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NAD+ NMN NMNH

Nicotinamide adenine dinucleotide, commonly known as NAD or NAD+, is gaining attention in the medical community for its powerful metabolic and anti-aging properties. NAD+ treatment programs are designed to restore healthy cellular function, promoting recovery for both physical and mental health conditions.

Another crucial molecule is Nicotinamide Mononucleotide, or NMN. 

NMN supplements support your body's production of NAD+, making them essential for maintaining cellular health. If you're weighing NAD+ vs. NMN treatment options, here's what you need to know about both.

What is NAD+

NAD+, or nicotinamide adenine dinucleotide, is a vital coenzyme present in every cell of your body. NAD+ has two key roles: regulating cellular functions and converting nutrients into energy. This energy conversion is essential for survival, affecting sleep cycles, neurological health, and the functioning of vital organs.

As you age, NAD+ levels naturally decline, and factors like stress can exacerbate this decrease. Low NAD+ levels are associated with various health conditions, including heart disease, Alzheimer's disease, and Type 2 diabetes.


What is NMN? How Does NMN Work?


NMN, or nicotinamide mononucleotide, is a precursor to NAD+. It converts into NAD+ within your cells, aiding energy metabolism. By boosting NMN levels, you can enhance NAD+ production, which supports muscle and organ function and may help combat conditions like diabetes and Alzheimer's.

NMN supplements are an effective way to increase NMN levels. You can also find NMN in foods like broccoli, avocado, cucumber, and cabbage. Besides promoting NAD+ production, NMN itself has health benefits, such as improving insulin production and glucose tolerance.


NMN vs. NAD+: How They Compare


Both NMN and NAD+ are crucial for energy production. NMN is more easily absorbed into the bloodstream, while NAD+ might have a stronger impact on brain and mental health. Each supplement can elevate NAD+ levels, countering age-related declines.


Benefits of NAD+ and NMN


Supplementing with NAD+ or NMN can lead to:

  • Increased muscle mass and lean muscle
  • Balanced hormone levels
  • Improved joint function
  • Enhanced cognitive abilities and memory
  • Regulated sleep cycles
  • Reduced anxiety and depression


You may also experience clearer thinking, increased energy, and lower stress levels. While neither NAD+ nor NMN can reverse aging, they can significantly benefit your health and well-being as you age.

D. Sinclar explains @ 37:00

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Harward Prof. David Sinclair

Harward Prof. David Sinclair

Harward Prof. David Sinclair

Harvard professor and renowned longevity researcher Dr. David Sinclair has been a strong advocate for NMN (Nicotinamide Mononucleotide) as a powerful supplement for enhancing NAD+ levels and promoting cellular health. 

He has highlighted NMN's potential in improving metabolism, increasing energy, and potentially slowing the aging process. Dr. Sinclair's research and public statements have significantly contributed to the popularity and scientific interest in NMN, although he also emphasizes the need for continued research to fully understand its long-term effects and benefits.

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What is the difference?

NMN (Nicotinamide Mononucleotide), NMNH (Nicotinamide Mononucleotide Hydrogen), and NAD+ (Nicotinamide Adenine Dinucleotide) are all related compounds involved in cellular metabolism and energy production. Here's a detailed explanation of each:


NMN (Nicotinamide Mononucleotide)


  • Structure: NMN is a nucleotide composed of a ribose sugar, a nicotinamide group, and a phosphate group.
  • Function: It is a direct precursor to NAD+ and plays a crucial role in the biosynthesis of NAD+. NMN is converted into NAD+ through a series of enzymatic reactions.
  • Importance: NMN is studied for its potential to boost NAD+ levels, which decline with age, and for its possible benefits in aging and age-related diseases.


NMNH (Nicotinamide Mononucleotide Hydrogen)


  • Structure: NMNH is a reduced form of NMN. It contains an additional hydrogen atom, making it a reduced nucleotide.
  • Function: NMNH participates in redox reactions within the cell, particularly as an intermediate in the NAD+ biosynthesis pathway. It may act as a transient intermediate during the enzymatic conversion of NMN to NADH (the reduced form of NAD+).
  • Importance: While less studied than NMN or NAD+, NMNH is significant in understanding the detailed biochemical pathways and the redox states within cells.


NAD+ (Nicotinamide Adenine Dinucleotide)


  • Structure: NAD+ consists of two nucleotides joined through their phosphate groups. One nucleotide contains an adenine base, and the other contains a nicotinamide base.
  • Function: NAD+ is a vital coenzyme in redox reactions, serving as an electron carrier. It exists in two forms: NAD+ (oxidized) and NADH (reduced). NAD+ is essential for various metabolic processes, including glycolysis, the citric acid cycle, and oxidative phosphorylation.
  • Importance: NAD+ is crucial for cellular energy production and regulation of various cellular functions, including DNA repair, gene expression, and signaling pathways. It is a key player in maintaining cellular health and function.


Differences and Relationships


  1. Structural Differences: NMN is a nucleotide with a single phosphate group and a nicotinamide base, while NAD+ is a dinucleotide composed of two joined nucleotides. NMNH is a reduced form of NMN.
  2. Functional Differences:
    • NMN: Precursor to NAD+, essential for NAD+ biosynthesis.
    • NMNH: An intermediate in the NAD+ biosynthesis pathway with a role in redox reactions.
    • NAD+: A coenzyme critical for redox reactions and cellular metabolism.

  1. Conversion and Pathway:
    • NMN is converted into NAD+ through enzymatic reactions.
    • NAD+ can be converted to NADH (its reduced form) during metabolic reactions, which then reverts to NAD+ during energy production processes.
    • NMNH may be part of the intermediary steps in these conversions.


In summary, NMN, NMNH, and NAD+ are interconnected molecules with crucial roles in cellular metabolism, energy production, and overall cellular health. NMN serves as a precursor to NAD+, NMNH acts as an intermediate in this pathway, and NAD+ functions as a key coenzyme in redox reactions and energy metabolism.

NMNH as a supplement for NMN

The regulatory landscape for supplements like NMN and NMNH can change, and this might impact their availability. Here’s an updated perspective on NMNH as a substitute for NMN:


NMNH as a Substitute for NMN


Availability


  • NMN: Recently, NMN has faced regulatory scrutiny in regions like Europe and the USA. It might be classified under different regulations that limit its sale as a dietary supplement.
  • NMNH: As a result, NMNH (Nicotinamide Mononucleotide Hydrogen) is emerging as an alternative available for sale.


Safety 


  • Research: The safety profile of NMNH is not as well-established as that of NMN. Limited research means there is less known about potential long-term side effects or interactions with other medications.
  • Preliminary Findings: Preliminary studies and anecdotal evidence suggest that NMNH might share some of the beneficial properties of NMN, given their structural similarities. However, comprehensive human clinical trials are necessary to confirm this.

Efficacy


  • Functionality: NMNH is a reduced form of NMN and theoretically could serve a similar role in enhancing NAD+ levels in the body. However, without robust clinical data, it's unclear if NMNH is as effective or more effective than NMN.
  • Biological Role: Like NMN, NMNH should facilitate the production of NAD+ once metabolized, thereby potentially supporting cellular energy production, metabolic health, and anti-aging processes.


Considerations


  • Consult Healthcare Providers: Given the limited research, it is crucial to consult with a healthcare provider before starting NMNH, especially if you have pre-existing health conditions or are taking other medications.
  • Product Quality: Ensure that any NMNH supplements are sourced from reputable manufacturers that provide third-party testing to confirm purity and concentration.


While NMNH might be marketed as a substitute for NMN, its safety and efficacy are not as well-documented. If you consider using NMNH, do so cautiously and stay informed by following new research and guidance from healthcare professionals. More extensive studies are needed to fully understand its potential benefits and risks compared to NMN.

Testing

NAD+ Aging Science

New NAD⁺ Blood Test Kit Available

Researchers unveil an easy-to-use and cost-effective blood nicotinamide adenine dinucleotide (NAD+) concentration reading device that they apply to confirm falling NAD+ in aged humans and NMN's restorative effects on NAD+ levels.

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NAD.com

New NAD⁺ Blood Test Kit Available

Researchers unveil an easy-to-use and cost-effective blood nicotinamide adenine dinucleotide (NAD+) concentration reading device that they apply to confirm falling NAD+ in aged humans and NMN's restorative effects on NAD+ levels.

Learn more

REFERENCES

  • https://www.springfieldwellnesscenter.com/nad-blog/nad-vs-nmn-whats-the-difference/#:~:text=NMN%20is%20more%20easily%20absorbed,effect%20on%20your%20physical%20health


  • NMN Safety and Efficacy:
  • Mills, K. F., Yoshida, S., Stein, L. R., Grozio, A., Kubota, S., Sasaki, Y., ... & Imai, S. I. (2016). Long-term administration of nicotinamide mononucleotide mitigates age-associated physiological decline in mice. Cell Metabolism, 24(6), 795-806. Link
  • Igarashi, M., Miura, M., & Kurokawa, R. (2019). Clinical evaluation of the safety and efficacy of oral administration of nicotinamide mononucleotide (NMN) in healthy adult men. Endocrine Journal, 66(5), 465-472. Link


  • NAD+ Function and Safety:
  • Bogan, K. L., & Brenner, C. (2008). Nicotinic acid, nicotinamide, and nicotinamide riboside: a molecular evaluation of NAD+ precursor vitamins in human nutrition. Annual Review of Nutrition, 28, 115-130. Link
  • Trammell, S. A., & Brenner, C. (2013). Targeted, LCMS-based metabolomics for quantitative measurement of NAD+ metabolites. Computational and Structural Biotechnology Journal, 4, e201301012. Link


  • NAD+ and NMN Supplementation Effects:
  • Yoshino, J., Baur, J. A., & Imai, S. I. (2018). NAD+ intermediates: the biology and therapeutic potential of NMN and NR. Cell Metabolism, 27(3), 513-528. Link
  • Martens, C. R., Denman, B. A., Mazzo, M. R., Armstrong, M. L., Reisdorph, N., McQueen, M. B., ... & Seals, D. R. (2018). Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults. Nature Communications, 9(1), 1286. Link
  • Potential Side Effects:
  • Grant, R., & Berg, J. (2021). Nicotinamide adenine dinucleotide (NAD+) supplementation: Mechanisms and potential benefits in COVID-19. Mitochondrion, 57, 1-11. Link
  • Airhart, S. E., Shireman, L. M., Risler, L. J., Anderson, G. D., Nagana Gowda, G. A., Raftery, D., & Tian, R. (2017). An open-label, non-randomized study of the pharmacokinetics of the NAD+ precursor nicotinamide riboside (NR) and its effects on blood NAD+ levels in healthy volunteers. PLoS One, 12(12), e0186459. Link
  • https://pubmed.ncbi.nlm.nih.gov/37641521/

DISCLAIMER


The contents presented here are solely for neutral information and general education. The texts make no claim to completeness, nor can the timeliness, accuracy, and balance of the information provided be guaranteed. The texts in no way replace professional advice from a doctor or pharmacist, and they may not be used as a basis for independent diagnosis or initiation, modification, or termination of treatment for diseases. Always consult your trusted physician for health-related questions or complaints! I assume no liability for inconveniences or damages arising from the application of the information presented here.

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