NMN (nicotinamide mononucleotide) and healthy aging

What 2 graded rows on nmn (nicotinamide mononucleotide) agree on for healthy aging, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the NMN (nicotinamide mononucleotide) page, with its PubMed record.

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NMN (nicotinamide mononucleotide) and healthy aging

2 rows · 492 people

They agree: both rows found an improvement.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade C× 2
Rows
2
Trials
2
At least: a review without a trial count
People
492
Pooled reviews may count some twice

What the rows share

From the rows

The best-graded row, grade C, is a meta-analysis of 412 people (2025) and found an improvement.

The rows run from 80 to 412 people, published from 2023 to 2025: 1 pooled review and 1 single study.

The rows

2 improved
  1. Grade CGait speed and liver enzymes in middle-aged and older adults · Improved

    Meta-analysis · n 412 · 2025 · Middle-aged and older adults in 9 randomized controlled trials

    Varied; small doses had the largest effect on HOMA-IR in subgroups · Varied across trials

    NMN improved gait speed (SMD 0.34) and lowered ALT (SMD -0.29).

    Row on the NMN (nicotinamide mononucleotide) page · PubMed 39185644 (opens PubMed)

  2. Grade CBlood NAD and six-minute walking distance · Improved

    RCT · n 80 · 2023 · Healthy middle-aged adults

    300, 600 or 900 mg/day · 60 days

    Blood NAD rose in all NMN groups versus placebo. Six-minute walking distance increased more with all doses than placebo, most with 600 and 900 mg. HOMA-IR did not differ from placebo, and NMN was well tolerated.

    Row on the NMN (nicotinamide mononucleotide) page · PubMed 36482258 (opens PubMed)

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