In the pursuit of optimal health and skin transformation, we must look beyond the surface. True regeneration begins at the cellular level. At the heart of this process is NAD+ (Nicotinamide Adenine Dinucleotide), a vital co-enzyme found in every living cell. It acts as the "fuel" for energy production and the "engine" for DNA repair.
However, as we age, our NAD+ levels decline sharply, leading to reduced vitality, disrupted sleep, and structural skin aging. The following seven studies, selected by our experts, provide the clinical foundation for why we focus on Nicotinamide Riboside (NR) to restore these levels and unlock your body’s potential for longevity.
1. The Inevitable Decline: Why Skin Ages as NAD+ Levels Drop
This landmark study maps the direct correlation between chronological aging and the depletion of natural NAD+ reservoirs in human tissue. The findings reveal that by the time we reach adulthood, NAD+ levels in the skin have plummeted by as much as 50% compared to newborns.
The essential conclusion is that this chronic deficiency in cellular energy is a primary driver behind reduced skin repair capacity and increased vulnerability to oxidative stress and wrinkle formation. Without sufficient NAD+, the skin loses its fundamental ability to maintain cellular turnover and structural integrity.
Reference: Massudi H, et al. Age-associated changes in oxidative stress and NAD+ metabolism in human tissue. PLoS One. 2012.
Massudi H, Grant R, Braidy N, Guest J, Farnsworth B, Guillemin GJ. Age-associated changes in oxidative stress and NAD+ metabolism in human tissue. PLoS One. 2012;7(7):e42357. doi: 10.1371/journal.pone.0042357. Epub 2012 Jul 27. PMID: 22848760; PMCID: PMC3407129.
Link: https://pubmed.ncbi.nlm.nih.gov/22848760/
2. Maximum Efficiency: Why NR is the Superior Way to Boost NAD+
Scientific evidence indicates that not all NAD+ precursors are processed by the body with the same efficiency. This recent publication confirms that Nicotinamide Riboside (NR) outperforms other molecules like NMN. Due to its smaller molecular structure, NR can cross the cell membrane directly without requiring prior enzymatic transformation, resulting in faster and more significant uptake.
The core of this research is that NR represents the most efficient method to activate NAD+ production, which is crucial for supporting effective tissue regeneration and combating biological aging at a cellular level.
Reference: Lamprecht J, et al. The Wnt–NAD+ axis in cancer, aging, and tissue regeneration. Trends in Cell Biology. 2025.
Lamprecht J, Abu Sanad S, Kusumbe AP, Habib SJ. The Wnt-NAD+ axis in cancer, aging, and tissue regeneration. Trends Cell Biol. 2026 Feb;36(2):154-174. doi: 10.1016/j.tcb.2025.07.006. Epub 2025 Aug 29. PMID: 40885694.
Link: https://pubmed.ncbi.nlm.nih.gov/40885694/
3. Proven in Humans: A 59% Increase in Cellular Fuel with 300mg NR
While many longevity studies are limited to animal models, this clinical trial provides definitive evidence in humans. A single oral dose of 300mg NR was shown to increase NAD+ concentrations in the blood by an average of 59% within just four hours.
This proves that oral supplementation with NR has a direct and significant effect on the availability of essential cellular fuel in the human body, providing tissues with the immediate energy needed for optimal biological performance.
Reference: Trammell SA, et al. Nicotinamide riboside is uniquely and orally bioavailable in mice and humans. Nat Commun. 2016.
Trammell SA, Schmidt MS, Weidemann BJ, Redpath P, Jaksch F, Dellinger RW, Li Z, Abel ED, Migaud ME, Brenner C. Nicotinamide riboside is uniquely and orally bioavailable in mice and humans. Nat Commun. 2016 Oct 10;7:12948. doi: 10.1038/ncomms12948. PMID: 27721479; PMCID: PMC5062546.
Link: https://pubmed.ncbi.nlm.nih.gov/27721479/
4. The Longevity Switch: How NAD+ Powers Your Sirtuin Proteins
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Reference: Imai S, Guarente L. NAD+ and sirtuins in aging and disease. Trends Cell Biol. 2014. / Rajman L, et al. Cell Metab. 2018.
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Summary: Sirtuins are "guardian" proteins that protect our DNA and keep cells healthy—but they are strictly NAD+-dependent. Without this fuel, your natural anti-aging mechanisms remain dormant. Increasing NAD+ "flips the switch," activating these longevity pathways.
5. Vitality and Focus: The Role of NAD+ in Mental Resilience
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Reference: Iqbal T, et al. Biochem Biophys Res Commun. 2024. / Covarrubias AJ, et al. Nat Rev Mol Cell Biol. 2021.
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Summary: Low NAD+ levels directly impact our "cellular power plants" (mitochondria). These studies show that maintaining healthy NAD+ levels is essential for physical vitality and mental clarity, providing better resilience against daily stress and fatigue.
6. Synchronizing Your Internal Clock: NAD+ for Better Sleep Cycles
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Reference: Peek CB, et al. Circadian Clock NAD+ Cycle Drives Mitochondrial Oxidative Metabolism. Science. 2013.
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Summary: Our biological clock is regulated by fluctuations in NAD+. A deficiency disrupts this rhythm, leading to lower energy during the day and poor recovery at night. Optimizing NAD+ helps resynchronize this natural cycle for better rest and performance.
7. Overnight Skin Repair: Protection Against Sun Damage
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Reference: Gaddameedhi S, et al. Control of DNA repair by adiponectin and the circadian clock. Science. 2011.
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Summary: Most skin repair, particularly from UV damage, happens at night. This process relies entirely on your internal clock and the availability of NAD+. Replenishing NAD+ ensures your skin can effectively repair itself while you sleep, preventing premature wrinkles and a weakened barrier.
