StackTerminal.Health

BETA

NAD+

Nicotinamide adenine dinucleotide precursor supplementation to support cellular energy metabolism & longevity pathways.

goal:longevity-metabolic-cardiovasculargoal:longevitygoal:healthspangoal:metabolicconstraint:drug-test-safeevidence:moderatestudy:rctpop:general-healthy-adultsform:other
Evidence last reviewed: 04 Apr 2026
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Evidence
3 records
NAD+ precursor biology & bioavailability in human tissue
General adults; review of human studiesSystematic review / mechanistic review
PUBMEDModerate

Supports precursor-to-NAD biology; NR & NMN reliably raise blood NAD+ levels in humans, but whether NAD+ product supplementation (as opposed to precursors) is bioequivalent remains unclear. Evidence does not necessarily establish NAD+ product equivalence.

Dose:
Key mechanistic reference for NAD+ precursor biology.
NAD+ metabolome & aging in humans (NR supplementation)
Healthy adults; aging cohortsRandomized controlled trial
PUBMEDModerate

Nicotinamide riboside (NR) supplementation significantly increased whole-blood NAD+ & related metabolites; effects on downstream aging biomarkers were modest & variable across individuals.

Dose: Form: Nicotinamide Riboside
Nat Commun 2023; doi verified.
Blood NAD+ elevation & physical performance (NMN supplementation)
Healthy middle-aged adults (n=80)Randomized, multicenter, double-blind, placebo-controlled, dose-dependent clinical trial
PUBMEDModerate

NMN at 300, 600, or 900 mg/day for 60 days significantly increased blood NAD+ vs placebo (p≤0.001). Six-minute walk distance improved significantly at 600–900 mg. Biological age remained stable in NMN groups while increasing in placebo. Well tolerated with no adverse events.

Dose: 600 mgDuration: 60 days
Dose-dependent NAD+ elevation; clinical significance of performance improvements needs replication in larger trials.

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