NAD+
Nicotinamide Adenine Dinucleotide
Overview
NAD+ is a critical coenzyme found in every cell of the body, essential for hundreds of metabolic processes including energy production, DNA repair, gene expression, and cellular signaling. NAD+ levels decline significantly with age, and its restoration is considered a key strategy in anti-aging medicine.
Mechanism of Action
NAD+ serves as a substrate for sirtuins (SIRT1-7), enzymes critical for DNA repair, gene silencing, and metabolic regulation. It is essential for the electron transport chain in mitochondria (energy production). It activates PARP enzymes for DNA repair and CD38/CD157 for immune function. Declining NAD+ levels are associated with virtually all hallmarks of aging.
Dosage Information
Typical Dose
100-500 mg
Frequency
Varies by route
Administration
Intravenous, subcutaneous, or oral (as precursors NMN/NR)
Notes
IV infusion (250-500mg over 2-4 hours) produces the most immediate effects but is expensive. SubQ injections of 50-100mg are gaining popularity. Oral precursors (NMN, NR) at 250-1000mg daily are the most accessible option. IV sessions often produce temporary flu-like symptoms.
Potential Side Effects
Research References
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Quick Facts
- Administration
- Intravenous, subcutaneous, or oral (as precursors NMN/NR)
- Typical Dose
- 100-500 mg
- Frequency
- Varies by route
- References
- 2 studies