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What Is NAD+? The Truth Behind the Energy-Boosting Supplement

What Is NAD+? The Truth Behind the Energy-Boosting Supplement

In the world of health and longevity supplements, nicotinamide adenine dinucleotide (NAD⁺) has gained significant attention for its role in cellular energy production, DNA repair, and anti-ageing benefits. But what exactly is NAD+, and does supplementing with it really work?

In this guide, we’ll explore the science behind NAD+, its benefits, and whether taking NAD+ supplements can support energy, metabolism, and longevity.


What Is NAD+ and Why Is It Important?

NAD+ (nicotinamide adenine dinucleotide) is a crucial coenzyme found in every cell of the body[1]. It plays a fundamental role in:

Cellular Health & Antioxidant Defence – Maintains redox balance, reducing oxidative stress [2].
Mitochondrial Function – Supports efficient cellular respiration for optimal energy production[3].
DNA Repair & Longevity – Activates sirtuins, which regulate cellular repair and ageing[ 4].
✅ Energy Metabolism – Converts nutrients into ATP (adenosine triphosphate), the body’s main energy source [5].

Unfortunately, NAD+ levels decline with age, leading to slower metabolism, reduced mitochondrial function, and increased cellular damage. This has led to growing interest in NAD+ precursors as supplements to counteract this decline.


How Does the Body Produce NAD+?

Your body naturally synthesises and recycles NAD+ through three pathways:

De Novo Synthesis (from Tryptophan)

  • The body produces NAD+ from tryptophan, an amino acid found in protein-rich foods [3,4].
  • This process is complex and not highly efficient [3,4].

Preiss-Handler Pathway (from Niacin)

  • Niacin (Vitamin B3) from diet is converted into NAD+ via multiple steps.
  • Found in foods like meat, fish, dairy, and whole grains [3,4].

Salvage Pathway (from Nicotinamide & NMN/NR)

  • The most efficient route, this pathway recycles nicotinamide (a vitamin B3 derivative) into NAD+ [3,4].
  • NAD+ precursors like nicotinamide mononucleotide (NMN) and nicotinamide riboside (NR) are directly converted to NAD+, making them popular supplements [3,4].

Since NAD+ declines with age, boosting levels through supplementation has become a hot topic in longevity research. [6]


Do NAD+ Supplements Actually Work?

Because direct NAD+ supplementation is ineffective due to poor bioavailability, research has focused on precursors like:

Nicotinamide Mononucleotide (NMN)

  • Converts into NAD+ through the salvage pathway [4,7].
  • Shown to boost mitochondrial function, energy metabolism, and cellular repair [8].

Nicotinamide Riboside (NR)

  • Another effective NAD+ precursor that increases NAD+ levels.
  • May improve cognitive function, reduce inflammation, and support heart health.

Benefits of NAD+ Supplementation

Studies suggest that NAD+ precursors may:

✔️ Enhance mitochondrial energy production  [8]
✔️ Support DNA repair & cellular longevity  [7]
✔️ Reduce oxidative stress & inflammation [10]
✔️ Provide neuroprotective effects for brain health [9]

However, while the research is promising, NAD+ supplements are not a miracle cure. They work best in combination with a healthy lifestyle.


How to Naturally Boost NAD+ Levels

Instead of relying solely on supplements, you can increase NAD+ naturally through:

Exercise  – Increases NAD+ by enhancing mitochondrial function. [14]
Niacin-Rich Diet – Foods like meat, fish, dairy, and whole grains support NAD+ production. [13]
Intermittent Fasting – May stimulate NAD+ synthesis and mitochondrial efficiency.
Proper Sleep & Stress Management – Sirtuins, which depend on NAD+, regulate circadian rhythms and cellular repair [17]
Supplementation (NMN or NR) – May help restore NAD+ levels, especially in ageing individuals.  [11]


Final Thoughts: Should You Try NAD+ Supplements?

NAD+ is essential for cellular energy, longevity, and metabolic health. While NAD+ precursors like NMN and NR show promise, they should be part of a well-rounded health strategy that includes exercise, diet, and stress management.

If you’re considering NAD+ supplements, consult a healthcare provider to ensure they fit your individual needs.

What’s Your Experience?

Would you try an NAD+ supplement? Have you noticed benefits from lifestyle changes that boost NAD+? Share your thoughts in the comments!


References

  1. Covarrubias, A.J., Perrone, R., Grozio, A., & Verdin, E. (2021). Nature Reviews Molecular Cell Biology, 22, 119–141.
  2. Amjad, S., Nisar, S., Bhat, A.A., et al. (2021). Molecular Metabolism, 49, 101195.
  3. Houtkooper, R.H., Cantó, C., Wanders, R.J., & Auwerx, J. (2010). Endocrine Reviews, 31, 194–223.
  4. Johnson, S., & Imai, S.-I. (2018). F1000Research, 7, 132.
  5. Nelson, D.L., & Cox, M.M. (2017). Lehninger Principles of Biochemistry, 7th Edition, W. H. Freeman and Company.
  6. Pittelli, M., Felici, R., Pitozzi, V., et al. (2011). Molecular Pharmacology, 80, 1136–1146.
  7. Herceg, Z., & Wang, Z.Q. (2001). Mutation Research, 477, 97–110.
  8. Zhang, H., Ryu, D., Wu, Y., et al. (2016). Science, 352, 1436–1443.
  9. Houtkooper, R.H., Pirinen, E., & Auwerx, J. (2012). Nature Reviews Molecular Cell Biology, 13, 225–238.
  10. Mendelsohn, A.R., & Larrick, J.W. (2017). Rejuvenation Research, 20, 244–247.
  11. Gomes, A.P., Price, N.L., Ling, A.J.Y., et al. (2013). Cell, 155, 1624–1638.
  12. Carrico, C., Meyer, J.G., He, W., et al. (2018). Cell Metabolism, 27, 497–512.
  13. Canto, C., Jiang, L.Q., Deshmukh, A.S., et al. (2010). Cell Metabolism, 11, 213–219.
  14. Gurd, B.J. (2011). Applied Physiology, Nutrition, and Metabolism, 36, 589–597.
  15. Jang, S.-Y., Kang, H.T., & Hwang, E.S. (2012). Journal of Biological Chemistry, 287, 19304–19314.
  16. Ramis, M.R., Esteban, S., Miralles, A., et al. (2015). Mechanisms of Ageing and Development, 146-148, 28–41.
  17. Bai, P., & Canto, C. (2012). Cell Metabolism, 16, 290–295.

 

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