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NAD+ Benefits

An evidence-graded review of what NAD+ supplementation does — and doesn’t yet do — across longevity, cognition, metabolism, and other outcomes. Strength-of-evidence ratings reflect human trial quality.

Longevity & Healthy Aging

Moderate

Cellular senescence, lifespan, and healthspan markers

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Cognitive Function

Emerging

Neuroprotection and memory in aging brains

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Metabolic Health

Moderate

Insulin sensitivity, lipids, and body composition

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DNA Repair & Genomic Stability

Strong

PARP activation and base excision repair

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Muscle Performance

Emerging

Mitochondrial biogenesis and endurance

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Cardiovascular Health

Emerging

Endothelial function and arterial stiffness

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Skin & Dermatology

Strong

Chemoprevention and topical applications

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Safety & Drug Interactions

Moderate

Methylation, sirtuin inhibition, and co-therapies

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Immune Function

Emerging

CD38, T-cell metabolism, and immunosenescence

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Sleep & Circadian Rhythm

Preclinical

BMAL1/CLOCK-NAMPT loop and sirtuin-driven circadian control

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Inflammation & Inflammaging

Emerging

CD38, SIRT1/SIRT6, and chronic low-grade inflammation

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Exercise Performance

Emerging

PGC-1α-SIRT1 axis and NAD+ kinetics with training

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Liver & Hepatic Metabolism

Emerging

NAFLD/MASLD, alcohol metabolism, and SIRT1 in the liver

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Fertility & Reproductive Aging

Preclinical

Oocyte quality, maternal aging, and NAD+ rescue

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