Photo by Innerbody Research
We still haven’t found the fountain of youth. One or two positive research results for a given nutritional supplement make their way into the media cycle, and you’d think the search was over, but even the most promising anti-aging gurus can take over 100 supplements per day and only see mixed results.
So, among supplemental ingredients, are there any that truly defy the aging process? Proponents of nicotinamide riboside (NR) would say so. After all, NR has been shown to boost levels of a critical component of cellular health and energy, addressing energy and aging at the source.1 But is this enough to make a meaningful difference, and if it is, is it even safe?
We set out to understand the complex science of NR supplementation so we could translate it to you in straightforward language and make responsible recommendations for products if you’re interested in trying NR for yourself. We’ll take a deep dive into the science below, but you can check out this brief summary if you’re pressed for time.
These capsules from Renue by Science are highest and lowest in the right ways: highest in safety, lowest in cost per dose.
Renue by Science competes with itself here, offering several of our top picks and ensuring the quality of them all with best-in-class testing practices. Its LIPO NR provides a deceptively modest 300mg in convenient capsule form, but its price makes it more accessible than others, and its liposomal form maximizes delivery and safety to achieve potent effect. It’s also available from Renue’s storefront on Amazon for similar prices, but we suggest buying direct; both ways give you flexibility in subscription delivery frequency, but Renue’s return policy is stronger.
At Innerbody Research, we thoroughly investigate all of the products and services we review, including NR supplements. The process involves everything from thorough analyses of published, peer-reviewed scientific research to actually ordering and trying products for ourselves.
In the case of NR supplements, our team has spent more than 500 hours reading and scrutinizing research devoted to anti-aging and pro-energy supplementation, with a particular focus on products designed to increase cellular nicotinamide adenine dinucleotide (NAD+). We’ve ordered and tried many of these products for ourselves, including each of the products in this guide.
Additionally, like all health-related content on this website, this guide was thoroughly vetted by one or more members of our Medical Review Board for accuracy and will continue to be monitored for updates by our editorial team.
Over the past two decades, Innerbody Research has helped tens of millions of readers make more informed decisions about staying healthy and living healthier lifestyles.
When we set out to evaluate NR supplements, we applied the same criteria we used to compare other NAD+ supplements like nicotinamide mononucleotide (NMN), namely: effectiveness, safety, cost, and convenience. There are some similarities between these results and the results in our other guides, but there are also some stark and important differences to consider.
Let’s look closer at each criterion to see which products fared the best:
Winner: Renue by Science NR 1000
When it comes to establishing effectiveness for any NAD+ booster, the gold standard of measurement is plasma NAD+ after administration. In other words, by how much does an NR supplement boost cellular NAD+ after you take it? The majority of research we’ve seen looking into NR’s NAD+-boosing ability deploys powdered NR in regular capsules.
In one such prominent study from 2016, researchers established a dose-dependent relationship between NR and plasma NAD+, as well as between NR and a measurement known as the area under curve (AUC). For NE, AUC measures how long the increase in NAD+ lasts. In this study, 300mg and 1,000mg doses reached the same maximum plasma NAD+ concentration, but the 1,000mg dose held that concentration for more than twice as long.1
That extended exposure time is likely a result of the specific metabolic processes that translate NR into NAD+ (which we’ll detail more later on). Simply put, the greater supply of NR in a 1,000mg dose allows it to metabolize for a longer period before its stores expire.
Another product from Renue by Science almost won this criterion and could be considered a strong runner-up for efficacy, and that’s the company’s LIPO NR Capsules. These deliver a 300mg dose of NR, the powder granules of which are encased in liposomal shields — essentially high-tech fats that protect the ingredients and are designed to break down only in proximity to intended target tissues.2 It’s an incredibly promising delivery mechanism, but research specific to its role in NR delivery is more limited than research into traditional capsule delivery. It may very well be more effective than Renue’s NR 1000, but we’ll reserve that judgment until more research is available.
Winner: Renue by Science LIPO NR Capsules
While there are certain safety concerns affecting NAD+ boosting in general, neither correlations nor causations linking supplemental doses or plasma concentrations to specific potential adverse effects exist. We’ll discuss those potential risks in a dedicated safety section further down this guide, as this criterion exists to compare available options in safety terms.
To that end, we found Renue by Science offered the best safety profile in its LIPO NR Capsules. Other companies and other Renue products typically increase their doses in an attempt to increase efficacy (we discussed this dose-dependent relationship above), but as with most things, an increased dose can increase side effect risk.
Also, in selecting a winner for safety, we didn’t want to simply choose the product with the lowest suggested dose. Renue by Science’s LIPO NR Capsules provide a reasonably small 300mg dose, but the product’s liposomal coating helps ensure the delivery of NR to target tissues, which should limit adverse effects from collateral interactions between NR and other parts of the body.
You could get a similar dose from something like Tru Niagen or Thorne NiaCel 400’s 400mg serving, but non-liposomal NR might increase NAD+ in the liver more than in target tissues.
Winner: Renue by Science LIPO NR Capsules
Despite also having what we consider the best safety profile, Renue by Science’s LIPO NR Capsules also prove to be the best bang-for-buck option in our guide, though the reason for this might not be apparent at first. Here’s how the top products in our guide (that feature only NR) compare in their cost per gram of NR:
Price | Grams of NR per container | Cost per gram of NR | |
---|---|---|---|
Renue LIPO NR Capsules | $65 | 27 | $2.41 |
Renue NR 1000 | $55 | 30 | $1.83 |
Thorn NiaCel 400 | $68 | 24.9 | $2.73 |
Tru Niagen Pro | $116 | 30 | $3.87 |
Renue by Science NR Powder | $109 | 77 | $1.42 |
Now, Renue’s LIPO NR Capsules are the most expensive per gram of NR of the company’s three entries here, despite still being less expensive per gram than other companies.
But it’s important to remember that liposomal delivery should translate to less wasted NR and more targeted delivery to specific tissues. Renue claims that its sponsored studies show a tenfold increase in absorption for certain ingredient types when delivered liposomally, but the company doesn’t link directly to those studies. That said, independent research into liposomal NR delivery saw a nearly threefold increase in plasma concentration and more than a fivefold increase in AUC.6
That difference means that a 300mg dose of liposomal NR is around the equivalent of a 900mg dose on the low end and a 3,000mg dose on the high end, depending on variables like the specific construction of liposomes in use.
Therefore, we think it makes more sense to consider Renue’s LIPO NR Capsules on a cost-per-dose basis:
Price | Doses per container | Cost per dose | |
---|---|---|---|
Renue LIPO NR Capsules | $65 | 90 | $0.72 |
Renue NR 1000 | $55 | 30 | $1.83 |
Thorn NiaCel 400 | $68 | 60 | $1.13 |
Tru Niagen Pro | $116 | 30 | $3.87 |
Renue by Science NR Powder | $109 | 77 | $1.42 |
Perpetua.Life AEON | $59 | 30 | $1.97 |
In this light, Renue’s LIPO capsules are easily the best deal in our guide.
Winner: Renue by Science
We didn’t give this win to any one product from Renue by Science, but the company as a whole took the category for the diversity of its offering. Whereas its competitors typically only offer one product each, and that’s a simple capsule, Renue has products containing NR that come as capsules, powders, and oral and nasal sprays.
Having multiple delivery methods to choose from allows you to find what works best for your regimen, and it potentially improves bioavailability. Renue employs liposomal delivery mechanisms to help protect NR from degradation through first-pass metabolism. Nasal sprays and sublingual powders partially bypass this by allowing the NR to enter the bloodstream through oral and nasal membranes.
It also doesn’t hurt that the powdered NR supplement tastes pretty good. All of our testers appreciated its mild citric flavor and lack of overt sweetness. It was like a slightly watered-down Gatorade with just enough tanginess.
Renue is also tied in our guide for the longest money-back guarantee, offering 60 days for you to try its products. Thorne has a similar policy.
NR stands for nicotinamide riboside, a form of vitamin B3 that’s been studied for its potential as an energy-boosting and anti-aging treatment. But NR doesn’t offer these benefits directly. Instead, it acts as a precursor for nicotinamide adenine dinucleotide (NAD+), and studies have shown a direct relationship between NR supplementation and increased NAD+ in the blood and certain target tissues.1
So anyone hoping to boost their NAD+ levels can look to NR as a solution. There are other supplemental means for boosting NAD+, but NR is one of the most reliable and well-researched out there.
NAD+ is a co-enzyme, meaning that it serves numerous functions in support of other enzymatic activity. This mostly occurs in the mitochondria of cells that have absorbed some NAD+.7 And the mitochondria are often referred to as the “powerhouses” of the cell, specifically regarding their role in turning the food we eat into energy.
You might see NAD+ carelessly written without the plus sign as NAD, but there’s an important difference. NAD can refer to either NAD+ or NADH, both of which are forms of nicotinamide adenine dinucleotide that convert into one another as part of the process that generates cellular energy. An imbalance of more NADH than NAD+ in the body is often associated with things we’d consider to be harmful oxidizing processes or events, like a night of excessive drinking or aging itself.8 9
Boosting NAD+ creates an environment in which those conversions can occur at greater rates and at a greater abundance, contributing to an increase in overall cellular energy.
The potential benefits of increased NAD+ levels include:10
The evidence supporting some of these benefits is stronger than others, but the general thrust of NAD+ boosting is that it can improve your whole-body functioning, especially as it relates to aging.
When you take an NR supplement, it becomes NAD+ through a complex metabolic course known as the salvage pathway. There are three such pathways associated with NAD+ production in the body depending on the source material at hand:8
The exact degree to which a certain amount of NR will translate to NAD+ is likely to be different for every individual, as things like body weight and metabolism have an influence. Researchers have more recently understood the critical role that gut microbiota play in this conversion process, as well,11 and variations between individuals’ microbiomes can be enormous.
Depending on the brand in question, you’re either going to get your hands on NR chloride or NR hydrogen malate. NR chloride is, by far, the more commonly used and more widely studied of the two NR forms. Simply put, NR chloride is an NR salt made with NR and chlorine, and NR hydrogen malate is made with NR and malic acid.
NR chloride was the first commercially available form, developed and marketed by a company called Chromadex under the brand name Niagen. Niagen is available in a wide variety of NR supplements, but it’s unclear whether all forms of NR chloride on the market are subject to Chromadex’s patent, as certain companies list their NR as Niagen, while others do not.
NR hydrogen malate was developed a bit later, and it may present a lower risk of side effects than NR chloride.
In separate animal studies, NR chloride was shown to produce no observable adverse effects at 300mg/kg in rats, whereas NR hydrogen malate boasted a threshold of 2,000mg/kg.12 13 Aspects of these studies make them difficult to compare head-to-head, but the gulf between 300mg/kg and 2,000mg/kg is significant nonetheless.
NR hydrogen malate tends to be harder to find and more expensive than NR chloride, however. There is also far less research confirming its efficacy than you can find for NR chloride, and both should be safe for most consumers at average doses. Therefore, we typically recommend NR chloride for all but the few customers who are willing to risk some efficacy for the lowest possible side effect risk.
NR supplements are a potential source of increased cellular health and energy for just about anyone. If you have specific age-related concerns about your health and wellness, you might look to NR for support. These concerns can include:10
That said, plenty of perfectly healthy people take NR supplements to stave off the aging process, even if they aren’t aware of any specific age-related conditions.
While everyone is always aging, young people aren’t likely as concerned with the process as older individuals. If you’re 22, you have boundless energy, and your skin practically glows in the dark, you probably don’t need to invest in an NR supplement.
As we’ll discuss in our safety section below, there are specific concerns about NR supplementation and NAD+ boosting that could give some people pause. These include a potential unsafe drop in blood pressure for those currently on medication for hypertension, as well as potential cancer risks that researchers have yet to define clearly.14
In short-term research, NR appears to be mostly safe for most people. But there are caveats to that short-term safety, including some noteworthy contraindications. There are also significant concerns about the role NAD+ can play in cancer management, both as a tool to potentially thwart cancer and as a contributing factor in its emergence and growth.
One of the biggest concerns among NAD+ boosters is flushing (rushing blood to the face and a feeling of overheating), as some forms of B vitamins (a category to which NR belongs) have been shown to cause. But NR doesn’t appear to cause the same kind of flushing that other B3s do, at least according to some research studies.3 4 That said, a high-dose study in Parkinson’s patients saw the following adverse effects in patients taking 1,500mg daily for four weeks:5
Some similar effects were seen in the placebo group from this study, so it’s unclear which ones may have been caused by NR supplementation.
In most cases, that’s a much higher dose than our top recommendations provide, but some companies offer doses approaching 1,000mg/day, creating the potential for such short-term adverse reactions.
NR has also been shown to have potential as a blood pressure treatment for people with hypertension. But if you’re already taking medication for hypertension or you deal with hypotension, NR supplements may cause an unsafe drop in blood pressure.14
As always, it’s wise to talk to your doctor before introducing NR, or any other new supplement, into your regimen.
One thing your doctor may not be able to speak to is NR’s potential to increase or decrease your risk of certain cancers. That’s not your doctor’s fault, either; the scientific community hasn’t drawn firm enough conclusions here to know where to stand. So, here’s what we know:
Researchers have confirmed that cancer cells utilize NAD+ at a higher rate than noncancerous cells, indicating a complex relationship that may be exacerbated by increased NAD+ from exogenous NR supplementation.15
Other research points toward increased NAD+ levels acting as a prophylactic against tumor cell formation in the first place for both liver and breast cancers.16 17
Does this mean that increasing your NAD+ levels can prevent cancer? Or does it mean that increasing your NAD+ levels could exacerbate cancer? These questions remain unanswered.
Ultimately, you’ll want to talk with your doctor before beginning an NR supplement, especially if you’re at increased risk of cancer due to lifestyle or genetics.
Best for most people, best budget pick, best high-dose capsule, and best powder
Photo by Innerbody Research
Renue by Science has been on the front line of NAD+ boosting for years, and we’ve closely followed its growth, both as part of our editorial efforts and out of a personal interest in the field shared by members of the team. To date, we’ve tried well over a dozen of its products, and we’re confident that there isn’t a company out there offering the same variety and quality for similar prices.
Central to numerous Renue products is liposomal delivery, which is the microencapsulation of ingredients within fat-based structures that are designed to break down in the vicinity of target tissues.6 The simplest of these can make it through the harsh acidic environment of the stomach and get to the small intestine unscathed. More complex liposomal structures can remain intact as they enter the bloodstream, releasing their ingredients only when they’ve reached the place where they might do the most good.
Renue offers three NR-only products and another three products containing NR and other NAD+ boosters like NMN or NAD+ itself:
Dose(s) | Delivery mechanism | Liposomal? | |
---|---|---|---|
LIPO NR Capsules | 300mg | Capsule | |
NR 1000 | 1,000mg | Capsule | |
NR Powder | 1,000mg | Powder | |
NAD+ Complete capsules | 100mg NR; 210mg NMN; 160mg NAD+; 170mg trigonelline | Capsule | |
NAD+ Complete oral spray | 3mg NR; 12mg NMN; 10mg NAD+ | Oral spray | |
NAD+ Complete nasal spray | 3mg NR; 10mg NMN; 5mg NAD+; 3mg trigonelline | Nasal spray |
Among the NR-only products, each one contributed to a different recommendation point in our summary at the top of this guide. Here’s how it breaks down:
Our reasoning here is simple. LIPO NR offers the lowest cost per dose among our top picks and a slightly lower risk of side effects than NR 1000, while NR 1000 offers a high dose in an enteric-coated capsule that can withstand stomach acid. Finally, Renue’s NR powder, while not protected from stomach acid, is a great way to get a low cost per gram with a flexible dose and a great citrus flavor that was universally enjoyed by our testing team.
Photo by Innerbody Research
As for the rest of the NR-related lineup, while we’re big fans of what NMN has to offer, we haven’t seen convincing evidence that exogenous NAD+ can meaningfully increase NAD+ levels in the blood. To be fair to Renue, research into intranasal and liposomal delivery of NAD+ isn’t yet available, so it could take a direct route to the bloodstream and be effective there. But we reserve our recommendations for products with more specific scientific support. Thus, for the time being, we advise our readers to invest in NR or NMN supplements, but not NAD+ itself.
While Renue’s sticker prices can initially appear higher compared to other companies, many of its products come in two- and three-month supplies that bring your cost per dose well below the competition. You can also save an additional 10% on any order by subscribing, and you can set your subscription interval for 30, 45, or 60 days. In the case of products offered in three-month supplies, like the LIPO NR Capsules, this isn’t quite as convenient as it could be. That particular product should be available in a 90-day refill window, but it isn’t. By comparison, Thorne has a much more flexible subscription-customization system.
Here’s a quick look at the prices with and without a subscription for Renue’s three NR-only products:
LIPO NR Capsules | NR 1000 | NR Powder | |
---|---|---|---|
Price | $64.95 | $54.95 | $109.00 |
Cost per dose | $0.72 | $1.83 | $1.42 |
Cost per gram of NR | $2.41 | $1.83 | $1.42 |
Subscription price | $58.46 | $49.46 | $98.10 |
Subscription cost per dose | $0.65 | $1.65 | $1.27 |
Subscription cost per gram of NR | $2.17 | $1.65 | $1.27 |
Depending on how much you want to spend, you could end up with the lowest cost per dose from the LIPO NR Capsules, the lowest cost per gram of NR in the NR Powder, or something in between the two with NR 1000.
Shipping from Renue by Science costs $4.95 in the U.S. if you spend less than $50 on an order. Orders of $50 or more (which is any of the three NR products we recommend) ship for free. Renue has the most generous return policy in our guide (tied with Thorne), offering you 60 days to try its supplements and still ask for a refund.
Best NR-based anti-aging complex
Photo by Innerbody Research
Perpetua.Life is a relatively young supplement company (founded in 2021), with only a half-dozen products in its current catalog:
We’re not always crazy about the gummy approach, as dosing can be really difficult to control.40 Gummy supplements can contain far more or far less than what’s listed on the label, depending on numerous variables like the time lapsed between manufacture and purchase, temperature exposure, and more. And the company’s hair growth foam is almost comically overpriced compared to its competition, which we’ve studied extensively for the better part of a decade.
That leaves us with AEON, which is undeniably the company’s best product.
AEON starts with what Perpetua.Life calls Nicotinamide DUO, a liposomal blend of NR and NMN delivered in a 500mg dose. The company says it’s a proprietary blend, but fortunately, it’s up front about the ratio between NMN and NR, so you know what you’re getting. Specifically, the 500mg of Nicontinamide DUO in AEON delivers 400mg of NMN and 100mg of NR.
Here’s a look at AEON’s ingredient list:
Some of the ingredients on this list serve important purposes, either as anti-aging components themselves or as supportive ingredients for other anti-aging substances. For example, piperine doesn’t boast any anti-aging properties, but it’s been shown to improve the absorption of nutritional supplements, increasing the amount of the other ingredients your body will end up using.
Here’s a closer look at some of the ingredients in AEON that have genuine anti-aging potential and appear at doses research says should be effective:
While there has been some controversy surrounding the longevity claims that fuelled resveratrol’s rise to fame, mountains of research point toward its potential to help with various aspects of aging, specifically those related to oxidative stress. One study using the same 150mg dose seen in AEON found that it could mimic the positive effects of caloric restriction on inflammation and lipid accumulation.18 However, a larger review of studies found that resveratrol is typically studied at much higher doses, and longevity studies in humans have been inconclusive.19
A meta-analysis of high-quality quercetin studies found that it had the potential to treat numerous aspects of metabolic disorder, from blood pressure to waist circumference and fasting blood glucose.20 100mg was often viewed as a minimum dose for these effects, with AEON delivering 250mg.
There are over a dozen human clinical trials underway examining fisetin’s potential to treat numerous ailments, but among the few that have been completed, a 100mg dose appears to be sufficient for things like inflammation.21 22
Trimethylglycine (TMG) can act as a methyl donor in the process that synthesizes NAD+ in the body.23 Exact doses related to NAD+ levels in the body are unclear, however, though AEON contains a dose we’ve seen in most other supplements of its kind.
Other ingredients in AEON show promise, like L-theanine and astragalus, but much of the research looking into these has been conducted in rats using liquid measures that don’t cleanly translate to human dose recommendations. And things like EGCG from green tea are better served up in higher doses — closer to 200mg-300mg, as opposed to the 100mg in AEON.
AEON is available at a relatively reasonable price when you compare its contents to other competitors offering nothing but NR. You can also save 20% when you sign up for automatic deliveries. A one-time purchase costs $59/bottle, and a subscription will run you $47.20/month.
Let’s compare those numbers to another product containing NR, NMN, and a couple of other ingredients with a liposomal delivery from Renue by Science:
AEON | Renue by Science NAD+ Complete | |
---|---|---|
Price | $59 | $85 |
Doses per bottle | 30 | 60 |
Cost per dose | $1.96 | $1.41 |
Subscription price | $47.20 | $76.46 |
Subscription cost per dose | $1.57 | $1.27 |
NR dose | 100mg | 100mg |
NMN dose | 400mg | 210mg |
Additional ingredients | 12 | 2 |
As you can see, AEON is the pricier product per dose, even with a lower sticker price. But it also has a higher NMN dose and six times as many supportive anti-aging ingredients. We still advise most people to start with a simple NR or NMN supplement from Renue, which is even less expensive than the company’s NAD+ Complete, but if you want to start with a larger arsenal of weapons in your fight against aging, AEON might be the way to go.
Perpetua.Life doesn’t stipulate its shipping policy anywhere, but any time we’ve been on its website, a banner has told us that we’d unlocked free shipping, and all of our orders from the company have shipped for free.
Compared to Renue or Thorne, Perpetua.Life has a shorter money-back guarantee of just 30 days. That might still be enough for you to feel something from the supplement and know you want to stick with it, but we prefer to see at least 60 days in this product category.
Best Niagen alternative
Photo by Innerbody Research
If you have any reason to be significantly concerned with the safety profile of NR chloride — a.k.a. Niagen, the most widely used NR supplement — Thorne’s NR hydrogen malate could be a nice alternative. NR malate is somewhat rare on the market, with Thorne’s version being the one we found to offer the best dose and manufacturing standards.
In addition to 415mg of NR malate, NiaCel 400 contains 85mg of TMG, which we discussed in the AEON section as being a methyl donor in the NAD+ production process. Essentially, its presence here facilitates a greater rate of NAD+ production from the same amount of NR than you could get from NR on its own.23
NiaCel 400 is also the only product in our guide to be NSF Certified for Sport, which means that a product has met certain safety and manufacturing standards and has nothing in it that would get flagged by international anti-doping agencies that test athletes for performance-enhancing substances.
NiaCel 400 has a pretty straightforward pricing structure, though the company’s claim of up to 20% off for subscribers is a little misleading. You can certainly save 20%, but only if you have active subscriptions to two other Thorne products. Otherwise, you’d only get 10% off for subscribing. That’s still as good as the subscription discount Renue by Science offers, but it pales in comparison to the 20% off you can get on a Perpetua.Life or Tru Niagen subscription.
Here’s what NiaCel 400 costs:
One-time purchase | Subscription | |
---|---|---|
Price | $68 | $61.20 |
Doses per bottle | 60 | 60 |
Cost per dose | $1.13 | $1.02 |
Thorne is one of only two companies in our guide to offer free shipping on all orders, regardless of how much you spend (the other being Tru Niagen). That said, the free shipping thresholds the other companies have are all below the cost of a single bottle of the products we’ve highlighted, so you should get free shipping from any of them.
Where Thorne does stand out is in its 60-day money-back guarantee — tied with Renue by Science for length.
Tru Niagen didn’t crack into the summary of recommendations in this guide, nor did it find a spot in our comprehensive NAD+ booster guide. It’s not that the product is lacking in potential efficacy — it should be as effective as any other NR supplement at a given dose — but the company’s standard dose of 300mg is undeniably on the low end of what studies show might be effective. And you can find NR from other companies in this guide that is more potent, less expensive, or both.
So, why include Tru Niagen at all? Because its parent company, Chromadex, developed NR chloride, known commercially as Niagen and found in most NR supplements. It’s likely the most recognizable name in NR, and it’s important to understand in case you fit within the narrow band of consumers for whom it could be the right fit — specifically, people looking to NR for immune support who won’t mind spending a little more on a bundle of multiple Tru Niagen products to maximize their benefit.
Tru Niagen offers four NR products in all:
The first three items on that list include only NR as a therapeutic ingredient. Original Tru Niagen is available in 150mg and 300mg capsules, while Tru Niagen Pro provides a 500mg dose per capsule (with a two-capsule recommended serving size). And the Stick Packs come with 300mg of NR per serving.
Things get a little more diversified on Immune’s ingredient label:
Let’s look closer at each of these ingredients to see whether there are good reasons to include them and to use these particular doses:
In a truly massive review comprising 28 randomly controlled trials and more than 5,000 participants, zinc was shown to be effective at mitigating ailments like the common cold and even COVID.24 The minimum effective dose in these studies was 15mg, with doses ranging as high as 300mg in some studies. Tru Niagen’s 20mg is within this range, but at the bottom end of it.
Curcumin, the bioactive compound responsible for many of turmeric’s purported benefits, doesn’t absorb especially well. Theracurmin is a branded form of curcumin that’s supposed to offer better absorption. Some research suggests it could offer nearly 30 times the plasma exposure to curcumin from a single dose.25 Still, doses in immunity-specific research are often higher than the 30mg found in Tru Niagen Immune, such as the 150mg in a 2024 Japanese study.26
In a 2015 study on vitamin D’s influence on immunity, a 400IU dose proved sufficient. Tru Niagen Immune’s dose is 2000IU.29 However, the tolerable upper limit for daily vitamin D exposure is 4000IU, so you should exercise caution if you get a lot of sunshine, consume a lot of products fortified with vitamin D, or take additional supplements containing it, like a multivitamin.30
That’s not a bad collection of ingredients and doses to support immunity, but the 150mg dose of NR is interesting here. It’s unlikely that you’d use Tru Niagen Immune as your sole source of NR. Either the original 300mg formula or the 1,000mg Tru Niagen Pro for daily use might be something you support with Tru Niagen Immune during times when you either want to stave off illness, know you’ve been exposed to something, or have started to develop symptoms.
Tru Niagen’s pricing gets a little complicated, as the company offers both bulk and subscription discounts on some products. Below, we use some handy charts to break down the pricing for each of Tru Niagen’s product lines:
Tru Niagen (300mg capsules)
30 servings | 90 servings | 180 servings | |
---|---|---|---|
Price (one time) | $49.00 | $127.00 | $244.00 |
Price (subscription) | $39.20 | $101.60 | $195.20 |
Cost per dose (one time) | $1.63 | $1.41 | $1.36 |
Cost per dose (subscription) | $1.31 | $1.13 | $1.08 |
Tru Niagen Pro (500mg capsules)
Price | Cost per 1,000mg dose | |
---|---|---|
60-count (one time) | $116.00 | $1.93 |
60-count (subscription) | $92.80 | $1.55 |
Tru Niagen Stick Packs (300mg each)
Price | Cost per dose | |
---|---|---|
30-count (one time) | $58.00 | $1.93 |
30-count (subscription) | $46.40 | $1.55 |
Tru Niagen Immune
Price | Cost per dose | |
---|---|---|
30-count (one time) | $41.00 | $1.37 |
30-count (subscription) | $32.80 | $1.09 |
60-count (one-time) | $75.00 | $1.25 |
60-count (subscription) | $60.00 | $1.00 |
Tru Niagen + Immune bundle
As we discussed earlier, the likelihood here is that you’ll take these supplements together — a 450mg dose of NR alongside the immunity-enhancing ingredients in Immune. So the following table breaks down the bundle pricing based on 30 total servings, as there are 30 servings of each in either bottle:
Price | Cost per dose | |
---|---|---|
30-count (one time) | $85.00 | $2.83 |
30-count (subscription) | $68.00 | $2.27 |
Shipping from Tru Niagen is free on all orders, but the company doesn’t offer any kind of money-back guarantee. You can only return products that are unopened. That’s a stark difference from the other companies in this guide, like Thorne and Renue by Science, both of which offer 60-day guarantees.
Given some of the unknowns surrounding NR’s long-term use, it’s understandable that people might be curious about alternatives. We’ll confine our investigation here to the most promising alternatives to NR to fight the aging process or increase energy, with a particular focus on NR’s cousin, NMN.
If you’re interested in a deep dive into the science comparing NR and NMN for NAD+ support, you should check out our complete guide to NAD+ supplements. Here, we’ll try to keep things as concise as possible, and you can use that guide or our specific guide to NMN supplements to explore more products.
In a nutshell, NR and NMN achieve the same thing. Along the complex metabolic pathways that turn certain foods or supplements into NAD+, NR actually converts into NMN before it can play its role in synthesizing NAD+. That might seem like all you need to know. NMN is one step closer to NAD+, so why not take it instead?
Well, for years, scientists believed that NMN had to convert back to NR before it could enter a cell and then turn back into NMN to be useful. There was just no evidence that NMN could enter cells on its own. But that changed in 2018 with the discovery of a dedicated NMN transporter that acts like a friendly bouncer to let NMN into the cell without having to convert to NR first.31
The existence of this transporter is why our NAD+ guide recommends an NMN product as the best option for most people over any NR product. That said, we’re aware that NR boasts a greater degree of research into its safety and efficacy, so it remains an important option for a wide variety of consumers.
If we decided to dedicate any page to comprehensively cataloging the available anti-aging supplements on the market, new ones would emerge as we were writing, likely faster than we could keep up. But there are some tried-and-true options that have been on the market for years and can boast some degree of reliable success for most users. We dove into a handful of these in our section breaking down the complex of ingredients in Perpetua.Life’s AEON, but let’s look at a few more here:
Citicoline and alpha-GPC are both precursors to the neurotransmitter acetylcholine, and if your aging concerns include cognitive decline, you’d be wise to investigate them further.32 33 Both have been shown to be relatively safe and definitely effective at increasing acetylcholine in the brain, but you’d likely want to choose one or the other, as there are risks associated with an overabundance of acetylcholine.34
Poor sleep can also contribute to accelerated aging, so we would advise anyone interested in staving off Father Time to include a magnesium supplement in their regimen. 37 38 There are numerous forms of magnesium salts, from magnesium oxide to magnesium threonate, but magnesium glycinate is likely the best for sleep and relaxation thanks to its specific concentration of elemental magnesium and glycine’s role in regulating sleep.39
These options may not be the flashy fountains of youth some supplements claim to be, but they stand the best chance of slowing aging and improving quality of life in the long run.
Sources
Innerbody uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Trammell, S. A., Schmidt, M. S., Weidemann, B. J., Redpath, P., Jaksch, F., Dellinger, R. W., Li, Z., Abel, E. D., Migaud, M. E., & Brenner, C. (2016). Nicotinamide riboside is uniquely and orally bioavailable in mice and humans. Nature Communications, 7(1), 1-14.
Liu, P., Chen, G., & Zhang, J. (2022). A review of liposomes as a drug delivery system: Current status of approved products, regulatory environments, and future perspectives. Molecules, 27(4), 1372.
Canto, C., Houtkooper, R. H., Pirinen, E., Youn, D. Y., Oosterveer, M. H., Cen, Y., Fernandez-Marcos, P. J., Yamamoto, H., Andreux, P. A., Cettour-Rose, P., Gademann, K., Rinsch, C., Schoonjans, K., Sauve, A. A., & Auwerx, J. (2012). The NAD+ precursor nicotinamide riboside enhances oxidative metabolism and protects against high-fat diet-induced obesity. Cell Metabolism, 15(6), 838-847.
Conze, D., Brenner, C., & Kruger, C. L. (2019). Safety and metabolism of long-term administration of NIAGEN (Nicotinamide riboside chloride) in a randomized, double-blind, placebo-controlled clinical trial of healthy overweight adults. Scientific Reports, 9(1), 1-13.
Berven, H., Kverneng, S., Sheard, E., Søgnen, M., Af Geijerstam, S. A., Haugarvoll, K., Skeie, G., Dölle, C., & Tzoulis, C. (2023). NR-SAFE: A randomized, double-blind safety trial of high dose nicotinamide riboside in Parkinson’s disease. Nature Communications, 14(1), 1-13.
Xie, X., Kong, Q., Chen, Y., Yang, Z., Wu, Z., Xiao, Y., Chen, Y., Yu, Z., Luo, X., & Qu, W. (2024). Liposome-based loading enhances the distribution of nicotinamide riboside chloride into the brain and its neuroprotective effects in cerebral ischemic mice. Journal of Neurorestoratology, 12(2), 100111.
Li, W., & Sauve, A. A. (2015). NAD⁺ content and its role in mitochondria. Methods in Molecular Biology (Clifton, N.J.), 1241, 39-48.
Yang, Y., & Sauve, A. A. (2016). NAD+ metabolism: Bioenergetics, signaling and manipulation for therapy. Biochimica et Biophysica Acta, 1864(12), 1787.
Yoshino, J., Mills, K. F., & Yoon, M. J. (2011). Nicotinamide mononucleotide, a key NAD+ intermediate, treats the pathophysiology of diet- and age-induced diabetes in mice. Cell Metabolism, 14(4), 528.
Conlon, N. J. (2021). The role of NAD+ in regenerative medicine. Plastic and Reconstructive Surgery, 150(4 Suppl), 41S.
Chellappa, K., et al. (2022). NAD precursors cycle between host tissues and the gut microbiome. Cell Metabolism, 34(12), 1947-1959.e5.
Conze, D. B., Crespo-Barreto, J., & Kruger, C. L. (2016). Safety assessment of nicotinamide riboside, a form of vitamin B3. Human & Experimental Toxicology, 35(11), 1149-1160.
Dziwenka, M., & Mozingo, A. (2022). Preclinical safety assessments of nicotinamide riboside hydrogen malate. Toxicology Research and Application.
Martens, C. R., Denman, B. A., Mazzo, M. R., Armstrong, M. L., Reisdorph, N., McQueen, M. B., Chonchol, M., & Seals, D. R. (2018). Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults. Nature Communications, 9, 1286.
Moreira, J. D., Hamraz, M., Abolhassani, M., Bigan, E., Pérès, S., Paulevé, L., Nogueira, M. L., Steyaert, J., & Schwartz, L. (2016). The redox status of cancer cells supports mechanisms behind the Warburg effect. Metabolites, 6(4), 33.
Tummala, K. S., Gomes, A. L., Yilmaz, M., Graña, O., Bakiri, L., Ruppen, I., Ximénez-Embún, P., Sheshappanavar, V., Rodriguez-Justo, M., Pisano, D. G., Wagner, E. F., & Djouder, N. (2014). Inhibition of de novo NAD(+) synthesis by oncogenic URI causes liver tumorigenesis through DNA damage. Cancer Cell, 26(6), 826-839.
Jiang, Y., Luo, Z., Gong, Y., Fu, Y., & Luo, Y. (2023). NAD+ supplementation limits triple-negative breast cancer metastasis via SIRT1-P66Shc signaling. Oncogene, 42(11), 808-824.
Timmers, S., Konings, E., Bilet, L., Houtkooper, R. H., Goossens, G. H., Hoeks, J., Ryu, D., Kersten, S., Moonen-Kornips, E., Hesselink, M. K., Kunz, I., Schrauwen-Hinderling, V. B., Blaak, E., Auwerx, J., & Schrauwen, P. (2011). Calorie restriction-like effects of 30 days of Resveratrol (resVida™) supplementation on energy metabolism and metabolic profile in obese humans. Cell Metabolism, 14(5).
Ramírez-Garza, S. L., Laveriano-Santos, E. P., Marhuenda-Muñoz, M., Storniolo, C. E., Tresserra-Rimbau, A., Vallverdú-Queralt, A., & Lamuela-Raventós, R. M. (2018). Health effects of resveratrol: Results from human intervention trials. Nutrients, 10(12), 1892.
Noshadi, N., Bonyadian, A., Hojati, A., Abbasalizad-Farhangi, M., Heidari, M., Darzi, M., Seyedhosseini-Ghaheh, H., Khajeh, M., Pourteymour Fard Tabrizi, F., Vajdi, M., & Askari, G. (2024). The effect of quercetin supplementation on the components of metabolic syndrome in adults: A systematic review and dose–response meta-analysis of randomized controlled trials. Journal of Functional Foods, 116, 106175.
Tavenier, J., Nehlin, J. O., Houlind, M. B., Rasmussen, L. J., Tchkonia, T., Kirkland, J. L., Andersen, O., & Rasmussen, L. J. H. (2024). Fisetin as a senotherapeutic agent: Evidence and perspectives for age-related diseases. Mechanisms of Ageing and Development, 222, 111995.
Farsad-Naeimi, A., , Alizadeh, M., , Esfahani, A., & Darvish Aminabad, E., (2018). Effect of fisetin supplementation on inflammatory factors and matrix metalloproteinase enzymes in colorectal cancer patients. Food & Function, 9(4), 2025-2031.
Li, D., Tian, Y. J., Guo, J., Sun, W. P., Lun, Y. Z., Guo, M., Luo, N., Cao, Y., Cao, J. M., Gong, X. J., & Zhou, S. S. (2013). Nicotinamide supplementation induces detrimental metabolic and epigenetic changes in developing rats. The British Journal of Nutrition, 110(12), 2156-2164.
Hunter, J., Arentz, S., Goldenberg, J., Yang, G., Beardsley, J., Myers, S. P., Mertz, D., & Leeder, S. (2021). Zinc for the prevention or treatment of acute viral respiratory tract infections in adults: A rapid systematic review and meta-analysis of randomised controlled trials. BMJ Open, 11(11), e047474.
Chung, H., Yoon, S. H., Cho, Y., Yeo, H. K., Shin, D., & Park, Y. (2021). Comparative pharmacokinetics of Theracurmin, a highly bioavailable curcumin, in healthy adult subjects. International Journal of Clinical Pharmacology and Therapeutics, 59(10), 684.
Kuwabara, Y., Hirose, A., Lee, H., Kakinuma, T., Baba, A., & Takara, T. (2024). Effects of highly bioavailable curcumin supplementation on common cold symptoms and immune and inflammatory functions in healthy Japanese subjects: A randomized controlled study. Journal of Dietary Supplements, 21(1), 71-98.
Carr, A. C., & Maggini, S. (2017). Vitamin C and immune function. Nutrients, 9(11), 1211.
Douglas, R. M., Hemila, H., D'Souza, R., Chalker, E. B., & Treacy, B. (2004). Vitamin C for preventing and treating the common cold. The Cochrane Database of Systematic Reviews, (4), CD000980.
Konijeti, G. G., Arora, P., Boylan, M. R., Song, Y., Huang, S., Harrell, F., Newton-Cheh, C., Korzenik, J., Wang, T. J., & Chan, A. T. (2015). Vitamin D supplementation modulates T cell–mediated immunity in humans: Results from a randomized control trial. The Journal of Clinical Endocrinology and Metabolism, 101(2), 533.
National Institutes of Health. (2024). Vitamin D fact sheet for health professionals. Office of Dietary Supplements.
Wu, L. E., & Sinclair, D. A. (2019). The elusive NMN transporter is found. Nature Metabolism, 1(1), 8-9.
Nakazaki, E., Mah, E., Sanoshy, K., Citrolo, D., & Watanabe, F. (2021). Citicoline and memory function in healthy older adults: A randomized, double-blind, placebo-controlled clinical trial. The Journal of Nutrition, 151(8), 2153.
Han, S. H., & Chul Youn, Y. (2022). Quantitative electroencephalography changes in patients with mild cognitive impairment after choline alphoscerate administration. Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia, 102, 42-48.
Adeyinka, A., & Kondamudi, N.P. (August 12, 2023). Cholinergic crisis. StatPearls [Internet].
Yegorov, Y. E., Poznyak, A. V., Nikiforov, N. G., Sobenin, I. A., & Orekhov, A. N. (2020). The link between chronic stress and accelerated aging. Biomedicines, 8(7), 198.
Salve, J., Pate, S., Debnath, K., & Langade, D. (2019). Adaptogenic and anxiolytic effects of ashwagandha root extract in healthy adults: A double-blind, randomized, placebo-controlled clinical study. Cureus, 11(12), e6466.
Carroll, J. E., & Prather, A. A. (2021). Sleep and biological aging: A short review. Current Opinion in Endocrine and Metabolic Research, 18, 159.
Rawji, A., Peltier, M. R., Mourtzanakis, K., Awan, S., Rana, J., Pothen, N. J., & Afzal, S. (2024). Examining the effects of supplemental magnesium on self-reported anxiety and sleep quality: A systematic review. Cureus, 16(4), e59317.
Kawai, N., Sakai, N., Okuro, M., Karakawa, S., Tsuneyoshi, Y., Kawasaki, N., Takeda, T., Bannai, M., & Nishino, S. (2015). The sleep-promoting and hypothermic effects of glycine are mediated by NMDA receptors in the suprachiasmatic nucleus. Neuropsychopharmacology, 40(6), 1405.
Cohen, P.A., Avula, B., Wang, Y., Katragunta, K., & Khan, I. (2023, April 25). Quantity of melatonin and CBD in melatonin gummies sold in the U.S. JAMA. 2023;329(16):1401-1402.