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How NAD+ Boosters Could Improve Your Mitochondrial Health

Written by: Mecene Research Team

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Published

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Time to read 9 min

Nicotinamide Adenine Dinucleotide (NAD+) is one of the most abundant molecules in the human body, playing a major role in energy metabolism and cellular functions. This essential signaling molecule is crucial for mitochondrial function, which powers skeletal muscle, plays a role in the health of cardiovascular and kidney function, and promotes overall vitality.


However, NAD+ levels naturally decline with age, contributing to mitochondrial dysfunction and age-related disorders like neurodegenerative diseases and metabolic disorders. In this article, we'll explore how NAD+ boosters may help restore NAD levels, improve energy production, and promote healthy aging by supporting mitochondrial health and reducing inflammation.

Image depicting cellular repair.

Understanding NAD+ and Its Role in Mitochondrial Health

Nicotinamide Adenine Dinucleotide (NAD+) is a coenzyme found in every living cell. It plays a crucial role in converting nutrients into energy, or ATP. This coenzyme is vital for numerous biological processes, including cellular repair, DNA repair, and cell communication. NAD+ also supports essential cellular functions, keeping the body energized and resilient against age-related decline.

How NAD+ Supports Mitochondria

NAD+ plays a key role in mitochondrial function by enabling the transfer of electrons during cellular respiration. This process is critical for producing ATP, the energy currency of the cell, which powers skeletal muscle, heart function, and more. Without sufficient NAD+, cells struggle to produce energy, leading to mitochondrial dysfunction.


In addition to energy production, NAD+ regulates mitochondrial biogenesis and the creation of new mitochondria, which is vital for maintaining cellular health. It also helps protect cells from oxidative stress, reducing the risk of damage and supporting the aging process. Keeping NAD+ levels optimal can help your mitochondria function more efficiently.

Why NAD+ Levels Decline and Its Impact

NAD+ levels naturally decline as we age, affecting mitochondrial function and overall health. Various factors contribute to this decrease:

  • Reduced synthesis: The body's ability to produce NAD+ slows with age.

  • Increased degradation: NAD+ is broken down more rapidly due to increased oxidative stress and inflammation.

  • Poor diet: Lacking the right nutrients can hinder NAD+ production and metabolism.

  • Lack of exercise: Physical activity supports NAD+ levels, so a sedentary lifestyle can cause levels to drop.

  • Stress: Chronic stress depletes NAD+ reserves, impacting energy metabolism and cellular repair.


Effects of Low NAD+ Levels on Mitochondrial Health


When NAD+ levels decline, it can negatively affect mitochondrial function and overall well-being. Low NAD+ levels can:


  • Impair mitochondrial function, reducing the cells' ability to generate energy efficiently.

  • Increase oxidative stress, leading to cellular damage and accelerating the aging process.

  • Contribute to age-related diseases, such as neurodegenerative diseases and cardiovascular disorders.

  • Cause fatigue, as the body struggles to produce the energy needed for everyday functions.

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"NAD+ regulates mitochondrial biogenesis and the creation of new mitochondria, which is vital for maintaining cellular health.”

The Benefits of NAD+ Boosters for Mitochondrial Health

NAD+ boosters offer promising health benefits by helping to restore and maintain healthy NAD+ levels, which are essential for optimal mitochondrial function. These boosters can enhance energy production, support mitochondrial biogenesis, and protect cells from oxidative stress.


Enhancing Energy Production


NAD+ boosters play a critical role in increasing cellular energy by restoring depleted NAD+ levels. This can lead to:


  • Improved mitochondrial function, allowing cells to produce energy more efficiently.

  • Boosted ATP production, giving your body the fuel it needs to power muscles and vital organs.

  • Better overall energy metabolism supports physical activity and mental clarity while reducing fatigue.


Supporting Mitochondrial Biogenesis and Function


NAD+ boosters help promote mitochondrial biogenesis, which is the process of creating new mitochondria in the cells. NAD+ boosters can enhance metabolism and promote healthy aging by improving mitochondrial function. This not only supports muscle function and endurance but also protects against metabolic disorders.

Image of mitochondria in human cell.

Protecting Cells from Oxidative Stress

NAD+ boosters activate sirtuins, proteins that play a significant role in cellular repair and longevity. They help reduce oxidative stress, repair damaged DNA, and lower inflammation levels. This protection can reduce the risk of age-related disorders and promote better cellular health throughout the body.

Different Types of NAD+ Boosters

Several NAD+ boosters are available, each with its own benefits for mitochondrial health and overall vitality. These boosters work by increasing NAD+ levels, supporting energy metabolism, and promoting healthy aging.

Nicotinamide Riboside (NR)

Nicotinamide Riboside (NR) is a form of vitamin B3 and a well-known NAD+ precursor that can effectively raise NAD+ levels in the body. As a precursor, it supports the body's ability to produce NAD+, helping improve mitochondrial function.


  • Boosts energy metabolism by enhancing ATP production, which is crucial for cellular energy.

  • Supports muscle function by improving mitochondrial health in skeletal muscle.

  • It may help reduce oxidative stress, protecting cells from damage.

  • Promotes healthy aging by improving mitochondrial biogenesis and function.

  • Potential to improve cognitive health, support mental clarity, and reduce age-related decline.

Nicotinamide Mononucleotide (NMN)

Nicotinamide Mononucleotide (NMN) is another precursor to NAD+ that has gained attention for its ability to boost NAD+ levels effectively. By increasing NAD+ production, NMN helps improve mitochondrial function.


  • Enhances mitochondrial function, leading to better energy metabolism.

  • Supports overall health benefits, including improved insulin sensitivity and muscle function.

  • It may promote life extension by slowing down aspects of the aging process.

Other Potential NAD+ Boosters

In addition to NR and NMN, other compounds may help increase NAD+ levels and support mitochondrial health. These include nicotinic acid (niacin) and polyphenols like resveratrol and pterostilbene.


  • Nicotinic acid (niacin): A form of vitamin B3 that helps support NAD+ metabolism and cardiovascular health.

  • Resveratrol: A polyphenol found in red wine, known for activating sirtuins and reducing inflammation.

  • Pterostilbene: Similar to resveratrol, it supports NAD+ levels and offers antioxidant properties.

  • Quercetin: A flavonoid that may boost NAD+ levels and support cellular repair.

  • Fisetin: A plant compound that may promote NAD+ production and reduce oxidative stress.

Woman showing healthy aging.

How to Use NAD+ Boosters for Mitochondrial Health

Using NAD+ boosters effectively can help restore NAD+ levels, improve mitochondrial function, and support healthy aging. Here’s how to choose the right booster and use it safely.

Choosing the Right NAD+ Booster

When selecting an NAD+ booster, consider your health goals, age, and any existing conditions. For those focused on increasing energy and improving mitochondrial health, NR or NMN might be the best choice, as both are well-studied and shown to raise NAD+ levels effectively. Polyphenols like resveratrol could be beneficial if you're aiming for overall longevity and reducing inflammation.


Always consult with a healthcare provider before starting any new supplement, especially if you have underlying health conditions or take medications. This ensures the supplement will be safe and effective for your specific needs.

Recommended Dosages and Usage Tips

For Nicotinamide Riboside (NR), typical dosages range from 250 to 500 mg per day, while Nicotinamide Mononucleotide (NMN) is usually taken in doses of 250 to 300 mg daily. Taking NAD+ boosters with food is often recommended to enhance absorption and reduce the risk of digestive discomfort. Many people find taking these supplements in the morning helps with energy levels throughout the day.


It's essential to start with the lowest effective dose and gradually increase, if needed while monitoring for any potential side effects. However,  individual needs and consulting with a healthcare professional are extremely necessary to determine the appropriate dosage for you.

Potential Side Effects and Safety Concerns

Most NAD+ boosters, including NR and NMN, are generally considered safe when taken in appropriate doses. However, some users may experience mild side effects such as digestive discomfort, nausea, or headaches. These side effects are usually mild and temporary but can be managed by adjusting the dosage or taking the supplement with food.


Always choose high-quality supplements that have been third-party tested for purity and potency to ensure safety and effectiveness. This reduces the risk of contamination and ensures the product delivers on its health promises.

Woman taking supplements.

Maximizing the Benefits of NAD+ Boosters

To get the most out of NAD+ boosters, it's important to combine them with healthy lifestyle habits and monitor your progress as more research emerges.

Combine NAD+ Boosters with a Healthy Lifestyle

While NAD+ boosters can enhance mitochondrial health, combining them with a balanced diet, regular exercise, and proper sleep will further optimize your results. Nutrient-rich foods, high-intensity exercise, and good sleep habits can help boost NAD+ levels naturally, supporting better energy metabolism, muscle function, and overall well-being.


Monitor Your Body's Response


It's essential to pay attention to how your body responds to NAD+ boosters. After starting the supplements, track your energy levels, mood, and overall health. If you notice improvements, maintain your regimen. If not, consider adjusting the dosage or timing to suit your body’s needs better.


Stay Informed About New Research


More research on NAD+ boosters and mitochondrial health is evolving quickly, with new studies constantly emerging. Stay updated on clinical trials and human studies to learn more about the therapeutic potential and benefits of NAD+ boosters. Keeping informed will help you make better decisions about your health.

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Unlocking the Potential of NAD+ Boosters for Better Health

NAD+ boosters effectively support mitochondrial health, increase energy levels, and promote healthy aging. By restoring NAD+ levels, these supplements can help improve metabolism, protect against oxidative stress, and support overall vitality.


When combined with a healthy lifestyle and regular monitoring, NAD+ boosters may contribute to enhancing your long-term health and well-being. Stay informed about the latest research to maximize their potential benefits.

Frequently Asked Questions

Are NAD+ Boosters Safe for Everyone?

NAD+ boosters can benefit many, but those with medical conditions or on specific medications should consult a healthcare provider before use.

How Long Does It Take to See Results from NAD+ Boosters?

Some people may experience increased energy within weeks, but full benefits for mitochondrial health can take several months.

Can I Take NAD+ Boosters with Other Supplements?

Yes, NAD+ boosters are generally compatible with other supplements, but it’s best to consult a healthcare provider to ensure safe combinations.

Do NAD+ Boosters Improve Athletic Performance?

NAD+ boosters may enhance athletic performance by improving energy metabolism and muscle function, especially with regular exercise.


Are There Any Side Effects of NAD+ Boosters?

Most NAD+ boosters are well-tolerated, though mild side effects, such as digestive discomfort or headaches, may occur in some individuals.

REFERENCES

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  2. Gomes, A. P., Price, N. L., Ling, A. J., Moslehi, J. J., Montgomery, M. K., Rajman, L., White, J. P., Teodoro, J. S., Wrann, C. D., Hubbard, B. P., Mercken, E. M., Palmeira, C. M., de Cabo, R., Rolo, A. P., Turner, N., Bell, E. L., & Sinclair, D. A. (2013). Declining NAD(+) induces a pseudohypoxic state disrupting nuclear-mitochondrial communication during aging. Cell, 155(7), 1624–1638. https://doi.org/10.1016/j.cell.2013.11.037

  3. Mills, K. F., Yoshida, S., Stein, L. R., Grozio, A., Kubota, S., Sasaki, Y., Redpath, P., Migaud, M. E., Apte, R. S., Uchida, K., Yoshino, J., & Imai, S. I. (2016). Long-Term Administration of Nicotinamide Mononucleotide Mitigates Age-Associated Physiological Decline in Mice. Cell metabolism, 24(6), 795–806. https://doi.org/10.1016/j.cmet.2016.09.013

  4. Song, Q., Zhou, X., Xu, K., Liu, S., Zhu, X., & Yang, J. (2023). The Safety and Antiaging Effects of Nicotinamide Mononucleotide in Human Clinical Trials: an Update. Advances in nutrition (Bethesda, Md.), 14(6), 1416–1435. https://doi.org/10.1016/j.advnut.2023.08.008

  5. Rajman, L., Chwalek, K., & Sinclair, D. A. (2018). Therapeutic Potential of NAD-Boosting Molecules: The In Vivo Evidence. Cell metabolism, 27(3), 529–547. https://doi.org/10.1016/j.cmet.2018.02.011

  6. Yoshino, J., Baur, J. A., & Imai, S. I. (2018). NAD+ Intermediates: The Biology and Therapeutic Potential of NMN and NR. Cell metabolism, 27(3), 513–528. https://doi.org/10.1016/j.cmet.2017.11.002 

Medically Reviewed By

Dr. James Pendleton

Dr. James Pendleton is a primary care physician specializing in a naturopathic approach to family medicine. He has nurtured a family practice in Seattle, directed a VIP medical center in Abu Dhabi, published several books and scientific articles, and designed innovative nutritional supplements for manufacturers worldwide.