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Repeat dose NRPT (nicotinamide riboside and pterostilbene) increases NAD+ levels in humans safely and sustainably: a randomized, double-blind, placebo-controlled study

Three-arm RCT in 120 healthy older adults (60–80 y): commercial NR+pterostilbene (NRPT) at recommended or double dose raised whole-blood NAD+ about 40% (1×) and 90% (2×) by 4 weeks versus placebo, sustained through 8 weeks, with no serious adverse events.

Design

  • Arms: placebo, NRPT 1×, NRPT 2×; n = 120 (60–80 y); 8 weeks daily dosing
  • Primary readout: whole-blood NAD+ concentration

NAD+ dynamics (abstract)

  • ~+40% NAD+ vs placebo/baseline in arm by week 4, sustained to week 8
  • ~+90% NAD+ in arm by week 4, sustained to week 8
  • Placebo: no rise across visits

Evidence hygiene

Combination product (NR + pterostilbene)—do not relabel as pure NR monotherapy; sponsor-employed authors disclosed.

Publication

Dellinger RW, Santos SR, Morris M, et al. NPJ Aging Mech Dis. 2017 Dec 21;4:17. doi 10.1038/s41514-017-0016-9 (PubMed PMID 29184669; see PubMed erratum/citation thread for publisher corrections).

Outcomes

  • NAD+ Level
    40
    % (Percent Change)
  • NAD+ Level
    90
    % (Percent Change)
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