Benefit
Cardiovascular Health
Endothelial function and arterial stiffness.
Emerging human evidence
Small human trials report improvements in endothelial function and arterial stiffness with NR supplementation. Mechanistic basis: sirtuin-mediated eNOS deacetylation and mitochondrial bioenergetics in vascular smooth muscle.
Key studies
Nature Communications · 2018 · PMID 29599478
Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults
Martens CR, et al.
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Editorial note
NADFaq grades evidence on a 4-tier scale based on human trial quality, sample size, reproducibility, and mechanistic plausibility. This is a conservative framework — many published benefits of NAD+ precursors rest on preclinical (rodent or cell) work that has not yet translated to humans.
How we grade evidence