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Do NAD Supplements Actually Work? Unpacking the Science of Cellular Health

February 13, 2026
Do NAD supplements actually work? Explore this comprehensive guide on NAD+ science, precursors, & how lifestyle boosts levels. Set realistic expectations.
Do NAD Supplements Actually Work? Unpacking the Science of Cellular Health

Table of Contents

  1. Introduction
  2. Understanding NAD+: The Body's Crucial Coenzyme
  3. Different Forms of NAD-Boosting Supplements
  4. The Science Behind NAD Supplements: What the Research Says
  5. The "Bioavailability Problem" and How to Address It
  6. Practical Strategies for Supporting Your NAD+ Levels
  7. Choosing the Right Supplements: Dosage and Considerations
  8. Conclusion
  9. Frequently Asked Questions

Have you ever felt like your energy levels aren't quite what they used to be, or wished for a way to support your body's natural vitality as you age? You're not alone. Many people are exploring wellness strategies to help them feel their best, and one molecule frequently discussed in these conversations is NAD+. Touted across social media and by wellness enthusiasts, NAD+ and its precursors are often presented as revolutionary tools for maintaining youthful vigour and supporting overall health. But with so much information circulating, it's natural to wonder: do NAD supplements actually work, or is it just another passing trend?

At Swiss Peak Health, we believe in providing clear, practical, and trustworthy wellness education. Our mission is simple: peak health for less, making premium wellness genuinely affordable and accessible. This means cutting through the hype to bring you reliable insights into in-demand wellness products. In this comprehensive guide, we'll dive deep into what NAD+ is, its crucial role in your body, and what the current science says about supplementing with NAD+ precursors. We'll explore the different forms available, discuss their potential benefits and limitations, and offer practical advice on how to genuinely support your cellular health. By the end, you'll have a clearer understanding of NAD+ and whether these supplements might fit into your personal wellness journey, always with realistic expectations in mind.

Introduction

Imagine your body as a bustling city, with millions of tiny power plants working tirelessly to keep everything running. These power plants are your cells' mitochondria, the engines that convert the food you eat into the energy your body uses for every single function, from thinking to moving. Central to the efficient operation of these microscopic powerhouses is a vital coenzyme called Nicotinamide Adenine Dinucleotide, or NAD+. It's a molecule found in every cell of your body, acting as a crucial helper for hundreds of enzymes involved in energy production, DNA repair, and overall cellular maintenance.

The challenge is that NAD+ levels naturally decline as we age. This decline can start as early as young adulthood and continues throughout life, often alongside a corresponding dip in perceived energy and vitality. This observation has led researchers and wellness advocates to ponder: if declining NAD+ levels contribute to the effects of ageing, could boosting these levels with supplements help mitigate these changes? This question forms the core of the growing interest in NAD supplements, which often come in the form of precursors like Nicotinamide Riboside (NR) and Nicotinamide Mononucleotide (NMN).

Our purpose in this post is to synthesise the available scientific evidence, drawing upon expert insights and current research, to answer the pivotal question: do NAD supplements actually work? We will demystify the biochemistry, differentiate between the various types of NAD-boosting compounds, evaluate the promising findings from preclinical studies against the more limited human data, and discuss the practical considerations for anyone exploring these supplements. Our main message is to equip you with the knowledge to make informed decisions, understanding both the potential and the current limitations, while always prioritising proven, foundational wellness strategies.

Understanding NAD+: The Body's Crucial Coenzyme

NAD+ is much more than just a buzzword in the wellness world; it's a fundamental molecule essential for life itself. To truly understand whether NAD supplements work, we first need to grasp what NAD+ does within our bodies.

What is NAD+ and Why is it Important?

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every living cell. Think of it as a vital helper molecule that binds to enzymes, enabling them to carry out critical chemical reactions. Without NAD+, many of your body's essential functions would grind to a halt. Its primary roles include:

  • Energy Production: NAD+ is a key player in cellular metabolism, particularly in the mitochondria. It helps convert nutrients from food into adenosine triphosphate (ATP), the primary energy currency of your cells. This process, often referred to as the "Krebs cycle" or "citric acid cycle," relies heavily on NAD+ to shuttle electrons, ensuring a continuous supply of energy for every bodily function.
  • Cellular Repair: NAD+ is crucial for DNA repair mechanisms. Our DNA is constantly exposed to damage from environmental factors and normal metabolic processes. Enzymes that repair this damage, such as PARPs (poly-ADP-ribose polymerases), require NAD+ as a co-substrate. By facilitating DNA repair, NAD+ helps maintain genomic integrity and cellular health.
  • Cellular Signalling: NAD+ acts as a signalling molecule, influencing various cellular processes, including inflammation, stress responses, and the regulation of our circadian rhythm – our natural sleep-wake cycle.
  • Maintaining Sirtuin Activity: Sirtuins are a class of proteins often referred to as "guardians of the genome" due to their role in regulating cellular health, DNA repair, and metabolism. They are NAD+-dependent, meaning they cannot function without sufficient levels of NAD+. These proteins are thought to play a significant role in how our bodies age.

In essence, NAD+ helps keep the "gears running" in our cells, contributing to everything from metabolic efficiency to the health of our tissues throughout the body.

The Age-Related Decline of NAD+

One of the most compelling aspects of NAD+ research is the discovery that its levels naturally decrease as we age. Studies suggest that NAD+ concentrations in humans may drop by 10%–80% with advancing age, potentially even halving by middle age. This decline is thought to be influenced by several factors:

  • Increased Damage and Repair: As we accumulate more cellular damage over our lifespan (from UV radiation, toxins, metabolic stress), the enzymes involved in repair mechanisms become more active, consuming more of the available NAD+.
  • Inflammation: Chronic, low-grade inflammation, which tends to increase with age, can also deplete NAD+ stores.
  • Cardiometabolic Diseases: Conditions such as overweight, obesity, and other cardiometabolic risk factors are also associated with reduced NAD+ levels.

The hypothesis is that this age-related decline in NAD+ contributes to a decline in physiological function, impacting energy levels, metabolic efficiency, and the body's ability to repair itself effectively. This theory forms the foundation for why many are exploring NAD-boosting strategies.

Different Forms of NAD-Boosting Supplements

When you hear about "NAD supplements," it's important to recognise that you're usually talking about compounds that the body converts into NAD+, rather than NAD+ itself. There are several forms, each with similar-sounding acronyms. Understanding the differences is key to deciphering what might actually work.

NAD+ vs. NADH

NAD+ and NADH are two forms of the same molecule. NAD+ is the oxidised form (it has lost an electron), while NADH is the reduced form (it has gained an electron). They work in tandem, transferring electrons back and forth to facilitate energy production and other vital reactions in your cells. While both are crucial, NAD+ is the form primarily associated with the functions linked to healthy ageing and cellular repair.

Nicotinamide Riboside (NR) and Nicotinamide Mononucleotide (NMN)

These are the two most commonly discussed NAD+ precursors in the supplement world. Both are derivatives of vitamin B3 (niacin) and act as "building blocks" that your body can use to synthesise its own NAD+.

  • Nicotinamide Riboside (NR): NR is absorbed by cells and then converted into NMN, and subsequently into NAD+.
  • Nicotinamide Mononucleotide (NMN): NMN is one step closer to NAD+ than NR, meaning the body has one less conversion step to perform. However, some research suggests NMN molecules might need to be converted into NR to enter cells effectively due to their size.

The debate over whether NR or NMN is "better" is ongoing, with no definitive answer yet. Both are designed to increase intracellular NAD+ levels through the body's natural recycling pathways.

Other Precursors

The body can also convert niacin (another form of vitamin B3) and the amino acid tryptophan into NAD+. While these are found in some foods and available as supplements, NR and NMN are generally considered more efficient at raising NAD+ levels.

Why Precursors are Preferred Over Direct NAD+

You might wonder why we don't just take NAD+ directly. The reason lies in bioavailability. NAD+ itself is not very stable and doesn't absorb efficiently when taken orally because it breaks down in the digestive system.

  • Oral NAD+ Supplements: When you take NAD+ directly in pill form, much of it is destroyed by stomach acid or metabolised by the liver before it can reach your cells. This means only a fraction of the dose actually becomes available to your body.
  • Precursor Supplements (NR, NMN): NR and NMN are more stable and bioavailable as oral supplements. They are designed to be absorbed more readily, allowing your cells to use them as raw materials to produce NAD+. This is why most NAD-boosting supplements focus on these precursors.

At Swiss Peak Health, we understand the importance of choosing forms that are both stable and effective. Our commitment to transparency means we focus on scientifically relevant formulations. For example, our NMN NAD+ Gummies and NMN = NAD+ Supplement (600mg per Serving) Cellular Repair & Energy Metabolism offer convenient and precisely dosed options for those looking to explore NMN.

The Science Behind NAD Supplements: What the Research Says

The concept of boosting NAD+ levels to support health and vitality is highly appealing, and it's backed by a significant amount of preclinical research. However, translating these findings to human benefits requires careful consideration of clinical trial data.

Promising Preclinical Studies (Animal Models)

Many of the exciting claims about NAD supplements originate from studies conducted on animals, primarily rodents. These preclinical studies have demonstrated some compelling effects:

  • Delaying Signs of Ageing: In mouse models, NAD-boosting supplements have been shown to improve various markers associated with ageing, such as glucose and insulin regulation, mitochondrial oxidative metabolism, and even vascular function.
  • Enhanced Energy and Metabolism: Animal studies suggest that increased NAD+ levels may support mitochondrial function, leading to improved energy production and metabolic health.
  • Cognitive Support: Some research indicates potential benefits for cognitive function in models of neurodegenerative conditions.
  • Organ Health: Preclinical findings point to NAD+ precursors potentially supporting muscle and physical functioning, and even heart health.

These animal studies provide a strong theoretical basis for the potential of NAD-boosting compounds, suggesting they might mitigate age-related declines by improving mitochondrial function and reducing oxidative stress, DNA damage, and inflammation. However, it's crucial to remember that results from animal studies do not always translate directly to humans.

Human Clinical Trials: The Current Landscape

While preclinical data is encouraging, the evidence from human clinical trials is still in its early stages and, at times, yields mixed results.

Safety and NAD+ Level Increase

One of the most consistent findings in human trials is that oral supplementation with NR and NMN is generally safe and well-tolerated at common dosages. Studies have shown that these precursors can effectively increase concentrations of NAD+ and related metabolites in the blood, and sometimes in other tissues, within a matter of weeks. This is a crucial first step, confirming that the supplements are absorbed and converted into NAD+ as intended.

Physiological Outcomes: More Research Needed

The real question, however, is whether this increase in NAD+ levels translates into meaningful improvements in physiological function or observable health benefits in humans. Here, the evidence is less definitive:

  • Limited "Real-World" Impact: While blood NAD+ levels may rise dramatically, current human studies have often found very few clinically relevant effects on broader health outcomes. Many trials have small sample sizes and varying durations, making it difficult to draw firm conclusions.
  • Variable Results: Some early research hints at potential benefits for insulin sensitivity and blood pressure in certain populations, but these findings need much more extensive study. Other proposed benefits, like improvements in muscle function or exercise capacity, have yielded variable results.
  • No Proof of Longevity Extension (Yet): Despite the "anti-ageing" label, there is currently no conclusive proof from human trials that NAD supplements can slow or reverse the ageing process or extend lifespan. The National Institute on Ageing's Interventions Testing Program, for example, found no lifespan extension in mice given NR.
  • Skin Health: Some experts suggest that increased NAD+ levels, by supporting cellular repair and mitochondrial function, may indirectly support skin cell health and repair damage from environmental factors. However, robust clinical evidence directly linking NAD supplementation to visible improvements in wrinkles or sagging skin is still limited.

What We Don't Know Yet

The field of NAD+ research in humans is relatively new, with the first chronic human studies only emerging in the last decade. Many important questions remain unanswered:

  • Long-Term Effects: We have limited data on the long-term safety and efficacy of NAD supplements when taken over months or years.
  • Optimal Dosing and Duration: Optimal dosages, the best form of precursor (NR vs. NMN), and the ideal duration of supplementation are still being investigated.
  • Target Populations: It's possible that NAD supplements might have a more pronounced impact on specific populations (e.g., individuals with certain metabolic risk factors or those with significantly depleted NAD+ levels) rather than generally healthy individuals. Researchers are starting to explore this possibility.

At Swiss Peak Health, we always recommend a "start low and go slow" approach with any new supplement, and to follow the label for recommended dosage. It's also vital to consult a healthcare professional if you are pregnant, breastfeeding, taking medication, or under medical supervision, as these products are not intended to prevent, treat, or cure disease.

The "Bioavailability Problem" and How to Address It

The effectiveness of any oral supplement hinges on its bioavailability – how much of the active compound actually gets absorbed into your bloodstream and becomes available to your cells. For NAD-boosting compounds, this is a critical consideration.

Challenges with Oral Supplementation

When you take a supplement orally, it faces a gauntlet of challenges before reaching its target:

  1. Stomach Acid: The harsh, acidic environment of the stomach can degrade sensitive compounds.
  2. Digestive Enzymes: Enzymes in your digestive tract can break down molecules.
  3. Intestinal Absorption: The small intestine must absorb the compound, and efficiency varies.
  4. First-Pass Effect: After absorption, the compound travels to the liver, where a significant portion can be metabolised and broken down before it ever reaches your general circulation.

Even with high-quality NAD precursors like NR or NMN, only a fraction of the dose you ingest might ultimately be available for your cells to convert into NAD+. Furthermore, your body still has to perform the conversion work, which may be less efficient in older or stressed bodies.

The Role of Quality and Formulation

This "bioavailability problem" underscores the importance of choosing high-quality supplements from transparent brands. At Swiss Peak Health, our commitment to quality ensures that we meticulously select and formulate our products to optimise absorption and stability.

  • Proudly British-Made: Every Swiss Peak Health product, including our NAD-boosting options, is crafted to high UK manufacturing standards. We believe in strong British quality controls to give you confidence in what you're taking.
  • Facility Standards: Our products are made in facilities that adhere to rigorous standards like BRC (HACCP), ensuring consistent quality and safety from production to your doorstep.
  • Independent Lab Testing: To further ensure purity, potency, and safety, all our products are independently/third-party lab tested. We encourage you to verify these lab results for complete transparency, so you know exactly what you're putting into your body. This includes verifying for 0.0% THC where applicable, ensuring our CBD products are THC-free.
  • FSA-Aligned Compliance: We maintain FSA Novel Foods positioning and FSA-aligned compliance, providing an additional layer of trust and adherence to regulatory guidelines.

By focusing on these trust pillars, we aim to reduce the guesswork for our customers, offering clear product information and reliable formulations like our NMN NAD+ Gummies | 30 Pack and NMN = NAD+ Supplement (600mg per Serving) Cellular Repair & Energy Metabolism. While oral supplements like these may offer gentle, long-term support for your cellular health, it’s important to have realistic expectations and understand that individual results may vary.

Practical Strategies for Supporting Your NAD+ Levels

Beyond supplements, there are several lifestyle choices that naturally support your body's NAD+ production and overall cellular health. Integrating these habits can be a powerful complement to any supplement regimen, or an effective standalone strategy.

Exercise: A Natural NAD+ Booster

Regular physical activity is one of the most well-researched ways to naturally boost NAD+ levels. Exercise, particularly high-intensity workouts like sprint intervals or strength training, stimulates pathways that promote NAD+ production and support mitochondrial health.

  • Build Consistent Habits: Even moderate, consistent exercise can make a difference. Aim for a routine that you can stick to, whether it's brisk walking, cycling, or lifting weights.
  • Lift Heavy Weights: Some experts specifically highlight the benefits of heavy weightlifting for increasing NAD+ levels, alongside supporting muscle composition and protein synthesis.
  • Explore Energy collection for pre-workout support: Our Functional Mushroom Coffee | 60 Servings can offer a different kind of morning boost to help you feel ready for activity, while Lion's Mane Gummies | 2000mg 30 Pack are a convenient way to support focus during your active routine.

Nutrition: Fueling NAD+ Production

Your diet plays a significant role in providing the building blocks for NAD+ and supporting cellular health.

  • Niacin-Rich Foods: Incorporate foods rich in niacin (vitamin B3), another precursor to NAD+. This includes whole grains, nuts, seeds, mushrooms, and fish.
  • Plant-Heavy Diet: A diet rich in fruits, vegetables, legumes, and whole grains provides essential nutrients and antioxidants that support overall cellular function and may indirectly aid NAD+ production.
  • Intermittent Fasting & Calorie Restriction: Some research suggests that these dietary approaches can stimulate pathways that promote NAD+ production, though they require careful consideration and guidance.
  • Hydration: Staying well-hydrated is fundamental for all cellular processes, including those involving NAD+.

Prioritising Rest and Recovery

The body's ability to repair and rejuvenate is often most active during periods of rest and quality sleep.

  • Quality Sleep: Consistent, restorative sleep allows your cells to perform essential maintenance and repair tasks, which indirectly conserves and supports NAD+ levels.
  • Stress Management: Chronic stress can take a toll on your body's resources, potentially depleting NAD+. Practising stress-reducing techniques like mindfulness or deep breathing can be beneficial.
  • Consider Sleep collection for support: If you're looking for natural ways to support your sleep quality, our Magnesium Citrate Tablets 750mg | 60 Servings and Sleep Mushroom Cacao Blend | 60 Servings are designed to help you unwind and prepare for rest.

Reducing Oxidative Stress and DNA Damage

Minimising factors that deplete NAD+ can be as important as trying to boost it.

  • Sun Protection: UV radiation causes DNA damage, which consumes NAD+ for repair. Using sun protection is crucial.
  • Antioxidant-Rich Foods: Foods high in antioxidants help combat oxidative stress, which can deplete NAD+ levels.
  • Avoid Smoking and Excessive Alcohol: These habits significantly increase oxidative stress and cellular damage.

By integrating these practical strategies, you're not just supporting NAD+ levels; you're nurturing your overall well-being, promoting everyday balance, and laying a strong foundation for a vibrant life. Our aim at Swiss Peak Health is to help you reduce guesswork by offering clear product information and helping you choose formats that match your lifestyle, whether that's through our Focus & Clarity collection or our Immunity collection.

Choosing the Right Supplements: Dosage and Considerations

If you decide to explore NAD-boosting supplements, understanding how to choose them and what to expect is crucial. Our approach at Swiss Peak Health is built on affordability, transparency, accessibility, and reliability, ensuring you have the information needed to make confident choices.

Dosage and Administration

There is currently no universally established recommended daily allowance (RDA) for NAD supplements. Dosing regimens and study durations vary greatly across interventions in clinical trials.

  • Start Low and Go Slow: A common recommendation for any new supplement is to begin with the lowest effective dose and gradually increase if needed, while carefully monitoring how your body responds. Always follow the specific dosage instructions provided on the product label.
  • Oral Supplements are Most Popular: NAD precursors like NR and NMN are primarily available in capsule, gummy, or powder forms for oral consumption. These are the most studied and accessible options for daily use. Our NMN NAD+ Gummies | 30 Pack are a convenient option, as are our Matcha Gummies | Mixed Berry Flavour for those looking for a different functional boost.
  • Avoid IV Therapy Without Medical Supervision: While NAD+ IV infusions are offered in some clinics, they deliver NAD+ directly into the bloodstream with 100% bioavailability. This method bypasses the digestive system entirely, leading to immediate and potent effects. However, these should only be administered by a health professional and are a much larger investment. We believe in affordable, accessible wellness, focusing on practical everyday solutions like our CBD Oil 6000mg | 30ml High Strength or 12000mg CBD Oil | 100ml High Strength which are designed for consistent, routine use.

Setting Realistic Expectations

It’s important to approach NAD supplementation with a balanced perspective and realistic expectations.

  • Not a Miracle Cure: NAD supplements are not a "fountain of youth" or a guaranteed fix for all age-related concerns. While they may support cellular function, they are not intended to cure, treat, prevent, heal, diagnose, reverse, or provide therapy for any medical condition.
  • Results Vary: Individual responses to supplements can vary widely depending on factors like age, diet, lifestyle, and underlying health status. Many people find they support everyday balance, but specific outcomes cannot be guaranteed.
  • Complementary to Healthy Habits: Think of NAD supplements as a potential complement to, rather than a replacement for, foundational healthy habits like a nutritious diet, regular exercise, quality sleep, and stress management.

When to Consult a Healthcare Professional

Before starting any new supplement, particularly if you have existing health concerns, are pregnant or breastfeeding, or are taking other medications, it is always wise to consult a healthcare professional. They can provide personalised advice based on your individual health profile and help you understand potential interactions or contraindications.

At Swiss Peak Health, our commitment is to provide products that support your journey towards peak health. We offer options like our Marine Collagen Tablets 1200mg | 30 Servings and various CBD products within our Stress & Calm collection to support overall well-being. By choosing transparent, British-made products that are independently tested, you can feel confident in the quality of your wellness choices.

Conclusion

The exploration into NAD+ and its precursors represents an exciting frontier in wellness and cellular health. We've seen that NAD+ is a fundamental coenzyme, indispensable for energy production, DNA repair, and countless cellular processes that are crucial for maintaining vitality. As we age, our natural NAD+ levels decline, sparking significant interest in strategies to replenish them.

While promising preclinical studies in animal models suggest a wide range of benefits, from delaying signs of ageing to boosting metabolism and supporting cognitive function, the current evidence from human clinical trials is still developing. What we know for certain is that NAD-boosting precursors like NR and NMN are generally safe and can effectively increase NAD+ levels in the body. However, the translation of these elevated levels into profound, observable improvements in human health and longevity is an area that requires more extensive, long-term research.

At Swiss Peak Health, we believe in empowering you with informed choices, based on reliable information and a commitment to quality. Our mission of delivering peak health for less means providing premium wellness products that are transparent, accessible, and reliably manufactured to high UK standards. While NAD supplements may support your cellular health as part of a consistent routine, it’s vital to couple them with proven lifestyle strategies. Regular exercise, a nutritious diet, quality sleep, and effective stress management remain the cornerstones of healthy ageing and overall well-being. These foundational habits naturally support your body's NAD+ production and create a synergistic effect for sustained vitality.

We encourage you to explore our range of functional supplements and CBD products, all independently lab tested for purity and potency. Whether you're interested in supporting your Energy collection, improving your Sleep collection, enhancing Focus & Clarity collection, or finding products for Stress & Calm collection, we offer carefully crafted solutions to help you on your wellness journey. Make informed choices, build consistent habits, and consult with healthcare professionals when needed. Your path to peak health starts with understanding and making smart, evidence-based decisions for your body.

Frequently Asked Questions

Q1: What is NAD+ and why is it important for my health?

NAD+ (Nicotinamide Adenine Dinucleotide) is a vital coenzyme found in every cell of your body. It acts as a helper molecule for hundreds of enzymes, playing crucial roles in energy production within your mitochondria, repairing DNA damage, and regulating cellular processes. As we age, NAD+ levels naturally decline, which is thought to contribute to a decrease in cellular function and overall vitality. Maintaining healthy NAD+ levels is important for supporting your body's natural energy, repair mechanisms, and metabolic balance.

Q2: Are NAD supplements safe, and do they have any side effects?

Current human clinical trials suggest that NAD-boosting precursors like Nicotinamide Riboside (NR) and Nicotinamide Mononucleotide (NMN) are generally safe and well-tolerated by most people when taken at recommended dosages. Reported side effects are typically mild and rare, potentially including stomach upset, headache, or skin flushing, especially with higher doses. However, long-term safety data is still limited, and it's always recommended to consult a healthcare professional before starting any new supplement, particularly if you are pregnant, breastfeeding, have underlying health conditions, or are taking other medications. Always adhere to the dosage instructions on the product label.

Q3: How quickly can I expect to see results from NAD supplements?

The timeline for experiencing noticeable effects from NAD supplements can vary significantly from person to person. While some studies show an increase in NAD+ levels in the blood within a few weeks of consistent supplementation, translating these increases into observable physiological benefits in humans is still an area of ongoing research. Many people find that supplements like these may support everyday balance or sustained energy over time, but it's important to set realistic expectations and understand that results are not guaranteed and can vary based on individual factors like diet, lifestyle, and overall health status. Consistency is key, but patience is also required.

Q4: Besides supplements, what are other ways to naturally support my NAD+ levels?

Several lifestyle factors can naturally help support your body's NAD+ levels. Regular physical activity, especially high-intensity exercise and strength training, is known to stimulate NAD+ production. Adopting a nutritious, plant-heavy diet rich in niacin (a vitamin B3 precursor found in foods like whole grains, nuts, seeds, and certain fish) also provides essential building blocks. Additionally, practices like intermittent fasting or calorie restriction have been suggested to influence NAD+ pathways. Prioritising quality sleep and effective stress management are also crucial, as these support overall cellular health and repair, indirectly helping to conserve and optimise NAD+ stores.

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