in VA system,” he added. 

Read the full study.

It’s never too late to apply for VA health care you’ve earned. If you are a Veteran or know a Veteran who has not yet applied for their VA health care benefits, learn how to get started.


This article was originally published on the VA Tennessee Valley Healthcare System and has been edited for style and clarity.  

Topics in this story

Link Disclaimer

This page includes links to other websites outside our control and jurisdiction. VA is not responsible for the privacy practices or the content of non-VA Web sites. We encourage you to review the privacy policy or terms and conditions of those sites to fully understand what information is collected and how it is used.

Leave a comment

The comments section is for opinions and feedback on this particular article; this is not a customer support channel. If you are looking for assistance, please visit Ask VA or call 1-800-698-2411. Please, never put personally identifiable information (SSAN, address, phone number, etc.) or protected health information into the form — it will be deleted for your protection.

One Comment

  1. Glenn E. Whaley December 29, 2025 at 14:20 - Reply

    I was stationed at Yuma Proving Grounds I believe in 1964-65, and my military police duty was to stand guard and keep everyone away from these large burn pit areas where chemical are burned. I did this for over 3 or 4 months, mostly 3rd shift, night time, and I wound up very sick, with pealing face skin an infection that kept me in bed initially for around 2 or 3 weeks. After being sick, and not getting better, was assigned to the Provost Marshall office, and after several months got somewhat better and was assigned to other locations including Korea. In Korea, was assigned in Provost Marshall office.
    FYI, My face and head area still has a rash but not as much as Yuma originally, that I’ve been trying to care every since exposed to these large burn pits. It took awhile originally to get sick but then it take a long time to get better. I my opinion, the VA did not care at that time and had to battle this myself.

Leave A Comment

More Stories