Pellagra (Niacin Deficiency)

Pellagra is a deficiency disease — a lack of niacin that announces itself through a triad known in medicine as the "three Ds": dermatitis, diarrhea, dementia. Skin, gut, mind — three levels eroding simultaneously. The skin becomes rough, cracked, inflamed — especially where sunlight touches it. The digestive tract rebels. And the nervous system begins to waver: confusion, irritability, and eventually the deterioration of mental clarity.

Medically, the matter is clear: niacin is missing, so niacin must be supplied. But the psychosomatic perspective asks deeper. Why is something so fundamental missing? Why can your system not absorb what it needs — or why does it consume more than it receives? And above all: what does this deficiency show you about the way you treat yourself?

Pellagra is not coincidence — it is the physical image of a person who is consuming themselves.