KNINDEX

What does the clinical evidence actually show for NMN?

Below are all 9 sources this site cites — including findings of limited effect. That's our editorial policy.

Yoshino 2021, Science

Randomized controlled trial
Cohort
25 postmenopausal, prediabetic women with overweight/obesity
Dose
250 mg/day, 10 weeks
Finding
~25% improvement in skeletal-muscle insulin sensitivity; no change in body composition, blood pressure, or lipids.

View study · PMID 33888596

Igarashi 2022, npj Aging

Randomized controlled trial
Cohort
42 healthy men aged 65+
Dose
250 mg/day, 6 & 12 weeks
Finding
Increased blood NAD+; significant improvement in gait speed and chair-stand performance. Grip strength showed only a trend.

View study · DOI 10.1038/s41514-022-00084-z

Yi 2023, GeroScience

Multicenter dose-response RCT
Cohort
80 healthy middle-aged adults (40–65)
Dose
300/600/900 mg/day, 60 days
Finding
Significant NAD+ increase at all doses; improved 6-minute walk. Clinical efficiency peaked at 600 mg (minimal added benefit at 900 mg). No safety issues.

View study · PMID 36482258

Liao 2021, JISSN

Randomized controlled trial
Cohort
48 amateur runners
Dose
300/600/1200 mg/day, 6 weeks (+training)
Finding
Dose-dependent improvement in aerobic capacity (ventilatory threshold).

View study · PMID 34238308

Kim 2022, Nutrients

Randomized controlled trial
Cohort
108 adults aged 65+
Dose
250 mg/day (afternoon), 12 weeks
Finding
Afternoon intake improved daytime drowsiness and lower-limb function. Single study — not conclusive.

View study

Pencina 2023, JCEM

RCT (pharmaceutical-grade MIB-626)
Cohort
Middle-aged adults with overweight/obesity
Dose
1000 mg 1–2×/day, 28 days
Finding
Large NAD+ increase; short-term safety confirmed up to 2000 mg/day.

View study

메타분석 2024, Curr Diab Rep

Meta-analysis of RCTs
Finding
NMN effects on glucose/lipid markers are limited/uncertain — metabolic evidence remains weak relative to anti-aging marketing.

View study · DOI 10.1007/s11892-024-01557-z

Sandalova 2024, GeroScience

Independent analysis of commercial products
Finding
Of 15 global NMN products: measured content ranged 0–104.5% of label; 3 products contained no detectable NMN; only 7 were within ±10% of label.

View study