Outcome
    Moderate Evidence

    NMN for Anti-Aging Effects

    NMN raises NAD levels in humans, but no trial has demonstrated slowed ageing.

    Overview

    NMN raises NAD levels in humans, but no trial has demonstrated slowed ageing.

    Verdict

    Insufficient evidence

    How It Works

    NMN is a direct NAD precursor; restoring NAD supports sirtuin and PARP activity implicated in ageing biology.

    Dosing & Protocol

    Typical dose

    Recommended dose
    Studied at 250-1,000 mg/day NMN in short human trials; no ageing outcome has been demonstrated
    Expected timeframe
    Not established

    Protocol

    form
    Not applicable - and regulatory status is contested, with NMN removed from the US supplement market by FDA determination
    duration
    Not applicable
    co factor
    Evidence is insufficient. Human trials of NMN at 250-1,000 mg/day, lasting 6-12 weeks, consistently show it raises blood NAD+ levels and is well tolerated - that much is established. What has not been shown is any effect on ageing itself. The trials measured surrogate outcomes: NAD+ concentration, insulin sensitivity in a small subgroup of prediabetic women, aerobic capacity in amateur runners, and walking speed. None measured mortality, disease incidence, frailty progression or any validated ageing endpoint, and none ran longer than a few months. Mouse studies showing NMN improves metabolic and physical parameters in aged animals are the source of the enthusiasm, and mouse ageing results have a poor record of translating to humans.
    titration
    Not applicable
    starting dose
    Not established as an anti-ageing intervention

    Evidence

    What the studies say

    Human trials confirm dose-dependent increases in blood NAD with good tolerability. Clinical outcomes remain limited to small pilot endpoints such as walking speed and insulin sensitivity, and regulatory status is contested in the US.

    The efficacy and safety of β-nicotinamide mononucleotide supplementation in healthy middle-aged adults: a randomized, multicentre, double-blind, placebo-controlled, dose-dependent clinical trial

    Score: 7/10
    2023
    rct
    n=80

    Yi L, Maier AB, Tao R

    NMN raised blood NAD+ dose-dependently and improved walking distance, but most endpoints were unchanged.

    View source

    Safety

    Caveats

    Anti-ageing is not a measurable clinical outcome, and no supplement has been shown to slow human ageing. NMN raising NAD+ is real; that this translates to slower ageing is an untested assumption. Note the regulatory position: the US FDA has determined NMN is excluded from the dietary supplement definition because it was investigated as a drug, and availability varies by country. Safety: human trials up to 1,000 mg/day for 6-12 weeks report good tolerability, with mild nausea, diarrhoea, headache and flushing occasionally. There is no established upper intake level and no long-term human safety data - trials of this length cannot exclude effects that matter over years. A theoretical concern deserves stating: NAD+ availability supports cell proliferation, and some preclinical work suggests NAD+ precursors could support tumour growth or, through NAD+-dependent enzymes, affect cancer biology - people with a cancer history or active cancer should discuss NMN with their oncologist. Interactions are poorly characterised. Avoid in pregnancy and breastfeeding, where no safety data exist. The interventions with actual evidence for healthy ageing remain exercise, not smoking, blood pressure control, sleep and diet.

    Less likely to help if

    Everyone: no human ageing outcome has been demonstrated.

    Medical Disclaimer

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    Individual results may vary. The statements on this website have not been evaluated by the Food and Drug Administration. Products and information are not intended to diagnose, treat, cure, or prevent any disease.