Tag: NAD

  • Boosting Longevity with NAD+: Insights, Science, and Recommendations

    Aging takes a toll on our cells, making recovery from illness or injury tougher over time. Enter NAD+ (nicotinamide adenine dinucleotide), a powerhouse coenzyme driving DNA repair, energy production, and cellular health. As NAD+ levels drop with age—by up to 50% in some tissues—researchers and longevity enthusiasts are turning to NAD+ boosting therapies to potentially slow aging and enhance vitality. Here’s the scoop on NAD+, its precursors, and what the science says about their role in longevity.

    Why NAD+ Matters

    NAD+ is essential for over 500 cellular processes, from powering mitochondria to activating sirtuins, proteins that regulate aging and health. As we age, NAD+ declines due to increased consumption (e.g., DNA repair) and reduced synthesis, contributing to fatigue, metabolic issues, and disease vulnerability. Boosting NAD+ through precursors—molecules the body converts into NAD+—is a hot topic in longevity circles, promising to restore cellular resilience.

    Harvard longevity expert David Sinclair is a vocal proponent of NAD+ boosting. He argues that NAD+ decline accelerates aging by impairing sirtuins, which maintain cellular health. His groundbreaking mouse studies show that nicotinamide mononucleotide (NMN) restores NAD+ levels, reversing mitochondrial aging and boosting vascular health and lifespan. Sinclair himself takes 1g of NMN daily, paired with resveratrol to enhance sirtuin activity. However, he acknowledges human evidence is still emerging, and his commercial ties to NAD+-related ventures have sparked debate. More human trials are needed to confirm his findings.

    How NAD+ Precursors Work

    NAD+ precursors feed into the body’s salvage pathway, efficiently replenishing NAD+. Here’s a quick look at the key players:

    • Nicotinamide Riboside (NR): Converts to NMN via NRK enzymes, then to NAD+. It boosts muscle NAD+ by ~60%, enhancing energy and reducing inflammation.
    • Nicotinamide Mononucleotide (NMN): One step from NAD+, NMN rapidly raises levels in the liver and brain, improving insulin sensitivity. It may convert to NR for cell entry.
    • Nicotinamide (NAM) & Nicotinic Acid (NA): NAM recycles to NMN, but high doses may inhibit sirtuins. NA forms NaMN but causes flushing.
    • Reduced Precursors (NRH/NMNH): These bypass rate-limiting enzymes for faster NAD+ production but may increase inflammation in some cells.

    Precursors restore NAD+ to support metabolism and repair, though excessive doses risk methylation strain or other side effects.

    The Science So Far

    Mouse studies, including Sinclair’s, show NMN and NR extend lifespan and improve health metrics like endurance and vascular function. Human trials, however, are smaller and less conclusive. NMN (250–500 mg/day) has improved sleep in older adults and insulin sensitivity in prediabetic women, while NR reduces inflammation. Experts like Daniel Craighead and Jonas Thue Treebak caution that evidence for human lifespan extension is thin, with stronger benefits seen in conditions like prediabetes or age-related diseases.

    Longevity Supplementation Trends

    • Popular Choices: NMN (250–1,000 mg/day) or NR (e.g., Tru Niagen, 250–500 mg/day), often paired with resveratrol, metformin, or senolytics like fisetin.
    • Methods: Oral capsules are most common, with sublingual forms for faster absorption. IV infusions ($200–$500/session) are pricier and less studied.
    • Lifestyle Boosts: Fasting, exercise, and low-carb diets enhance NAD+ via NAMPT enzyme activity. X users (e.g., @BiohackerX, July 2025) report mixed results, with some feeling energized and others noticing little change.

    Risks and Considerations

    NAD+ precursors are sold as supplements, often unregulated by the FDA, leading to inconsistent dosages and unverified claims. NMN’s supplement status was questioned in 2022, reclassified as a drug. While short-term use is safe, long-term risks like liver strain or potential cancer promotion (in mice) remain unclear. Side effects include headaches or nausea. Researchers like Eduardo Chini and Joseph Baur suggest NAD+ therapies may better target diseases (e.g., Parkinson’s, heart disease) than general aging, urging caution against overhyped commercial products.

    The NOMIX Take

    At NOMIX, we’re excited about NAD+’s potential but grounded in science. Precursors like NMN and NR show promise, especially for metabolic and cognitive health, but they’re not a magic bullet. Pairing supplementation with healthy habits—exercise, fasting, and a balanced diet—maximizes benefits. Stay curious and cautious: consult your biocoach or doctor, choose reputable brands, and start with low doses.

  • AMPK, Sirtuins, mTOR: Pathways to Longevity

    Longevity research has identified three important signaling pathways in the body that slow down the ageing process and promote health. They act as energy and nutrient sensors in the body and react to changes in our cells. Each pathway has its own mechanism that regulates bodily functions and the ageing process. All three pathways work together synergistically and are essential for our organism. However, they have different effects on the processes that influence our longevity and on different metabolic pathways. AMPK, Sirtuins, mTOR: Pathways to Longevity.

    Sirtuins – the switches of longevity
    Sirtuins are special proteins in the body that play an important role in controlling our genes. To understand how they do this, we first need to visualize how our DNA is packaged in cells.
    Imagine our DNA as an incredibly long string – if you strung the DNA of all the cells in our body together, it would cover a thousand times the distance from the Earth to the sun! Ultimately, this enormous length has to fit into our tiny cells. To make this possible, our body winds DNA onto tiny “coils” called histones. The DNA packaged in this way is then neatly stowed away in the cells.
    This is where the sirtuins come into play. They have the ability to modify the histones, which influences which genes can be read and which cannot. They act like switches that can turn certain genes on or off. This is why they are also known as “epigenetic regulators”.

    NAD – without this coenzyme, sirtuins are powerless
    However, in order to operate these switches and activate our longevity genes, the sirtuins require a special coenzyme called NAD (nicotinamide adenine dinucleotide). With increasing age, however, the amount of available NAD in the body decreases. Without this essential cofactor, the sirtuins can no longer work effectively and their activity decreases. It is assumed that this is one of the reasons why we become more susceptible to diseases as we age.

    AMPK – the energy conductor of the cell
    Finally, adenosine monophosphate-activated protein kinase (AMPK) also plays an important role. AMPK is an enzyme in our cells that influences insulin sensitivity and glucose uptake in the cells. It is like a guardian that constantly checks whether our cells have enough energy. When energy becomes scarce, AMPK kicks into action and ensures that more energy is made available.

    At the same time, AMPK inhibits the antagonist mTOR (“mechanistic target of rapamycin”), which controls energy production in our cells. If mTOR is too active, the cells use more energy to control anabolic processes. AMPK therefore ensures that our cells use their energy efficiently when food is scarce. However, AMPK does even more for our cells. It helps them extract energy from fats and promotes autophagy, a process in which cells cleanse and rejuvenate themselves.

    AMPK and health: the key role in metabolic processes
    The activation of AMPK can be influenced by various factors, and there are several reasons why many people have difficulty activating AMPK effectively:

    Sedentary lifestyle and lack of physical activity:
    An inactive lifestyle and lack of physical activity can lead to insufficient AMPK activation. AMPK is activated by muscle contractions during exercise, but people who do little or no exercise may have reduced AMPK activity.

    Unhealthy diet:
    An unbalanced diet with an excess of calories, especially carbohydrates and fats, can impair AMPK activation. High-calorie intake, especially from poor sources, can lead to an increase in ATP (adenosine triphosphate) and hinder AMPK activation.

    Insulin resistance and obesity:
    People with insulin resistance or obesity often have problems activating AMPK. Insulin resistance can disrupt the signaling pathway of AMPK, leading to decreased activity of AMPK. Obesity can also impair the function of AMPK in fat cells.

    Ageing process
    The aging process tends to lead to a decrease in AMPK activity. This can contribute to older people having difficulty activating AMPK effectively, which can have an impact on metabolism and energy homeostasis. Energy homeostasis describes the balance between supplied and released energy that the body needs for optimal performance.

    Genetic factors
    Individual genetic predisposition can also play a role in AMPK activation. Some people have genetic variations that can affect AMPK function.

    Chronic stress
    Chronic stress can disrupt energy homeostasis and inhibit AMPK activation. Stress hormones can affect AMPK signaling pathways, interfering with normal activation. Insufficient activation of AMPK can accelerate the ageing process and shorten life span and especially health span. The diabetes drug metformin and the natural plant compound quercetin can activate the AMPK signaling pathway in the body and improve insulin sensitivity.

    How you can activate AMPK
    Adenosine monophosphate-activated protein kinase (AMPK) activation can be achieved in a variety of ways, including lifestyle changes, diet, exercise and certain medications. Here are some strategies to activate AMPK:

    1. Regular physical activity
      • Aerobic training: Endurance training such as running, cycling and swimming can activate AMPK as it affects ATP and AMP levels
      • Resistance training: Strength training can activate AMPK, especially in the muscular system
    2. Calorie restriction and interval fasting
      Reduced calorie intake and intermittent fasting (interval fasting) can activate the AMPK signaling pathway as they lead to an increase in AMP relative to ATP.
    3. Healthy diet
      • Low-fat, high-fiber diet, low in saturated fat and rich in fiber, can support AMPK activation
      • Foods that promote AMPK: Green tea, curcumin (in turmeric), Resveratrol (in red grapes) and Omega-3 fatty acids (in fish) can activate AMPK
    4. Metabolic stressors
      Cold or heat therapy and sauna visits can generate metabolic stress and activate AMPK
    5. Dietary supplements
      Certain supplements can support AMPK, e.g. berberine, alpha lipoic acid and Quercetin. Nicotinamide mononucleotide (NMN) is a chemical that is approved as a dietary supplement in Germany and Europe.
    6. Medications
      Some medications, such as metformin (a diabetes medication) and AICAR (an AMPK activator), can support AMPK activation.

    However, it is important to note that any lifestyle changes, such as taking supplements or medications, should always be made in consultation with a doctor. The individual response to these interventions can vary from person to person and is always dependent on various factors such as health status, genetic predisposition, and current medications.

    Is mTOR the bad cop? Longevity requires a fine balance.
    mTOR, or “mechanistic Target of Rapamycin”, is a key player in our bodies when it comes to cell division and growth. When our body has plenty of energy, mTOR is activated and uses this excess energy to promote muscle and tissue building. An example of the effect of mTOR can be found in people who exercise regularly and consume a lot of animal protein. Through their diet and exercise habits, they increase the activity of mTOR in their bodies, which leads to an increase in muscle mass.

    This is particularly important in old age, as maintaining and building muscle mass can protect against sarcopenia, age-related loss of muscle mass, and general frailty. However, as with many things in life, there is a downside. Excessive activity of mTOR can suppress the activity of our longevity genes. From an evolutionary perspective, this makes sense: when there is enough food and therefore energy available, the body focuses on growth and reproduction rather than longevity. In times of abundance, it is more about survival than about the longevity of the individual. It is therefore important to find a balance in mTOR activity to support our health and fitness as well as our longevity.

    Plant-based proteins and intermittent fasting: finding the balance with mTOR and reaping its benefits
    We all need mTOR to build new cells and maintain our muscle mass. But: excessive mTOR activity has a negative effect on our longevity. An effective way to regulate mTOR activity is to practice moderate calorie restriction or intermittent fasting.

    Both strategies can help to temporarily inhibit mTOR and thus maintain balance in the body. It is also important to pay attention to our diet. Animal protein from meat, fish, and dairy products can stimulate mTOR and thus promote cell growth and aging. A healthier alternative is plant-based proteins, which are found in foods such as lentils, beans, and pseudocereals like quinoa. They stimulate mTOR less and should therefore be the preferred main source of protein in our diet.

    Conclusion
    AMPK, sirtuins and mTOR are the three most important longevity players. On a cellular level, their interaction determines whether or not our body is geared towards longevity. Sirtuins are important longevity switches in our cells. They work together with NAD and help to activate our longevity genes.
    AMPK and mTOR are two enzymes in the body that work as antagonists. Studies have shown that increased AMPK activity leads to an increased lifespan and healthspan, promotes autophagy and improves insulin sensitivity. Its counterpart mTOR, on the other hand, is active when there is an energy surplus and uses this to initiate anabolic processes such as muscle building. While mTOR is essential for the body, a sustained increase in mTOR activity is associated with inhibition of longevity genes.

    To promote a balance of AMPK and mTOR, moderate calorie restriction, intermittent fasting or the consumption of plant protein instead of animal protein is suitable. Micronutrients such as Quercetin also help to activate the AMPK pathway, inhibit mTOR and boost longevity processes.

  • Why We Age, And Why We Don’t Have To

    An interview by neuroscientist Andrew Huberman with David Sinclair, Professor of Genetics at Harvard Medical School and an expert researcher in the field of longevity.

    In this podcast episode, Andrew Huberman and David Sinclair discuss the cellular and molecular mechanisms of aging and what we all can do to slow or reverse the aging process. They discuss (intermittent) fasting and supplementation with Resveratrol, Metformin, and NMN.

    They also discuss the use of caffeine, exercise, cold exposure, along with food choices for offsetting aging and promoting autophagy, the process of clearing the organism of dead cells. And they discuss the key blood markers everyone should monitor to determine their biological versus chronological age.

    It rarely happens that top scientists talk in easily understandable words and provide such a wealth of useful advice. We therefore strongly recommend listening to or even watching this podcast episode – these two hours might belong to the best investment of your valuable time, ever! Since – who does not want to stop aging?!

    Enjoy!