Back to Vitamins & Minerals
Vitamins & Minerals

NAD+ PrecursorsEvidence & Dosage

NMN, NR, NAD+, aging biology and evidence landscape.

Studies last updated

Evidence at a glance

Total studies
1,000
With abstract
50
Meta / Systematic / RCT
32
Highly cited
44
Publication years
1999–2026

NAD+ Precursors in the context of Vitamins & Minerals

This topic is part of our "Vitamins & Minerals" world. There you'll find methodology, evidence and the highest-impact levers — plus the order in which they sensibly build on each other.

Go to Vitamins & Minerals

Top studies on NAD+ Precursors

Ranked by influential-citation count and publication year.

  1. NAD⁺ in aging, metabolism, and neurodegeneration.

    Science2015Review200 influential citations

    Nicotinamide adenine dinucleotide (NAD(+)) is a coenzyme found in all living cells. It serves both as a critical coenzyme for enzymes that fuel reduction-oxidation reactions, carrying electrons from one reaction to another, and as a…

  2. The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults: a randomized, multicenter, double-blind, placebo-controlled, parallel-group, dose-dependent clinical trial.

    Geroscience2023n=80rct145 influential citations

    In animal studies, β-nicotinamide mononucleotide (NMN) supplementation increases nicotinamide adenine dinucleotide (NAD) concentrations and improves healthspan and lifespan with great safety. However, it is unclear if these effects…

  3. A terminal metabolite of niacin promotes vascular inflammation and contributes to cardiovascular disease risk.

    Nat Med2024n=1,162Meta-Analysis142 influential citations

    Despite intensive preventive cardiovascular disease (CVD) efforts, substantial residual CVD risk remains even for individuals receiving all guideline-recommended interventions. Niacin is an essential micronutrient fortified in food…

  4. Regulation of and challenges in targeting NAD(+) metabolism.

    Nat Rev Mol Cell Biol2024Review136 influential citations

    Nicotinamide adenine dinucleotide, in its oxidized (NAD<sup>+</sup>) and reduced (NADH) forms, is a reduction-oxidation (redox) co-factor and substrate for signalling enzymes that have essential roles in metabolism. The recognition that…

  5. The Safety and Antiaging Effects of Nicotinamide Mononucleotide in Human Clinical Trials: an Update.

    Adv Nutr2023n=10review95 influential citations

    The importance of nicotinamide adenine dinucleotide (NAD+) in human physiology is well recognized. As the NAD+ concentration in human skin, blood, liver, muscle, and brain are thought to decrease with age, finding ways to increase NAD+…

  6. Roles of NAD(+) in Health and Aging.

    Cold Spring Harb Perspect Med2024Review64 influential citations

    NAD<sup>+</sup>, the essential metabolite involved in multiple reactions such as the regulation of cellular metabolism, energy production, DNA repair, mitophagy and autophagy, inflammation, and neuronal function, has been the subject of…

    Finding: NAD+ levels decline with aging and in some age-related diseases.

  7. Comparative effects of vitamin and mineral supplements in the management of type 2 diabetes in primary care: A systematic review and network meta-analysis of randomized controlled trials.

    Pharmacol Res2023n=142Meta-Analysis59 influential citations

    Medical nutrition treatment can manage diabetes and slow or prevent its complications. The comparative effects of micronutrient supplements, however, have not yet been well established. We aimed at evaluating the comparative effects of…

    Finding: In this systematic review and network meta-analysis, chromium supplements ranked best for reducing fasting blood glucose levels and homeostasis model assessment of insulin resistance.

  8. Dynamic changes in metabolites of the kynurenine pathway in Alzheimer's disease, Parkinson's disease, and Huntington's disease: A systematic Review and meta-analysis.

    Front Immunol2022n=689Meta-Analysis57 influential citations

    Background Tryptophan (TRP) is an essential amino acid that must be provided in the diet. The kynurenine pathway (KP) is the main route of TRP catabolism into nicotinamide adenosine dinucleotide (NAD + ), and metabolites of this pathway…

  9. A randomized placebo-controlled trial of nicotinamide riboside in older adults with mild cognitive impairment.

    GeroScience2024B57 influential citations

    Nicotinamide riboside (NR) increases blood levels of NAD+, a cofactor central to energy metabolism, and improves brain function in some rodent models of neurodegeneration. We conducted a placebo-controlled randomized pilot study with the…

  10. Nicotinamide riboside for peripheral artery disease: the NICE randomized clinical trial.

    Nature communications2024n=90B53 influential citations

    People with lower extremity peripheral artery disease (PAD) have increased oxidative stress, impaired mitochondrial activity, and poor walking performance. NAD+ reduces oxidative stress&#xa0;and is an essential cofactor for mitochondrial…

Frequently asked

What dosage was studied?
• NAD(+) precursors / modulation of NAD(+) usage or production (not reported) • β-nicotinamide mononucleotide (NMN) supplementation (300 mg/day, 600 mg/day, or 900 mg/day orally) • Exposure to terminal niacin metabolites (2PY and 4PY); mechanistic treatment with physiological 4PY in mice
Which population does the evidence apply to?
Most studies investigated: unknown; animal.
Are there safety considerations for NAD+ Precursors?
• Not reported. • No adverse events were observed in the 600 mg and 900 mg NMN groups. • All reported adverse events were mild or moderate. • No serious adverse events were reported.

Related articles

More topics in Vitamins & Minerals

Magnesium

Magnesium types, sleep, cramps, stress, and dosage.

Creatine Monohydrate

Power, muscle building, cognition, and safety of creatine.

Ashwagandha

Stress, sleep, cortisol, and possible side effects.

Melatonin Optimization

Melatonin needs, dosing (0.3-5 mg), extended-release forms, circadian rhythm, and long-term safety considerations.

Caffeine + L-Theanine

Caffeine, L-Theanine, focus, alertness and tolerance.

Omega-3 Fatty Acids

EPA, DHA, ALA: daily needs, sources (fish, algae), Omega-3 index as biomarker, and cardiovascular RCT data.

Vitamin Optimization

Vitamin optimization strategies: needs assessment, bioavailability, synergies, and safety upper limits for the most relevant micronutrients.

Melatonin Signaling

Melatonin as a multi-system hormone: antioxidant, immunomodulatory, mitochondrial, and neuroprotective effects beyond sleep.

Animal vs Human Studies

Mouse ≠ human — translatability from resveratrol to rapamycin is shaky.

Bias

Sponsorship, selection bias, confirmation bias, industry funding.

Cardiovascular System

Blood pressure, heart rate, endothelium, cholesterol, cardiovascular risk factors.

Contraindications

When something must NOT be taken: pregnancy, pre-existing conditions.

Coenzyme Q10 (CoQ10 / Ubiquinol)

Mitochondria, statins, energy, and cardiovascular outcomes.

Correlation vs Causation

The classic misinterpretation of popular health studies.

Curcumin

Inflammation, bioavailability (piperine), turmeric extracts, and clinical outcomes.

Digestive System

Stomach acid, enzymes, absorption, the gut-brain axis, the microbiome.

Effect Size

p-value vs. practical relevance, Cohen's d, confidence intervals.

Ferritin & Iron

Ferritin, transferrin saturation, iron deficiency vs. iron overload.

Glutathione

Master antioxidant, liposomal vs. NAC forms and detoxification.

Immune System

Innate vs. adaptive immunity, inflammation, autoimmunity.

Related topics from other worlds