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What is NAD+ (Nicotinamide Adenine Dinucleotide)?

NAD+ (nicotinamide adenine dinucleotide) is a molecule found in every cell that is involved in energy metabolism and DNA repair. NAD+ levels decline with age, which is why it is studied in aging research. NAD+ products have no FDA-approved use, and human studies have not shown that raising NAD+ slows or reverses aging.

Inside cells, NAD+ helps convert nutrients into energy in the mitochondria and supports enzymes involved in DNA repair. Researchers have linked lower NAD+ levels with aging in laboratory and animal studies, and are investigating whether restoring NAD+ affects health in people.

Precursors such as nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN) are sold as supplements, and NAD+ injections and nasal sprays are compounded. Compounded drugs are not FDA-approved and are not reviewed by the FDA for safety or effectiveness. A licensed provider can explain the current evidence and risks.