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Brad Stanfield@bradstanfieldmdX

A good summary of the Nicotinamide Riboside research in humans: https://t.co/SPLZ4u4MnN "The general finding in human NR trials, especially

what it claims

Nicotinamide riboside (NR) supplementation in humans shows very few clinically relevant effects, particularly regarding metabolism.

holds up

This assessment by Brad Stanfield aligns with a critical review of current scientific literature.

noli's read

This assessment by Brad Stanfield aligns with a critical review of current scientific literature. Although several studies confirm that NR is an effective precursor for increasing NAD+ levels in the blood, there is a significant gap between this biological increase and concrete benefits for human health. Numerous research studies, including randomized controlled trials (RCTs) and systematic reviews, indicate that NR does not produce significant improvements in insulin sensitivity, mitochondrial function, or body composition in adults. While some preliminary results suggest effects on inflammation or very specific markers in restricted populations, the idea that NR can transform metabolism or general health remains, to date, clinically unproven. Initial enthusiasm, often stemming from studies on animal models, is tempered by more nuanced and often disappointing human results.

the sources

  1. 1Martens CR, Denman BA, Mazzo MR, et al. 2018
  2. 2Elhassan YS, Kluckova K, Fletcher RS, et al. 2019

Claimed by Brad Stanfield. Noli grades the claim, never the person.

Decoded by Noli · July 18, 2026 · the original post

What the graded evidence says

Evidence
D
Effect
blood/muscle NAD+ metabolome vs. clinical outcomes (function, metabolism, longevity) — NR ~1000 mg/day raised NAD+ ~60% in healthy older adults (Martens, n=24 crossover) and augmented the aged muscle NAD+ metabolome (Elhassan, n=12) — but with only exploratory signals (a modest blood-pressure hint; anti-inflammatory cytokine shifts) and no proven functional or longevity benefit. No RCT evidence for hair/nail growth.
Measured on
healthy middle-aged and older adults; small trials (n=12-24), short duration

What’s uncertain

These raise NAD+ convincingly; the leap from 'higher NAD+' to 'you age slower or feel better' is unproven in humans. Longevity, energy and hair/nail claims are marketing ahead of the evidence.

Brad Stanfield in the Register30 claims graded · solidity 90/100See their record →

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