NMN Evidence Center
Nicotinamide Mononucleotide (NMN) Research
Evidence types
Human findings, reviews, and mechanisms are not interchangeable.
A study finding is limited to the product or formulation, population, dose, duration, comparison, and endpoints examined. It is not a prediction of an individual RL100 record.
Human studies
26 intervention records in people, with positive, mixed, and null findings shown together.
Reviews and perspectives
13 interpretive records. These synthesize other publications and contain no original controlled human outcomes.
Preclinical and mechanistic
34 animal, cellular, structural, or other non-human records used for mechanistic context, not consumer outcomes.
Study library
73 public records, grouped by evidence type.
Human studies
Original intervention research conducted in people.
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Mihoko Yoshino et al. , 2021 —Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women
Science · Metabolic measures
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Liao B et al. , 2021 —Nicotinamide mononucleotide supplementation enhances aerobic capacity in amateur runners: a randomized, double-blind study
Journal of the International Society of Sports Nutrition · Exercise physiology
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Junichiro Irie et al. , 2020 —Effect of oral administration of nicotinamide mononucleotide on clinical parameters and nicotinamide metabolite levels in healthy Japanese men
Endocrine Journal · Short-term tolerability and metabolism
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Karol M. Pencina et al. , 2023 —MIB-626, an Oral Formulation of a Microcrystalline Unique Polymorph of β-Nicotinamide Mononucleotide, Increases Circulating Nicotinamide Adenine Dinucleotide and its Metabolome in Middle-Aged and Older Adults
The Journals of Gerontology: Series A, Biological Sciences and Medical Sciences · Pharmacokinetics and short-term safety
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Mijin Kim et al. , 2022 —Effect of 12-Week Intake of Nicotinamide Mononucleotide on Sleep Quality, Fatigue, and Physical Performance in Older Japanese Adults: A Randomized, Double-Blind Placebo-Controlled Study
Nutrients · Sleep-related and physical-function measures
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Takeshi Katayoshi et al. , 2023 —Nicotinamide adenine dinucleotide metabolism and arterial stiffness after long-term nicotinamide mononucleotide supplementation: a randomized, double-blind, placebo-controlled trial
Scientific Reports · Vascular and NAD-related measures
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Shintarou Kimura et al. , 2022 —Nicotinamide Mononucleotide Is Safely Metabolized and Significantly Reduces Blood Triglyceride Levels in Healthy Individuals
Cureus · Intravenous NMN metabolism and short-term tolerability
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Stefan Christen et al. , 2026 —The differential impact of three different NAD+ boosters on circulatory NAD and microbial metabolism in humans
Nature Metabolism · NAD+ precursor metabolism and microbiome
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Keisuke Okabe et al. , 2022 —Oral Administration of Nicotinamide Mononucleotide Is Safe and Efficiently Increases Blood Nicotinamide Adenine Dinucleotide Levels in Healthy Subjects
Frontiers in Nutrition · Safety and NAD-related measures
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Yuichiro Fukamizu et al. , 2022 —Safety evaluation of β-nicotinamide mononucleotide oral administration in healthy adult men and women
Scientific Reports · High-dose safety and tolerability
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Masaki Igarashi et al. , 2022 —Chronic nicotinamide mononucleotide supplementation elevates blood nicotinamide adenine dinucleotide levels and alters muscle function in healthy older men
npj Aging · NAD-related and physical-function measures
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Hao Huang , 2022 —A Multicentre, Randomised, Double Blind, Parallel Design, Placebo Controlled Study to Evaluate the Efficacy and Safety of Uthever (NMN Supplement), an Orally Administered Supplementation in Middle Aged and Older Adults
Frontiers in Aging · NAD-related and physical-function measures
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Yuji Morita et al. , 2022 —Clinical evaluation of changes in biomarkers by oral intake of NMN
Glycative Stress Research · Exploratory biomarker and subjective measures
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Hiroshi Akasaka et al. , 2023 —Effects of nicotinamide mononucleotide on older patients with diabetes and impaired physical performance: A prospective, placebo-controlled, double-blind study
Geriatrics & Gerontology International · Physical function in older adults with diabetes
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Lin Yi et al. , 2023 —The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults: a randomized, multicenter, double-blind, placebo-controlled, parallel-group, dose-dependent clinical trial
GeroScience · Dose response, NAD and physical-function measures
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Karol Mateusz Pencina et al. , 2023 —Nicotinamide Adenine Dinucleotide Augmentation in Overweight or Obese Middle-Aged and Older Adults: A Physiologic Study
The Journal of Clinical Endocrinology & Metabolism · NAD-related and cardiometabolic measures
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Yumin Qiu et al. , 2023 —NAD+ exhaustion by CD38 upregulation contributes to blood pressure elevation and vascular damage in hypertension
Signal Transduction and Targeted Therapy · Hypertension and vascular mechanisms
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Takuya Yamane et al. , 2023 —Nicotinamide mononucleotide (NMN) intake increases plasma NMN and insulin levels in healthy subjects
Clinical Nutrition ESPEN · Plasma pharmacodynamics and insulin
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Shintaro Yamaguchi et al. , 2024 —Safety and efficacy of long-term nicotinamide mononucleotide supplementation on metabolism, sleep, and nicotinamide adenine dinucleotide biosynthesis in healthy, middle-aged Japanese men
Endocrine Journal · NAD biosynthesis and exploratory metabolic measures
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Masashi Morifuji et al. , 2024 —Ingestion of β-nicotinamide mononucleotide increased blood NAD levels, maintained walking speed, and improved sleep quality in older adults in a double-blind randomized, placebo-controlled study
GeroScience · Physical function, NAD and sleep measures
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Ajla Hodzic Kuerec et al. , 2024 —Towards personalized nicotinamide mononucleotide (NMN) supplementation: Nicotinamide adenine dinucleotide (NAD) concentration
Mechanisms of Ageing and Development · NAD response variability
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Ryota Nakajima et al. , 2025 —Placebo-controlled randomized double-blind parallel-group trial of the safety of overdose intake of nicotinamide mononucleotide
Fundamental Toxicological Sciences · High-dose safety and tolerability
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Karol M Pencina et al. , 2025 —Oral MIB-626 (β Nicotinamide Mononucleotide) Safely Raises Blood Nicotinamide Adenine Dinucleotide Levels in Hospitalized Patients With COVID-19 and Acute Kidney Injury: A Randomized Controlled Trial
FASEB BioAdvances · Disease-setting NAD pharmacodynamics
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Ajla H Kuerec et al. , 2026 —Association between blood nicotinamide adenine dinucleotide levels and blood laboratory parameters at baseline and after nicotinamide mononucleotide supplementation in middle-aged healthy individuals: post hoc analysis of a randomized, double-blinded, placebo-controlled clinical trial
GeroScience · NAD and laboratory associations
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Dai-Lin Yang et al. , 2026 —Anti-inflammatory effects of nicotinamide mononucleotide (NMN) in human skeletal muscle after BFR-exercise
Journal of the International Society of Sports Nutrition · Exercise-induced muscle inflammation and adaptation
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Huiyuan Li et al. , 2026 —Low-dose oral nicotinamide mononucleotide for immune thrombocytopenia: a phase 1/2 trial
Nature Medicine · Immune thrombocytopenia and immunometabolism
Reviews and perspectives
Interpretive publications that synthesize or discuss other evidence.
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Christopher Shade , 2020 —The Science Behind NMN—A Stable, Reliable NAD+ Activator and Anti-Aging Molecule
Integrative Medicine (Encinitas) · NAD+ metabolism and delivery claims
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Deokho Lee et al. , 2024 —Nicotinamide mononucleotide, a potential future treatment in ocular diseases
Graefe's Archive for Clinical and Experimental Ophthalmology · Ocular research
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Harshani Nadeeshani et al. , 2022 —Nicotinamide mononucleotide (NMN) as an anti-aging health product – Promises and safety concerns
Journal of Advanced Research · Anti-aging claims and safety
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Candace Benjamin et al. , 2024 —Nicotinamide Mononucleotide Supplementation: Understanding Metabolic Variability and Clinical Implications
Metabolites · Metabolic variability and bioavailability
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Qin Song et al. , 2023 —The Safety and Antiaging Effects of Nicotinamide Mononucleotide in Human Clinical Trials: an Update
Advances in Nutrition · Human safety and anti-aging evidence
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Bin Yu et al. , 2024 —The versatile multi-functional substance NMN: its unique characteristics, metabolic properties, pharmacodynamic effects, clinical trials, and diverse applications
Frontiers in Pharmacology · NMN pharmacology, clinical evidence and applications
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Feng Chen et al. , 2024 —Effects of Nicotinamide Mononucleotide on Glucose and Lipid Metabolism in Adults: A Systematic Review and Meta-analysis of Randomised Controlled Trials
Current Diabetes Reports · Glucose and lipid metabolism
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Jiaqi Zhang et al. , 2025 —Efficacy of oral nicotinamide mononucleotide supplementation on glucose and lipid metabolism for adults: a systematic review with meta-analysis on randomized controlled trials
Critical Reviews in Food Science and Nutrition · Metabolic outcomes
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Jimmy Wen et al. , 2024 —Improved Physical Performance Parameters in Patients Taking Nicotinamide Mononucleotide (NMN): A Systematic Review of Randomized Control Trials
Cureus · Physical performance and safety
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Jian-Peng Wang et al. , 2025 —Effects of Nicotinamide Mononucleotide Supplementation on Muscle and Liver Functions Among the Middle-aged and Elderly: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Current Pharmaceutical Biotechnology · Muscle and liver outcomes
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Konstantinos Prokopidis et al. , 2025 —The Effect of Nicotinamide Mononucleotide and Riboside on Skeletal Muscle Mass and Function: A Systematic Review and Meta-Analysis
Journal of Cachexia, Sarcopenia and Muscle · Skeletal muscle mass and function
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Mu Zhang et al. , 2026 —Effects of Nicotinamide Mononucleotide Supplementation on Blood Pressure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Nutrients · Blood pressure
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Wenyu Yang et al. , 2026 —Safety and Metabolism-Related Outcomes of Oral Nicotinamide Mononucleotide Supplementation in Adults: A Systematic Review and Meta-Analysis
Nutrients · Human safety and metabolic outcomes
Preclinical and mechanistic research
Animal, cellular, structural, or other non-human evidence.
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M Di Stefano et al. , 2015 —A rise in NAD precursor nicotinamide mononucleotide (NMN) after injury promotes axon degeneration
Cell Death & Differentiation · Axon-injury biology
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Yun Nan Hou et al. , 2022 —A conformation-specific nanobody targeting the nicotinamide mononucleotide-activated state of SARM1
Nature Communications · SARM1 activation
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Takuya Kawamura et al. , 2023 —Therapeutic Effect of Nicotinamide Mononucleotide for Hypoxic–Ischemic Brain Injury in Neonatal Mice
ASN Neuro · Neonatal hypoxic–ischemic brain injury
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Kazuhiro Hasegawa et al. , 2022 —Nicotinamide mononucleotide ameliorates adriamycin-induced renal damage by epigenetically suppressing the NMN/NAD consumers mediated by Twist2
Scientific Reports · Renal injury and NAD+ metabolism
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Jun Yoshino et al. , 2011 —Nicotinamide mononucleotide, a key NAD+ intermediate, treats the pathophysiology of diet- and age-induced diabetes in mice
Cell Metabolism · Metabolic mechanisms
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Takanobu Yamamoto et al. , 2014 —Nicotinamide mononucleotide, an intermediate of NAD+ synthesis, protects the heart from ischemia and reperfusion
PLOS ONE · Cardiac ischemia/reperfusion mechanisms
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Natalie E de Picciotto et al. , 2016 —Nicotinamide mononucleotide supplementation reverses vascular dysfunction and oxidative stress with aging in mice
Aging Cell · Vascular aging mechanisms
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Kathryn F Mills et al. , 2016 —Long-Term Administration of Nicotinamide Mononucleotide Mitigates Age-Associated Physiological Decline in Mice
Cell Metabolism · Whole-body aging biology
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Joanna Ratajczak et al. , 2016 —NRK1 controls nicotinamide mononucleotide and nicotinamide riboside metabolism in mammalian cells
Nature Communications · NMN uptake and metabolism mechanisms
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Ling Liu et al. , 2018 —Quantitative Analysis of NAD Synthesis-Breakdown Fluxes
Cell Metabolism · NAD synthesis and precursor flux
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Alessia Grozio et al. , 2019 —Slc12a8 is a nicotinamide mononucleotide transporter
Nature Metabolism · NMN transport mechanisms
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Mark S Schmidt et al. , 2019 —Absence of evidence that Slc12a8 encodes a nicotinamide mononucleotide transporter
Nature Metabolism · NMN transport mechanisms
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Stefano Tarantini et al. , 2019 —Nicotinamide mononucleotide (NMN) supplementation rescues cerebromicrovascular endothelial function and neurovascular coupling responses and improves cognitive function in aged mice
Redox Biology · Neurovascular aging and cognition
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Tamas Kiss et al. , 2020 —Nicotinamide mononucleotide (NMN) supplementation promotes neurovascular rejuvenation in aged mice: transcriptional footprint of SIRT1 activation, mitochondrial protection, anti-inflammatory, and anti-apoptotic effects
GeroScience · Neurovascular transcriptomics
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Michael J Bertoldo et al. , 2020 —NAD+ Repletion Rescues Female Fertility during Reproductive Aging
Cell Reports · Reproductive aging
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Yilong Miao et al. , 2020 —Nicotinamide Mononucleotide Supplementation Reverses the Declining Quality of Maternally Aged Oocytes
Cell Reports · Oocyte and reproductive aging
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Pan Huang et al. , 2021 —NMN Maintains Intestinal Homeostasis by Regulating the Gut Microbiota
Frontiers in Nutrition · Gut microbiome and intestinal barrier
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Pan Huang et al. , 2022 —Long-term treatment of Nicotinamide mononucleotide improved age-related diminished ovary reserve through enhancing the mitophagy level of granulosa cells in mice
The Journal of Nutritional Biochemistry · Ovarian aging and mitophagy
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Jinghui Liang et al. , 2024 —Nicotinamide mononucleotide supplementation rescues mitochondrial and energy metabolism functions and ameliorates inflammatory states in the ovaries of aging mice
MedComm · Ovarian aging and mitochondrial metabolism
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Ao-Jia Zhou et al. , 2025 —Long-Term Administration of Nicotinamide Mononucleotide Mitigates High-Fat-Diet-Induced Physiological Decline in Aging Mice
The Journal of Nutrition · Diet-accelerated aging and metabolism
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Kouya Hattori et al. , 2025 —Administration of nicotinamide mononucleotide suppresses the progression of age-related hearing loss in mice
Hearing Research · Auditory aging
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Jing Wang et al. , 2026 —NMN Can Restore Ovarian Reserve in Aged Mice by Upregulating NAD+/SIRT1/PGC-1α Signaling Pathway and TOMM20 Expression, and Improve in Vitro Development of Aging Oocytes
Reproductive Sciences · Ovarian reserve and mitochondrial mechanisms
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Xin Wen et al. , 2026 —Nicotinamide Mononucleotide Improves High-Fat Diet-Induced Myocardial Damage of Aging Mice through the Sirt3/PINK1/Parkin Signaling Pathway
The Journal of Nutrition · Cardiac aging and mitochondrial autophagy
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Keisuke Yaku et al. , 2025 —Nicotinamide riboside and nicotinamide mononucleotide facilitate NAD+ synthesis via enterohepatic circulation
Science Advances · Oral NMN metabolism and enterohepatic circulation
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Pin Wang et al. , 2025 —Nicotinamide Mononucleotide and Nicotinamide Riboside Improve Dyslipidemia and Fatty Liver but Promote Atherosclerosis in Apolipoprotein E Knockout Mice
Pharmaceuticals (Basel) · Atherosclerosis and lipid metabolism
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Romanthi Madawala et al. , 2025 —CD38 mediates nicotinamide mononucleotide base exchange to yield nicotinic acid mononucleotide
Journal of Biological Chemistry · NMN metabolism and CD38
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Ting Cao et al. , 2023 —Nicotinamide mononucleotide as a therapeutic agent to alleviate multi-organ failure in sepsis
Journal of Translational Medicine · Sepsis and multi-organ injury
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Mohammad Abdur Rashid et al. , 2022 —Nicotinamide Mononucleotide Prevents Cisplatin-Induced Mitochondrial Defects in Cortical Neurons Derived from Human Induced Pluripotent Stem Cells
Brain Plasticity · Chemotherapy-related neurotoxicity
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Lin Shen et al. , 2025 —Nicotinamide mononucleotide protects ovarian function and oocyte developmental competence during chemotherapy
Journal of Ovarian Research · Ovarian function during chemotherapy
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Haoran Xu et al. , 2026 —Nicotinamide mononucleotide enhances anti-tumor effect by resetting macrophages toward the inflammatory M1-like phenotype
Molecular Therapy Oncology · Cancer immunometabolism
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Ning Zhao et al. , 2025 —Nicotinamide mononucleotide mitigates hyperoxia-aggravated septic lung injury via the GPx4-mediated anti-ferroptosis signaling pathway in alveolar epithelial cells
Free Radical Biology and Medicine · Septic lung injury and ferroptosis
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Yong Fan et al. , 2025 —Reverse Effects of Nicotinamide Mononucleotide Supplementation on Declining Quality of Oocytes With Polycystic Ovary Syndrome
The FASEB Journal · PCOS oocyte quality and reproductive metabolism
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Chunjia Zhang et al. , 2023 —The identification of new roles for nicotinamide mononucleotide after spinal cord injury in mice: an RNA-seq and global gene expression study
Frontiers in Cellular Neuroscience · Spinal cord injury and neuroinflammation
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Xiujun Deng et al. , 2021 —Nicotinamide mononucleotide (NMN) protects bEnd.3 cells against H2O2-induced damage via NAMPT and the NF-κB p65 signalling pathway
FEBS Open Bio · Cerebrovascular endothelial oxidative stress
Review method
Every record answers the same questions.
1. Verify the source
Check citation, DOI, PMID, publication type, design, population, intervention, endpoints, funding, and conflicts.
2. Separate the evidence
Keep human outcomes distinct from reviews, animal findings, cellular mechanisms, and product credentials.
3. State the boundary
Show null findings and limitations beside positive findings. Do not translate a narrow endpoint into a broad support claim.
Within RL100
Research describes study groups. RL100 documents the participant's own window.
Ultra Pure™ NMN is the current Foundation Product within the Foundation Protocol. RL100 records Day 0, Day 30, and Day 100 across 12 self-reported areas without promising a particular outcome.