PlainPill

NAD+

People mainly take NAD+ for energy, focus, longevity. Based on 125 first-hand reports and 109 meta-analyses & systematic reviews in the medical literature. Ranked #173 of 1,974 overall.

45
User score
Mostly positive
15% positive4% mixed6% negative74% unclear

Of reports that state an outcome, 60% are positive.

Clinical research
AStrong research base
109
meta-analyses
168
RCTs
58,329
papers

What NAD+ does, according to users

Of the people who reported each effect, the share who said it got better.

What the research says

Systematic reviews and meta-analyses from PubMed, with their published conclusions.

AStrong research base

3+ meta-analyses or systematic reviews and 10+ randomized controlled trials in humans. The grade measures how much human research exists — read the conclusions below for what it found.

BMJ Clin Evid · 2008 · Meta-analysis / systematic review
Chronic fatigue syndrome

Conclusion: In this systematic review we present information relating to the effectiveness and safety of the following interventions: antidepressants, cognitive behavioural therapy (CBT), corticosteroids, dietary supplements, evening primrose oil, galantamine, graded exercise therapy, homeopathy, immunotherapy, intramuscular magnesium, oral nicotinamide adenine dinucleotide, and prolonged rest.

PubMed 19445810 ↗
BMJ Clin Evid · 2011 · Meta-analysis / systematic review
Chronic fatigue syndrome

Conclusion: In this systematic review we present information relating to the effectiveness and safety of the following interventions: antidepressants, cognitive behavioural therapy (CBT), corticosteroids, dietary supplements, evening primrose oil, galantamine, graded exercise therapy, homeopathy, immunotherapy, intramuscular magnesium, oral nicotinamide adenine dinucleotide, and prolonged rest.

PubMed 21615974 ↗
Curr Diab Rep · 2024 · Meta-analysis / systematic review
Effects of Nicotinamide Mononucleotide on Glucose and Lipid Metabolism in Adults: A Systematic Review and Meta-analysis of Randomised Controlled Trials

Conclusion: The random-effects meta-analyses indicated no significant benefit of NMN on fasting glucose, fasting insulin, glycated hemoglobin, homeostatic model assessment for insulin resistance and lipid profile. Based on the small number of RCTs involving mainly relatively healthy adults, short-term supplementation of NMN of 250-2000 mg/d did not show significantly positive impacts on glucose control and lipid profile.

PubMed 39531138 ↗

Dosage people report

As stated by users — not a recommendation. Follow the label or your doctor.

occasionalas reported
weeklyas reported
1 gdaily
250 mgmorning and night
opposite daysas reported
10-25 mg3x weekly

Reported side effects

How often each side effect came up across all reports.

fatigue ×1tight breathing ×1niacin flush ×1sweating ×1injection pain ×1cold sweats ×1chest tightness ×1anxiety ×1

What users say

Verbatim quotes, shortened only — each links to the original discussion.

“The NAD+ I have used on occasion and the pterostilbene also on occasion. Never noticed side effects with those.”
Source discussion ↗
“I actually inject myself with NAD+ on a weekly basis and have been doing so for the past 6 months. I no longer struggle with brain fog or general fatigue.”
Source discussion ↗
“I feel more energy I think but I also think only the NAD is doing anything”
Source discussion ↗
“It seems like NAD gets you back to youthful levels of health, but isn’t going to supercharge anyone who is still there.”
Source discussion ↗
“I'd add clomid, peptides and nad”
Source discussion ↗
Top discussions (5)

Other options for energy

User data from public discussions; research from PubMed. Information only, not medical advice — talk to a doctor before starting, stopping or combining anything. Data updated October 2, 2026. How we rate