Reviewed by Peptide Treatments Medical Advisory Board (Medical Advisory Board)

NAD+ Precursors (NMN & NR): Evidence Summary

Evidence summary for NAD+ Precursors (NMN & NR) across studied indications. Each indication is graded using our evidence tier system based on the quality and quantity of available clinical data.

Back to NAD+ Precursors (NMN & NR) overview
Indication Evidence Tier Trial Count Summary
NAD+ blood level elevation Tier A 20 Consistent 40-100% NAD+ increase across multiple RCTs for both NMN and NR
Muscle function improvement Tier C 2 Small Phase 1 trials show improved strength and walking speed in elderly
Metabolic health Tier C 5 Improved insulin sensitivity in overweight subjects; larger trials needed
Anti-aging / lifespan extension Tier D 0 Strong preclinical data but no human lifespan or disease modification evidence

References (3)

  1. NMN dose-ranging study in healthy middle-aged adults — Yi L, Maier AB, et al. . GeroScience (2022) PMID: 36482258
  2. NMN supplementation and muscle function in older men — Igarashi M, Nakagawa-Nagahama Y, et al. . NPJ Aging (2022) DOI: PMC9158788
  3. Nicotinamide riboside is safely tolerated and elevates NAD+ in healthy volunteers — Airhart SE, Shireman LM, et al. . PLoS ONE (2017) PMID: 29184669