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Supplement

Nicotinamide Riboside (NR)

NAD+ precursor supporting mitochondrial and repair pathways.[2906,2961,2987, etc.]

Superscript reference numbers link to the Sources bibliography.

Strong Evidence
LongevityEnergy

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

-15

Caution Lean • confidence Minimal

Safety Friction

100/100

High signal from adverse/interaction markers

Data Completeness

100%

Studies 12 • mentions 6 • links 22

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.[584,732,956, etc.]

Dose guide: Human-study daily dose: 200 mg-1000 mg/day (higher-confidence extraction from PubMed abstracts)..[584,732,956, etc.]

Category: cofactor.[584,732,956, etc.]

Category

Cofactor

Evidence Tier

HIGH

Daily Guide

Human-study daily dose: 200 mg-1000 mg/day (higher-confidence extraction from PubMed abstracts).

Dosing Guide

Human-study daily dose: 200 mg-1000 mg/day (higher-confidence extraction from PubMed abstracts).[2906,, etc.]

At-A-Glance Evidence Architecture[2906,2961,2987, etc.]

Clinical Depth

Humans: 163 • RCTs: 20 • Meta: 1

Cohort / Real-World

Cohort signals: 0

Safety Markers

Adverse signals: 57 • Interactions: 47

Evidence Tracking

Freshness, trend, and study timeline for this item

Evidence Tracking

Status

New Evidence

Trend

→ Stable evidence base

Depth

364 total studies · 1 recent

Timeline

20182025

Top Signal Metrics[2906,2961,2987, etc.]

Total indexed

364

Animal-only studies

233

Human studies

163

In vitro / tissue

110

Safety adverse signals

57

Interaction signals

47

Community Direction Mix[584,732,956, etc.]

Weighted direction score: -15 (Caution Lean)

Benefit

Evidence Quality Summary[2906,2961,2987, etc.]

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

Total indexed

364

Animal-only studies

233

Human studies

163

In vitro / tissue

110

Safety adverse signals

57

Interaction signals

47

Randomized trials

20

Meta-analyses

1

Study Type Breakdown

Distribution of evidence by study design strength

Meta-AnalysesLevel 1a1
Randomized TrialsLevel 1b20
Human Studies (other)Level 3-4142
All IndexedAll levels364
100

Evidence Strength: High

Composite of study volume, RCTs, and meta-analyses

Top Human Studies[2906,2961,2987, etc.]

PMID 40275690 • 2025 Jun

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 35235774 • 2022 Mar 1

The NADPARK study: A randomized phase I trial of nicotinamide riboside supplementation in Parkinson's disease.

Cell Metab

Open PubMed

PMID 29599478 • 2018 Mar 29

Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD(+) in healthy middle-aged and older adults.

Nat Commun

Community Report Frequency[584,732,956, etc.]

Benefit reports: 2

Adverse reports: 2

No-effect reports: 1

Mixed reports: 1

Unclear reports: 0

Signal confidence: 0.00

Top Reported Effects[584,732,956, etc.]

Benefits

  • NAD+ elevation: 1
  • Cellular energy support: 1
  • Healthy aging: 1
  • Cardiovascular function: 1
  • Metabolic health: 1
  • Neuroprotection: 1

Adverse

  • Active cancer: 1
  • Budget-conscious (may prefer niacinamide as cheaper alternative): 1

No Effect

  • no noticeable effect: 1

Community reports split between responders and non-responders. | Step2: Insufficient empirical signal for a directional adjustment.

Reddit evidence: 0 mentions (confidence 0.00).

Amazon signal: 0 products scanned (confidence 0.00).

Community Evidence Examples[584,732,956, etc.]

aggregate • unclear

Aggregate community signal: 6 directional mentions (benefit 2, adverse 2, no-effect 1, mixed 1).

Open mention

Retail Signal Examples

amazon

Amazon search for Nicotinamide Riboside (NR)

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%20riboside%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%20riboside%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%20riboside%22)%20AND%20animals%5BMeSH%20Terms%5D%20NOT%20humans%5BMeSH%20Terms%5D

Scientific Evidence Notes[2906,2961,2987, etc.]

1. NR and NAD+ metabolite levels

RCT • 2022 • Adults

Healthy and older adults.

Outcome: Raises NAD+ metabolites; mixed functional outcomes.[2906,2961,2987, etc.]

2. PubMed evidence summary: Nr

PUBMED • Humans + preclinical triage

Counts aggregated from automated literature sweep and tiering rules.

Outcome: Tier HIGH; humans 163, RCTs 20, meta-analyses 1.[2906,2961,2987, etc.]

Open source
2961,
2987

Safety and Pitfalls

  • Long-term endpoint evidence still emerging[584,732,956, etc.]
  • Potential side effect: flushing[584,732,956, etc.]
  • Potential side effect: GI upset[584,732,956, etc.]
  • Use caution with condition: active cancer treatment (specialist input)[584,732,956, etc.]
  • Legacy caution group: Active cancer[584,732,956, etc.]
  • Legacy caution group: Budget-conscious (may prefer niacinamide as cheaper alternative)[584,732,956, etc.]
2 (33%)
Adverse2 (33%)
No Effect1 (17%)
Mixed1 (17%)
Open PubMed

PMID 31278280 • 2019 Jul 5

Safety and Metabolism of Long-term Administration of NIAGEN (Nicotinamide Riboside Chloride) in a Randomized, Double-Blind, Placebo-controlled Clinical Trial of Healthy Overweight Adults.

Sci Rep

Open PubMed

PMID 31412242 • 2019 Aug 13

Nicotinamide Riboside Augments the Aged Human Skeletal Muscle NAD(+) Metabolome and Induces Transcriptomic and Anti-inflammatory Signatures.

Cell Rep

Open PubMed

PMID 35998039 • 2022 Oct 10

A randomized placebo-controlled trial of nicotinamide riboside and pterostilbene supplementation in experimental muscle injury in elderly individuals.

JCI Insight

Open PubMed

PMID 32320006 • 2020 Aug 1

Nicotinamide riboside supplementation alters body composition and skeletal muscle acetylcarnitine concentrations in healthy obese humans.

Am J Clin Nutr

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 37478182 • 2023 Jul 21

What is really known about the effects of nicotinamide riboside supplementation in humans.

Sci Adv

Open PubMed

PMID 29249689 • 2018 Mar 6

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

Cell Metab

Open PubMed

PMID 34497121 • 2021 Sep 14

NAD(+) supplementation reduces neuroinflammation and cell senescence in a transgenic mouse model of Alzheimer's disease via cGAS-STING.

Proc Natl Acad Sci U S A

Open PubMed

PMID 29514064 • 2018 Mar 6

Therapeutic Potential of NAD-Boosting Molecules: The In Vivo Evidence.

Cell Metab

Open PubMed

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%20riboside%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%20riboside%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%20riboside

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

Human-study daily dose signal: 200 mg-1000 mg/day (confidence HIGH).

Extracted from 4 dosing mentions across 2 PubMed studies (mg/day).

Imported legacy community score: 7.0/10 (heuristic mapping confidence 1.00).

Imported legacy monthly cost signal: ~$45.00.

Legacy community note: Respected NAD+ precursor with strong safety data. Some community members prefer NMN for potency. Niagen brand has loyal following. Less "exciting" than NMN marketing-wise but solid science.

https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi?db=pubmed&term=(%22nicotinamide%20riboside%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%20riboside%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/40275690/
  • https://pubmed.ncbi.nlm.nih.gov/35235774/
  • https://pubmed.ncbi.nlm.nih.gov/29599478/
  • https://pubmed.ncbi.nlm.nih.gov/31278280/
  • https://pubmed.ncbi.nlm.nih.gov/31412242/
  • https://pubmed.ncbi.nlm.nih.gov/35998039/
  • https://pubmed.ncbi.nlm.nih.gov/32320006/
  • https://pubmed.ncbi.nlm.nih.gov/37068054/
  • https://pubmed.ncbi.nlm.nih.gov/37478182/
  • https://pubmed.ncbi.nlm.nih.gov/29249689/
  • https://pubmed.ncbi.nlm.nih.gov/34497121/
  • https://pubmed.ncbi.nlm.nih.gov/29514064/
  • https://pubmed.ncbi.nlm.nih.gov/?term=Nicotinamide%20Riboside%20(NR)
  • Community Sources

    • https://old.reddit.com/search.json?raw_json=1&sort=relevance&t=year&limit=12&q=%22nicotinamide%20riboside%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%20riboside%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%20riboside
    • https://www.reddit.com/search/?q=Nicotinamide%20Riboside%20(NR)
    3. 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.[2906,2961,2987, etc.]

    Open source
    4. The NADPARK study: A randomized phase I trial of nicotinamide riboside supplementation in Parkinson's disease.

    PUBMED • 2022 • Human evidence curation set

    PMID 35235774 from Cell Metab.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source
    5. Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD(+) in healthy middle-aged and older adults.

    PUBMED • 2018 • Human evidence curation set

    PMID 29599478 from Nat Commun.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source
    6. Safety and Metabolism of Long-term Administration of NIAGEN (Nicotinamide Riboside Chloride) in a Randomized, Double-Blind, Placebo-controlled Clinical Trial of Healthy Overweight Adults.

    PUBMED • 2019 • Human evidence curation set

    PMID 31278280 from Sci Rep.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source
    7. Nicotinamide Riboside Augments the Aged Human Skeletal Muscle NAD(+) Metabolome and Induces Transcriptomic and Anti-inflammatory Signatures.

    PUBMED • 2019 • Human evidence curation set

    PMID 31412242 from Cell Rep.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source
    8. A randomized placebo-controlled trial of nicotinamide riboside and pterostilbene supplementation in experimental muscle injury in elderly individuals.

    PUBMED • 2022 • Human evidence curation set

    PMID 35998039 from JCI Insight.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source
    9. Nicotinamide riboside supplementation alters body composition and skeletal muscle acetylcarnitine concentrations in healthy obese humans.

    PUBMED • 2020 • Human evidence curation set

    PMID 32320006 from Am J Clin Nutr.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source
    10. 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.[2906,2961,2987, etc.]

    Open source
    11. What is really known about the effects of nicotinamide riboside supplementation in humans.

    PUBMED • 2023 • Human evidence curation set

    PMID 37478182 from Sci Adv.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source
    12. 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.[2906,2961,2987, etc.]

    Open source
    13. NAD(+) supplementation reduces neuroinflammation and cell senescence in a transgenic mouse model of Alzheimer's disease via cGAS-STING.

    PUBMED • 2021 • Human evidence curation set

    PMID 34497121 from Proc Natl Acad Sci U S A.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source
    14. Therapeutic Potential of NAD-Boosting Molecules: The In Vivo Evidence.

    PUBMED • 2018 • Human evidence curation set

    PMID 29514064 from Cell Metab.

    Outcome: See linked PubMed abstract for methods and outcomes.[2906,2961,2987, etc.]

    Open source