Nad Plus: Safety Profile & Research Summary
Preclinical Research Summary
Key Preclinical Studies
| Study | Model | Key Findings | Ref |
|---|---|---|---|
| Mills et al. (2016) | C57BL/6N mice — NMN 100–300 mg/kg/day oral × 12 mo | Suppressed weight gain ~10% (p<0.001); increased energy expenditure; improved insulin sensitivity; no obvious toxicity | [17] |
| Das et al. (2018) | Elderly C57BL/6 mice — NMN 500 mg/kg/day oral × 28d | Capillary density restored to young-mouse levels; endurance improved 80% via SIRT1-dependent vascular rejuvenation | [14] |
| Hou et al. (2018) | 3xTgAD Alzheimer's mice — NMN 100 mg/kg SC × 28d–3mo | Decreased Aβ oligomers; restored spatial memory in water maze tasks | [2] |
| Zhang et al. (2016) | Aged C57BL/6 mice — NR 400 mg/kg/day oral × ~6mo | Extended median lifespan 5% (p<0.05); enhanced muscle stem cell function; increased grip strength | [9] |
| Cantó et al. (2012) | HFD mice — NR 400 mg/kg/day oral × 8–12 wk | Prevented weight gain (40% less than controls); increased thermogenesis | [11] |
| Ying/Won (2007/2012) | Rat ischemia — NAD+ 10–20 mg/kg intranasal × 2h post-injury | Reduced infarct volume (p<0.01); bypasses BBB; profound neuroprotection | [15] |
| Tarragó et al. (2018) | Aged mice (32 mo) — 78c (CD38 inhibitor) oral | Increased NAD+ in liver/muscle/heart; improved glucose tolerance | [8] |
Human Clinical Data: NMN Trials
| Trial | Population | Dose/Route | Key Results | Ref |
|---|---|---|---|---|
| Christen et al. (2025) | n=65 healthy adults | 1000 mg NMN vs NR vs NAM × 14d | NMN and NR: NAD+ ↑~2-fold; NAM did NOT increase; gut bacteria convert NMN/NR → NA → NAD+ | [4] |
| Yoshino et al. (2021) | n=25 prediabetic women | 250 mg NMN oral × 10 wk | Muscle insulin sensitivity ↑25% (AKT/mTOR phosphorylation); no AEs | [10] |
| Igarashi et al. (2022) | n=42 men ≥65y | 250 mg NMN oral × 12 wk | Improved gait speed, left grip strength; hearing improved; safe | [18] |
| Liao et al. (2021) | n=48 amateur runners | 300/600/1200 mg NMN × 6 wk | Dose-dependent VO₂ improvement (VT1, VT2) at 600/1200 mg | [16] |
| Yi et al. (2023) | n=80 adults 40–65y | 300/600/900 mg NMN × 60d | NAD+ ↑3–6-fold; 6MWT ↑~1.5-fold (600/900 mg); biological age unchanged vs ↑ in placebo | [19] |
| Pencina et al. (2023) | n=32 overweight 55–80y | MIB-626 1000–2000 mg × 14–28d | NAD+ metabolites ↑200-fold; body weight and diastolic BP decreased | [20] |
Human Clinical Data: NR Trials
| Trial | Population | Dose/Route | Key Results | Ref |
|---|---|---|---|---|
| Trammell et al. (2016) | n=12 healthy adults | 100–1000 mg NR single dose | Dose-dependent NAD+ ↑; 1000 mg → 2.7-fold increase | [5] |
| Martens et al. (2018) | n=24 ages 55–79 | 1000 mg NR oral × 6 wk | PBMC NAD+ ↑~60%; trend toward reduced SBP + aortic stiffness | [21] |
| Brakedal et al. (2022) — NADPARK | n=30 Parkinson's | 1000 mg NR oral × 30d | Increased cerebral NAD+ (MRS-confirmed); mild motor improvement | [12] |
| Wang et al. (2022) | n=30 HFrEF | 2000 mg NR oral × 12 wk | Blood NAD+ doubled; NLRP3 reduced; no cardiac functional improvement | [22] |
| Wu et al. (2025) | Older adults with MCI | 1000 mg NR oral × 8 wk | Reduced plasma pTau217 by 7% (vs 18% ↑ placebo) — Alzheimer's biomarker | [13] |
| de la Rubia et al. (2019) | n=32 ALS | 1200 mg NR + pterostilbene × 16 wk | Improved ALSFRS, pulmonary function, muscle strength vs placebo | [23] |
Direct IV NAD+ Data
| Trial | Population | Dose/Route | Key Results | Ref |
|---|---|---|---|---|
| Grant et al. (2019) | n=11 healthy men | 750 mg IV NAD+ × 6h | Plasma NAD+ ↑~400%; PBMC intracellular NAD+ did NOT increase → questions IV efficacy for intracellular levels | [24] |
Safety Summary
| Parameter | Finding |
|---|---|
| NR Safety | Safe up to 2000 mg/day × 12 weeks — GRAS status; no serious AEs |
| NMN Safety | Safe up to 1250 mg/day × 4 weeks confirmed; no serious AEs at 250 mg × 12 weeks |
| Common AEs | Mild: nausea, flushing, GI discomfort, headache (oral); injection site reactions, lightheadedness (IV) |
| Theoretical Risks | Tumorigenesis (not observed in long-term animal studies); SARM1 axonal degeneration; methylation depletion from excess NAM |
| Contraindications | Active cancer (theoretical), pregnancy/breastfeeding, serious liver/kidney conditions |
The products offered on this website are furnished for in-vitro studies only. In-vitro studies (Latin: in glass) are performed outside of the body. These products are not medicines or drugs and have not been approved by the FDA to prevent, treat or cure any medical condition, ailment or disease. Bodily introduction of any kind into humans or animals is strictly forbidden by law.
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ALL ARTICLES AND PRODUCT INFORMATION PROVIDED ON THIS WEBSITE ARE FOR INFORMATIONAL AND EDUCATIONAL PURPOSES ONLY.
References
- Covarrubias AJ, Perrone R, Grozio A, Verdin E. NAD+ metabolism and its roles in cellular processes during ageing. Nature Reviews Molecular Cell Biology. 2021;22(2):119-141.
- Rajman L, Chwalek K, Sinclair DA. Therapeutic potential of NAD-boosting molecules: the in vivo evidence. Cell Metabolism. 2018;27(3):529-547.
- Verdin E. NAD+ in aging, metabolism, and neurodegeneration. Science. 2015;350(6265):1208-1213.
- Christen S, Redeuil K, Goulet L, et al. The differential impact of three different NAD+ boosters on circulatory NAD and microbial metabolism in humans. Nature Metabolism. 2025 Jan 15 [Epub].
- Trammell SAJ, Schmidt MS, Weidemann BJ, et al. Nicotinamide riboside is uniquely and orally bioavailable in mice and humans. Nature Communications. 2016;7(1):12948.
- Imai S, Guarente L. NAD+ and sirtuins in aging and disease. Trends in Cell Biology. 2014;24(8):464-471.
- Essuman K, Summers DW, Sasaki Y, Mao X, DiAntonio A, Milbrandt J. The SARM1 Toll/interleukin-1 receptor domain possesses intrinsic NAD+ cleavage activity that promotes pathological axonal degeneration. Neuron. 2017;93(6):1334-1343.e5.
- Tarragó MG, Chini CCS, Kanamori KS, et al. A potent and specific CD38 inhibitor ameliorates age-related metabolic dysfunction by reversing tissue NAD+ decline. Cell Metabolism. 2018;27(5):1081-1095.e10.
- Zhang H, Ryu D, Wu Y, et al. NAD+ repletion improves mitochondrial and stem cell function and enhances life span in mice. Science. 2016;352(6292):1436-1443.
- Yoshino M, Yoshino J, Kayser BD, et al. Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women. Science. 2021;372(6547):1224-1229.
- Cantó C, Houtkooper RH, Pirinen E, et al. The NAD+ precursor nicotinamide riboside enhances oxidative metabolism and protects against high-fat diet-induced obesity. Cell Metabolism. 2012;15(6):838-847.
- Brakedal B, Dölle C, Riber F, et al. The NADPARK study: a randomized phase I trial of nicotinamide riboside supplementation in Parkinson's disease. Cell Metabolism. 2022;34(3):396-407.e6.
- Wu J, et al. Nicotinamide riboside reduces pTau217 in older adults with mild cognitive impairment. Alzheimer's & Dementia: TRCI. 2025.
- Das A, Huang GX, Bonkowski MS, et al. Impairment of an endothelial NAD+-H₂S signaling network is a reversible cause of vascular aging. Cell. 2018;173(1):74-89.e20.
- Guan Y, Wang SR, Huang XZ, et al. Nicotinamide mononucleotide, an NAD+ precursor, rescues age-associated susceptibility to AKI in a sirtuin 1-dependent manner. Journal of the American Society of Nephrology. 2017;28(8):2337-2352.
- Liao B, Zhao Y, Wang D, Zhang X, Hao X, Hu M. Nicotinamide mononucleotide supplementation enhances aerobic capacity in amateur runners. Journal of the International Society of Sports Nutrition. 2021;18(1):54.
- Mills KF, Yoshida S, Stein LR, et al. Long-term administration of nicotinamide mononucleotide mitigates age-associated physiological decline in mice. Cell Metabolism. 2016;24(6):795-806.
- Igarashi M, Nakagawa-Nagahama Y, Miura M, et al. Chronic nicotinamide mononucleotide supplementation elevates blood nicotinamide adenine dinucleotide levels and alters muscle function in healthy older men. npj Aging. 2022;8(1):5.
- Yi L, Maier AB, Tao R, et al. The efficacy and safety of β-nicotinamide mononucleotide supplementation in healthy middle-aged adults. GeroScience. 2023;45(1):29-43.
- Pencina KM, Lavu S, Dos Santos M, et al. MIB-626, an oral formulation of a microcrystalline unique polymorph of β-nicotinamide mononucleotide, increases circulating NMN and NAD+ in a randomized clinical trial. Journal of Clinical Endocrinology & Metabolism. 2023;108(4):862-871.
- Martens CR, Denman BA, Mazzo MR, et al. Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults. Nature Communications. 2018;9(1):1286.
- Wang DD, et al. Nicotinamide riboside in heart failure with reduced ejection fraction. JACC: Basic to Translational Science. 2022.
- de la Rubia JE, Drehmer E, Platero JL, et al. Efficacy and tolerability of EH301 for amyotrophic lateral sclerosis: a randomized, double-blind, placebo-controlled human pilot study. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration. 2019;20(1-2):115-122.
- Grant R, Berg J, Mestayer R, et al. A pilot study investigating changes in the human plasma and urine NAD+ metabolome during a 6 hour intravenous infusion of NAD+. Frontiers in Aging Neuroscience. 2019;11:257.
- Yoshino J, Mills KF, Yoon MJ, Imai S. Nicotinamide mononucleotide, a key NAD+ intermediate, treats the pathophysiology of diet- and age-induced diabetes in mice. Cell Metabolism. 2011;14(4):528-536.
- Poljsak B, Kovač V, Špalj S, Milisav I. The central role of the NAD+ molecule in the development of aging and the prevention of chronic age-related diseases. International Journal of Molecular Sciences. 2023;24(3):2959.
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