Nicotinamide adenine dinucleotide (NAD+) is central to cellular energy and mitochondrial health, driving redox reactions that produce ATP. Declining levels are linked to metabolic disorders, sarcopenia, and diabetes
Alzheimer's disease has strongly associated with disrupted NAD+ balance, and research suggests restoring intake can reverse cognitive decline rather than merely slowing disease progression
Animal studies show restoring NAD+ fully reversed advanced Alzheimer's features, including memory loss, inflammation, tau pathology, oxidative stress, and DNA damage, even after severe disease was established
NAD+ functions as an upstream regulator of brain resilience, coordinating energy production, DNA repair, inflammation control, and protein processing, reframing Alzheimer's as a systems-level energy failure
Practical strategies emphasize testing NAD+ status and supporting production safely via niacinamide alongside adequate intake of other B vitamins