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NAD+

Quick facts

Researched for
Energy, fatigue, mental clarity, focus, recovery and longevity
Route or form
Injection
Evidence so far
The one human finding tested a NAD+ building block; the rest are reports and views.
Not established
Human studies have not yet shown that injected NAD helps focus, health or long life.
Commonly researched
25 to 50 mg, two to three times per weekPractitionerSee every range
Where to get it
At our partner, US Precision Peptides.Go to Next step

By the Learn Peptides editorial team · Updated · How We Research

What people are researching it for

People are researching NAD+ for energy, fatigue, mental clarity, focus, recovery, and longevity.

NAD+ at a glance

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Reasons people look into NAD+. An interest is not a promise that it works.

  • Body composition & performance
    • Endurance & exercise capacity
  • Longevity & energy
    • Cellular & mitochondrial energy
  • Cognitive & mood
    • Focus & memory

Some report more energy or a clearer head for a short while; others notice little.

Small human studies looked at how IV NAD is handled and tolerated.

Human studies have not yet shown that injected NAD helps focus, health or long life.

Safety notes

Tested in people. How many took part, for how long, and who they were still matter.

Get medical help now
  • You have trouble breathing or wheezing, or your face, lips, tongue or throat swell.
  • You get hives away from the injection site, or feel severely dizzy or faint.

For these signs, call 911 or your local emergency number.

  • Stop and get medical help now for shortness of breath or chest symptoms. Stop and contact a doctor for an injection-site infection. For an allergic reaction, use the signs above. Industry perspective
Talk to a doctor today
  • Redness spreads, or heat, swelling or pain keeps growing where you injected.
  • A lump keeps growing or does not go away, or you see pus or red streaks.
  • You have a fever or chills, or feel sick all over.
Talk to a doctor first
  • Cancer, now or in the past. The cited commentary says to avoid it with active cancer, since some tumors also use NAD+ for energy. In one mouse study, NR (a building block of NAD+) raised breast cancer rates and its spread to the brain.
  • PARP inhibitor therapy (used in cancer treatment): mechanistically counterproductive to combine with NAD+. Industry perspective
  • Pregnancy or breastfeeding: avoid, no data. Industry perspective
  • Liver disease (cirrhosis, fatty liver): high chronic nicotinamide carries hepatotoxicity concerns. Industry perspective
Also good to know
  • Injection site burning or welts can happen, dilute more to reduce stinging. Industry perspective
  • IV, IM, and sometimes subQ can cause chest tightness, cramping, nausea, flushing, and anxiety, especially at higher doses. Industry perspective
  • IM injection tends to raise resting heart rate short-term more than subQ. Industry perspective
  • Theoretical methylation concern from clearing excess nicotinamide; the cited commentary describes taking TMG as a precaution and suggests watching homocysteine. Industry perspective

Questions to bring to your doctor

Only for the conditions this page cautions about. Bring this page with you.

  • I have or had cancer. Should I avoid NAD+, and what would you watch for?

Shows 4 practitioner ranges and 1 study amount, 2 of them by IV drip.

Not a peptide, it is a helper molecule every cell needs to make energy.

Next step

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