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MitochondrialMetabolic Health

Nicotinamide Riboside (NR)

NAD+ precursor supplement studied for cellular energy metabolism and potential anti-aging effects.

Human Trials

12

847 participants

Risk Level

Low Risk

Monthly Cost

$45$120 /month

Based on 250-500mg daily dosing

Quick Facts

Category
Supplement
Research Field
Supplements
Evidence Grade
B- – Promising
Risk Level
Low
Monthly Cost
$45 – $120
Human Trials
12

Typical Dose

300–500 mg/day

Range

250–1000 mg/day

Timingmorning, with or without food
FormNR chloride capsule (Tru Niagen, Elysium Basis)
NotesNR is a precursor to NAD+. Whether oral NR meaningfully raises intracellular NAD+ in humans is debated – evidence is mixed. Combine with pterostilbene or resveratrol in some commercial products. NMN may have slightly better bioavailability.

For informational purposes only – not medical advice. See disclaimer

Research Velocity

+24%
47 publications in the last 12 months · steady increase in publications
High Community Interest
280 mentions
Sources:LongecityReddit
Updated 2026-03-16

Mechanism of Action

Nicotinamide riboside functions as a precursor to nicotinamide adenine dinucleotide (NAD+), a critical coenzyme involved in cellular energy metabolism and DNA repair. Research indicates NR can effectively raise NAD+ levels in humans, potentially supporting mitochondrial function and activating sirtuins, proteins associated with longevity pathways. Studies suggest this mechanism may help counteract age-related decline in cellular NAD+ levels.

Overview

Nicotinamide riboside (NR) is a form of vitamin B3 that has gained significant attention as a potential anti-aging supplement. Research indicates that NR can effectively raise NAD+ levels in human tissues, which naturally decline with age. Studies suggest this elevation may support cellular energy production, DNA repair mechanisms, and the activation of sirtuins - proteins associated with longevity and stress resistance.

Human clinical trials have demonstrated that NR supplementation is generally well-tolerated and can successfully increase NAD+ levels in various tissues, including skeletal muscle. However, the translation of elevated NAD+ levels to meaningful health benefits remains under investigation. Some studies have shown modest improvements in markers of muscle health and inflammation, while others have found limited functional improvements despite biochemical changes.

While NR appears safe for most healthy adults, the long-term effects and optimal dosing strategies are still being researched. The supplement has received GRAS (Generally Recognized as Safe) status from the FDA, making it widely available as a dietary supplement. Current research continues to explore its potential applications in aging, metabolic health, and neurological conditions.

Known Interactions

  • May interact with medications metabolized by PARPs
  • Potential interactions with blood thinners due to effects on cellular metabolism
  • Could theoretically interact with chemotherapy drugs affecting NAD+ pathways

Legal Status by Country

📍

Your country (United States)

FDA GRAS status

OTC
✈️

Available without prescription in:

Australia, Canada, Germany, Israel, Mexico, Netherlands, Switzerland, United Kingdom, United States, Brazil, Colombia, India, Japan, Panama, Russia, South Korea, Thailand, Turkey, UAE

Australia
OTC
Canada
OTC
Germany
OTC
✈️Israel
OTC
✈️Mexico
OTC
Netherlands
OTC
Switzerland
OTC
United Kingdom
OTC
📍United States
OTC
✈️Brazil
Unregulated
✈️Colombia
Unregulated
✈️India
Unregulated
Japan
Unregulated
✈️Panama
Unregulated
Russia
Unregulated
✈️South Korea
Unregulated
✈️Thailand
Unregulated
✈️Turkey
Unregulated
✈️UAE
Unregulated
China
Restricted

📍 = your selected country · ✈️ = medical tourism destination · Always verify current local regulations before travel.

Where to Source·Prescription required – consult your healthcare provider

Last verified: 2026-03-16