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Supplement

Nicotinamide Riboside

Nicotinamide riboside is a form of vitamin B3 that cells convert into NAD+, a molecule central to energy production and to sirtuin proteins. People mostly look at it for healthy aging, since NAD+ levels decline over the years, but the evidence for that use is limited. One small trial in 58 people with COPD found that interleukin 8, an inflammation marker, went down, though that is a single study.

Sources: PMID 39548320

Best evidence
Grade C
Conditions studied
1
Outcomes
1
Graded outcomes
0010

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

1 condition

Chronic Obstructive Pulmonary Disease (COPD): outcomes studied for Nicotinamide Riboside
GradeOutcomeEffectSizeStudiesPeopleStudies list
Interleukin 8

Small Decrease

Improves (the measure goes down)Small effect1 study58 people

What the published studies found

1 automated reading

Automated reading of the published studies (Decosa evidence engine), for outcomes Dr. Grey has not graded yet. It is not a Dr. Grey grade and does not change one. How it is read

  • All-cause mortality

    The studies read are too weak to tell whether Nicotinamide Riboside changes all-cause mortality. They lean toward an improvement, which is not enough to claim one. The evidence is very weak.

    1 study counted of 8 read.
    1. Study, 2024; mice with systemic frataxin knockdown: improves. riboside to shFxn mice increases survival NAD+ precursors prolong survival and improve cardiac phenotypes in a mouse model of Friedreich's AtaxiaPubMed 39171530

    Automated reading of the published studies (Decosa evidence engine), run 30 Sep 2026. It reads abstracts, can miss studies, and a repeat run can differ.

Key findings

  • Interleukin 8Chronic Obstructive Pulmonary Disease (COPD)Improves (the measure goes down)

Shop Nicotinamide Riboside

Third-party tested Nicotinamide Riboside products. The evidence above is limited, so read it before you buy.

  • Grade C

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Studies cited

1 study from PubMed

  1. Effect of nicotinamide riboside on airway inflammation in COPD: a randomized, placebo-controlled trial.Nat Aging · PMID 39548320