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Supplement

Nicotinamide Mononucleotide (NMN)

NAD+ precursor with growing human data.[2906,4022,4121, etc.]

Superscript reference numbers link to the Sources bibliography.

Strong Evidence
LongevityEnergyMetabolic Health

Composite Rating

3.7/5

Blends evidence depth, community direction, safety friction, and completeness.

Evidence Intensity

100/100

High depth from human/RCT/meta counts

Community Direction

-6

Mixed / Neutral • confidence Minimal

Safety Friction

100/100

High signal from adverse/interaction markers

Data Completeness

100%

Studies 14 • mentions 5 • links 24

Not medical advice. This product is for educational and informational purposes only. It does not diagnose, treat, cure, or prevent any disease and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition.

FDA disclaimer: These statements have not been evaluated by the Food and Drug Administration. Dietary supplements are not intended to diagnose, treat, cure, or prevent any disease. Results may vary. Not intended for use by pregnant or nursing women, individuals under 18, or those with known medical conditions without physician consultation.

If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Implementation Blueprint

Goal alignment: Longevity, Energy, Metabolic Health.[583,731,955, etc.]

Dose guide: Human-study daily dose: 300 mg-900 mg/day (higher-confidence extraction from PubMed abstracts)..[583,731,955, etc.]

Category: cofactor.[583,731,955, etc.]

Category

Cofactor

Evidence Tier

HIGH

Daily Guide

Human-study daily dose: 300 mg-900 mg/day (higher-confidence extraction from PubMed abstracts).

Dosing Guide

Human-study daily dose: 300 mg-900 mg/day (higher-confidence extraction from PubMed abstracts).[2906,, etc.]

At-A-Glance Evidence Architecture[2906,4022,4121, etc.]

Clinical Depth

Humans: 137 • RCTs: 11 • Meta: 4

Cohort / Real-World

Cohort signals: 0

Safety Markers

Adverse signals: 59 • Interactions: 104

Evidence Tracking

Freshness, trend, and study timeline for this item

Evidence Tracking

Status

New Evidence

Trend

↑ Growing evidence base

Depth

332 total studies · 5 recent

Timeline

20182025

Top Signal Metrics[2906,4022,4121, etc.]

Animal-only studies

493

Total indexed

332

In vitro / tissue

254

Human studies

137

Interaction signals

104

Safety adverse signals

59

Community Direction Mix[583,731,955, etc.]

Weighted direction score: -6 (Mixed / Neutral)

Benefit

Evidence Quality Summary[2906,4022,4121, etc.]

High when >=2 human meta-analyses, or >=5 human RCTs with substantial human literature volume.

Animal-only studies

493

Total indexed

332

In vitro / tissue

254

Human studies

137

Interaction signals

104

Safety adverse signals

59

Randomized trials

11

Meta-analyses

4

Study Type Breakdown

Distribution of evidence by study design strength

Meta-AnalysesLevel 1a4
Randomized TrialsLevel 1b11
Human Studies (other)Level 3-4122
All IndexedAll levels332
100

Evidence Strength: High

Composite of study volume, RCTs, and meta-analyses

Top Human Studies[2906,4022,4121, etc.]

PMID 39531138 • 2024 Nov 12

Effects of Nicotinamide Mononucleotide on Glucose and Lipid Metabolism in Adults: A Systematic Review and Meta-analysis of Randomised Controlled Trials.

Curr Diab Rep

Open PubMed

PMID 39185644 • 2025

Effects of Nicotinamide Mononucleotide Supplementation on Muscle and Liver Functions Among the Middle-aged and Elderly: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Curr Pharm Biotechnol

Open PubMed

PMID 40275690 • 2025 Jun

Community Report Frequency[583,731,955, etc.]

Benefit reports: 2

Adverse reports: 2

No-effect reports: 0

Mixed reports: 1

Unclear reports: 0

Signal confidence: 0.00

Top Reported Effects[583,731,955, etc.]

Benefits

  • NAD+ restoration: 1
  • Energy metabolism support: 1
  • DNA repair enhancement: 1
  • Sirtuin-mediated longevity pathways: 1
  • Improved insulin sensitivity: 1
  • Enhanced exercise capacity: 1
  • Vascular health: 1

Adverse

  • Active cancer (theoretical): 1
  • Budget-conscious (expensive): 1
  • Those wanting to wait for more human data: 1

No Effect

  • insufficient no-effect reports captured: 0

Pricing and purity verification are major concerns. | Step2: Insufficient empirical signal for a directional adjustment.

Community Evidence Examples[583,731,955, etc.]

aggregate • unclear

Aggregate community signal: 5 directional mentions (benefit 2, adverse 2, no-effect 0, mixed 1).

Open mention

Retail Signal Examples

amazon

Amazon search for Nicotinamide Mononucleotide (NMN)

Rating: n/a | Reviews: n/a

Open product

Primary Source Links

Evidence Sources

  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22nicotinamide%20mononucleotide%22)%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22nicotinamide%20mononucleotide%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22nicotinamide%20mononucleotide%22)%20AND%20animals%5BMeSH%20Terms%5D%20NOT%20humans%5BMeSH%20Terms%5D

Scientific Evidence Notes[2906,4022,4121, etc.]

1. NMN and insulin sensitivity

RCT • 2023 • Adults

Middle-aged adults in small trials.

Outcome: Possible metabolic improvements with variable magnitude.[2906,4022,4121, etc.]

2. PubMed evidence summary: Nmn

PUBMED • Humans + preclinical triage

Counts aggregated from automated literature sweep and tiering rules.

Outcome: Tier HIGH; humans 137, RCTs 11, meta-analyses 4.[2906,4022,4121, etc.]

Open source
4022,
4121

Safety and Pitfalls

  • Long-term hard outcomes not yet established[583,731,955, etc.]
  • Potential side effect: nausea[583,731,955, etc.]
  • Potential side effect: headache[583,731,955, etc.]
  • Use caution with condition: active cancer treatment (specialist input)[583,731,955, etc.]
  • Legacy caution group: Active cancer (theoretical)[583,731,955, etc.]
  • Legacy caution group: Budget-conscious (expensive)[583,731,955, etc.]
  • Legacy caution group: Those wanting to wait for more human data[583,731,955, etc.]
2 (40%)
Adverse2 (40%)
No Effect0 (0%)
Mixed1 (20%)

The Effect of Nicotinamide Mononucleotide and Riboside on Skeletal Muscle Mass and Function: A Systematic Review and Meta-Analysis.

J Cachexia Sarcopenia Muscle

Open PubMed

PMID 39116016 • 2025

Efficacy of oral nicotinamide mononucleotide supplementation on glucose and lipid metabolism for adults: a systematic review with meta-analysis on randomized controlled trials.

Crit Rev Food Sci Nutr

Open PubMed

PMID 36482258 • 2023 Feb

The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults: a randomized, multicenter, double-blind, placebo-controlled, parallel-group, dose-dependent clinical trial.

Geroscience

Open PubMed

PMID 33888596 • 2021 Jun 11

Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women.

Science

Open PubMed

PMID 34238308 • 2021 Jul 8

Nicotinamide mononucleotide supplementation enhances aerobic capacity in amateur runners: a randomized, double-blind study.

J Int Soc Sports Nutr

Open PubMed

PMID 36797393 • 2023 Feb 16

Nicotinamide adenine dinucleotide metabolism and arterial stiffness after long-term nicotinamide mononucleotide supplementation: a randomized, double-blind, placebo-controlled trial.

Sci Rep

Open PubMed

PMID 35215405 • 2022 Feb 11

Effect of 12-Week Intake of Nicotinamide Mononucleotide on Sleep Quality, Fatigue, and Physical Performance in Older Japanese Adults: A Randomized, Double-Blind Placebo-Controlled Study.

Nutrients

Open PubMed

PMID 38789831 • 2024 Oct

Ingestion of β-nicotinamide mononucleotide increased blood NAD levels, maintained walking speed, and improved sleep quality in older adults in a double-blind randomized, placebo-controlled study.

Geroscience

Open PubMed

PMID 37619764 • 2023 Nov

The Safety and Antiaging Effects of Nicotinamide Mononucleotide in Human Clinical Trials: an Update.

Adv Nutr

Open PubMed

PMID 35499054 • 2022 Mar

Nicotinamide mononucleotide (NMN) as an anti-aging health product - Promises and safety concerns.

J Adv Res

Open PubMed

PMID 37068054 • 2023 Dec 1

Dietary Supplementation With NAD+-Boosting Compounds in Humans: Current Knowledge and Future Directions.

J Gerontol A Biol Sci Med Sci

Open PubMed

PMID 29249689 • 2018 Mar 6

NAD(+) Intermediates: The Biology and Therapeutic Potential of NMN and NR.

Cell Metab

Open PubMed

Reddit evidence: 0 mentions (confidence 0.00).

Amazon signal: 0 products scanned (confidence 0.00).

GNC signal: 0 products scanned (confidence 0.00) [BLOCKED].

PerimeterX / captcha block encountered.

Search fetch failed: Failed to fetch after retries: https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=%22nicotinamide%20mononucleotide%22%20(supplement%20OR%20dosage%20OR%20stack%20OR%20side%20effects%20OR%20review)%20(subreddit%3ASupplements%20OR%20subreddit%3ANootropics%20OR%20subreddit%3ABiohackers%20OR%20subreddit%3Alongevity%20OR%20subreddit%3ANutrition%20OR%20subreddit%3AHubermanLab%20OR%20subreddit%3ASleep%20OR%20subreddit%3AFitness%20OR%20subreddit%3Aketoscience%20OR%20subreddit%3AStackAdvice)

Fallback search failed: Failed to fetch after retries: https://old.reddit.com/search.json?raw_json=1&sort=comments&t=all&limit=16&q=%22nicotinamide%20mononucleotide%22%20(supplement%20OR%20capsule%20OR%20powder%20OR%20experience%20OR%20results%20OR%20side%20effects)

Broad search failed: Failed to fetch after retries: https://old.reddit.com/search.json?raw_json=1&sort=new&t=all&limit=16&q=nicotinamide%20mononucleotide

Use adverse/interactions PubMed signal counts for screening; perform clinician review before high-dose or multi-drug stack use.

Human-study daily dose signal: 300 mg-900 mg/day (confidence HIGH).

Extracted from 6 dosing mentions across 2 PubMed studies (mg/day).

Imported legacy community score: 9.0/10 (heuristic mapping confidence 1.00).

Imported legacy monthly cost signal: ~$50.00.

Legacy community note: The flagship longevity supplement. Community reports improved energy, better sleep, mental clarity, and exercise capacity. David Sinclair's personal use has driven enormous interest. Some debate NMN vs NR. Sublingual delivery gaining popularity.

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22nicotinamide%20mononucleotide%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20randomized%20controlled%20trial%5BPublication%20Type%5D
  • https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22nicotinamide%20mononucleotide%22)%20AND%20humans%5BMeSH%20Terms%5D%20AND%20(supplement*%5BTitle%2FAbstract%5D%20OR%20supplementation%5BTitle%2FAbstract%5D%20OR%20intake%5BTitle%2FAbstract%5D%20OR%20dietary%20supplements%5BMeSH%20Terms%5D)%20AND%20meta-analysis%5BPublication%20Type%5D
  • https://pubmed.ncbi.nlm.nih.gov/39531138/
  • https://pubmed.ncbi.nlm.nih.gov/39185644/
  • https://pubmed.ncbi.nlm.nih.gov/40275690/
  • https://pubmed.ncbi.nlm.nih.gov/39116016/
  • https://pubmed.ncbi.nlm.nih.gov/36482258/
  • https://pubmed.ncbi.nlm.nih.gov/33888596/
  • https://pubmed.ncbi.nlm.nih.gov/34238308/
  • https://pubmed.ncbi.nlm.nih.gov/36797393/
  • https://pubmed.ncbi.nlm.nih.gov/35215405/
  • https://pubmed.ncbi.nlm.nih.gov/38789831/
  • https://pubmed.ncbi.nlm.nih.gov/37619764/
  • https://pubmed.ncbi.nlm.nih.gov/35499054/
  • https://pubmed.ncbi.nlm.nih.gov/37068054/
  • https://pubmed.ncbi.nlm.nih.gov/29249689/
  • https://pubmed.ncbi.nlm.nih.gov/?term=Nicotinamide%20Mononucleotide%20(NMN)
  • Community Sources

    • https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=%22nicotinamide%20mononucleotide%22%20(supplement%20OR%20dosage%20OR%20stack%20OR%20side%20effects%20OR%20review)%20(subreddit%3ASupplements%20OR%20subreddit%3ANootropics%20OR%20subreddit%3ABiohackers%20OR%20subreddit%3Alongevity%20OR%20subreddit%3ANutrition%20OR%20subreddit%3AHubermanLab%20OR%20subreddit%3ASleep%20OR%20subreddit%3AFitness%20OR%20subreddit%3Aketoscience%20OR%20subreddit%3AStackAdvice)
    • https://old.reddit.com/search.json?raw_json=1&sort=comments&t=all&limit=16&q=%22nicotinamide%20mononucleotide%22%20(supplement%20OR%20capsule%20OR%20powder%20OR%20experience%20OR%20results%20OR%20side%20effects)
    • https://old.reddit.com/search.json?raw_json=1&sort=new&t=all&limit=16&q=nicotinamide%20mononucleotide
    • https://www.reddit.com/search/?q=Nicotinamide%20Mononucleotide%20(NMN)
    3. Effects of Nicotinamide Mononucleotide on Glucose and Lipid Metabolism in Adults: A Systematic Review and Meta-analysis of Randomised Controlled Trials.

    PUBMED • 2024 • Human evidence curation set

    PMID 39531138 from Curr Diab Rep.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    4. Effects of Nicotinamide Mononucleotide Supplementation on Muscle and Liver Functions Among the Middle-aged and Elderly: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

    PUBMED • 2025 • Human evidence curation set

    PMID 39185644 from Curr Pharm Biotechnol.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    5. The Effect of Nicotinamide Mononucleotide and Riboside on Skeletal Muscle Mass and Function: A Systematic Review and Meta-Analysis.

    PUBMED • 2025 • Human evidence curation set

    PMID 40275690 from J Cachexia Sarcopenia Muscle.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    6. Efficacy of oral nicotinamide mononucleotide supplementation on glucose and lipid metabolism for adults: a systematic review with meta-analysis on randomized controlled trials.

    PUBMED • 2025 • Human evidence curation set

    PMID 39116016 from Crit Rev Food Sci Nutr.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    7. The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults: a randomized, multicenter, double-blind, placebo-controlled, parallel-group, dose-dependent clinical trial.

    PUBMED • 2023 • Human evidence curation set

    PMID 36482258 from Geroscience.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    8. Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women.

    PUBMED • 2021 • Human evidence curation set

    PMID 33888596 from Science.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    9. Nicotinamide mononucleotide supplementation enhances aerobic capacity in amateur runners: a randomized, double-blind study.

    PUBMED • 2021 • Human evidence curation set

    PMID 34238308 from J Int Soc Sports Nutr.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    10. Nicotinamide adenine dinucleotide metabolism and arterial stiffness after long-term nicotinamide mononucleotide supplementation: a randomized, double-blind, placebo-controlled trial.

    PUBMED • 2023 • Human evidence curation set

    PMID 36797393 from Sci Rep.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    11. Effect of 12-Week Intake of Nicotinamide Mononucleotide on Sleep Quality, Fatigue, and Physical Performance in Older Japanese Adults: A Randomized, Double-Blind Placebo-Controlled Study.

    PUBMED • 2022 • Human evidence curation set

    PMID 35215405 from Nutrients.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    12. Ingestion of β-nicotinamide mononucleotide increased blood NAD levels, maintained walking speed, and improved sleep quality in older adults in a double-blind randomized, placebo-controlled study.

    PUBMED • 2024 • Human evidence curation set

    PMID 38789831 from Geroscience.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    13. The Safety and Antiaging Effects of Nicotinamide Mononucleotide in Human Clinical Trials: an Update.

    PUBMED • 2023 • Human evidence curation set

    PMID 37619764 from Adv Nutr.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    14. Nicotinamide mononucleotide (NMN) as an anti-aging health product - Promises and safety concerns.

    PUBMED • 2022 • Human evidence curation set

    PMID 35499054 from J Adv Res.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    15. Dietary Supplementation With NAD+-Boosting Compounds in Humans: Current Knowledge and Future Directions.

    PUBMED • 2023 • Human evidence curation set

    PMID 37068054 from J Gerontol A Biol Sci Med Sci.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source
    16. NAD(+) Intermediates: The Biology and Therapeutic Potential of NMN and NR.

    PUBMED • 2018 • Human evidence curation set

    PMID 29249689 from Cell Metab.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,4022,4121, etc.]

    Open source