Could Boosting NAD+ Help Protect the Aging Brain? What the Latest Research Says About Cognitive Health and Alzheimer's Disease
- Christine Hannon
- 5 days ago
- 3 min read

As we age, it's natural to experience occasional forgetfulness... misplacing your keys, struggling to remember a name, or walking into a room and forgetting why. But many people wonder: what separates normal cognitive aging from more serious conditions like Alzheimer's disease?
Researchers around the world are working to answer that question, and one area receiving growing attention is the role of NAD+, a vital molecule involved in cellular energy production, DNA repair, and healthy brain function.
Recent research suggests that declining NAD+ levels may be linked to age-related cognitive decline and could play a role in the progression of neurodegenerative diseases, including Alzheimer's disease.
Understanding Cognitive Aging
The brain is one of the most energy-demanding organs in the body. Although it accounts for only a small percentage of our body weight, it consumes approximately 20% of the body's energy supply.
As we age, several changes can occur within the brain:
Reduced cellular energy production
Increased oxidative stress
Accumulation of cellular damage
Chronic low-grade inflammation
Impaired communication between neurons
These changes are believed to contribute to declines in memory, learning, processing speed, and overall cognitive function. While some degree of cognitive change is considered a normal part of aging, researchers are increasingly focused on identifying strategies that may help preserve brain health and support healthy cognitive function over time.
The NAD+ Connection
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell of the body. It serves as a critical component of mitochondrial function, helping cells convert nutrients into usable energy. Unfortunately, NAD+ levels naturally decline with age.
According to research summarized in State of the Science: Clinical & Preclinical NR Research (Brain Health), reduced NAD+ availability may contribute to many of the biological processes associated with cognitive aging, including mitochondrial dysfunction, neuroinflammation, oxidative stress, and impaired cellular repair mechanisms. In other words, as NAD+ levels decrease, the brain's ability to maintain healthy function may become compromised.
What Does This Mean for Alzheimer's Disease?
Alzheimer's disease is characterized by progressive memory loss and cognitive decline. Researchers believe multiple factors contribute to its development, including inflammation, mitochondrial dysfunction, protein accumulation, and impaired neuronal communication.
While NAD+ is not a treatment or cure for Alzheimer's disease, scientists are investigating whether supporting NAD+ levels could help address some of the underlying biological changes associated with neurodegeneration.
Preclinical studies cited in the report found that increasing NAD+ availability through nicotinamide riboside (NR) supplementation was associated with:
Reduced neuroinflammation
Improved mitochondrial function
Enhanced neuronal resilience
Better cognitive performance in animal models
Reduced accumulation of Alzheimer's-related pathology
These findings have generated significant interest in the potential role of NAD+-supporting therapies for brain health and healthy aging.
Why Researchers Are Studying Nicotinamide Riboside (NR)
One of the most researched NAD+ precursors is nicotinamide riboside (NR), the active ingredient in Niagen®. NR is converted by the body into NAD+, helping replenish declining cellular levels.
Human clinical studies referenced in the report have shown that NR supplementation can successfully increase NAD+ levels throughout the body, including within the brain. In one study, participants experienced approximately a 16% increase in cerebral NAD+ levels following supplementation.
Researchers have also observed favorable changes in biomarkers associated with neuroinflammation and neurodegenerative disease processes, supporting continued investigation into NR's role in healthy cognitive aging. Although more research is needed, these findings suggest that supporting NAD+ levels may be an important strategy for maintaining brain health as we age.
The Future of Brain Health May Start at the Cellular Level
For decades, brain health strategies focused primarily on mental stimulation and lifestyle factors. While those remain important, scientists are increasingly recognizing that healthy cognitive aging may also depend on what is happening inside our cells.
Maintaining mitochondrial health, supporting cellular energy production, and promoting efficient repair processes may all play a role in preserving cognitive function over time. As research continues to evolve, NAD+ support is emerging as one of the most promising areas of study in the field of healthy aging and neurodegenerative disease prevention.
How Niagen IV Supports Healthy Aging
At TherAnnu, we are excited to offer Niagen IV, an innovative wellness therapy designed to support the body's natural production of NAD+. By delivering nicotinamide riboside directly through IV therapy, Niagen IV provides a convenient way to support cellular energy production, healthy aging, and overall wellness.
While Niagen IV is not intended to diagnose, treat, cure, or prevent Alzheimer's disease, many individuals are interested in supporting their long-term cognitive health by optimizing the cellular processes that help keep the brain functioning at its best.
As scientists continue to uncover the relationship between NAD+, brain aging, and cognitive resilience, therapies that support healthy NAD+ levels may become an increasingly valuable part of proactive wellness and longevity strategies.
References
State of the Science: Clinical & Preclinical NR Research (Brain Health), Niagen Bioscience, 2025.
*For informational purposes only. No material on this page is intended to be a substitute for professional medical advice, diagnosis, or treatment.




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