NAD+ (nicotinamide adenine dinucleotide) isn't found directly in high amounts in foods—it's a coenzyme produced in your body from precursors like niacin (vitamin B3 forms: nicotinic acid, nicotinamide), nicotinamide riboside (NR), nicotinamide mononucleotide (NMN), and tryptophan. These precursors support NAD+ synthesis, which is crucial for energy metabolism, DNA repair, and brain health
NAD+ Sources
NAD+ (nicotinamide adenine dinucleotide) isn't found directly in high amounts in foods—it's a coenzyme produced in your body from precursors like niacin (vitamin B3 forms: nicotinic acid, nicotinamide), nicotinamide riboside (NR), nicotinamide mononucleotide (NMN), and tryptophan. These precursors support NAD+ synthesis, which is crucial for energy metabolism, DNA repair, and brain health. However, as noted in recent research, avoid excessive supplementation with NAD+ boosters like NMN or NR without medical guidance, as they can elevate levels unnaturally and potentially increase cancer risk in some studies.Key Food Sources of NAD+ Precursors:
- Animal Proteins: Turkey, chicken, beef, pork, salmon, trout, tuna, mussels—rich in tryptophan and niacin (e.g., 3 oz turkey provides ~50% daily niacin).
- Dairy and Eggs: Cow's milk, eggs—contain NR and niacin (e.g., 1 cup milk has ~20% daily niacin).
- Plant-Based: Legumes (beans, lentils, peas), nuts and seeds (sunflower seeds, peanuts, tahini), whole grains (brown rice, oats, fortified cereals), soy products—high in niacin and tryptophan.
- Fruits and Vegetables: Asparagus, green peas, avocados, oranges, mushrooms—provide moderate niacin.
- Other: Brewer's yeast, nutritional yeast—extremely concentrated in niacin (1 tbsp nutritional yeast can provide over 100% daily value).
- Fermented Foods: Natto (fermented soybeans)—contains some natural NAD+ supportive compounds.
- NR or NMN capsules (e.g., 300–500 mg/day, but start low).
- Niacin/nicotinamide (100–500 mg, but watch for flushing with nicotinic acid).
- Tryptophan supplements (rarely used alone for NAD+).
- Mushrooms and Adaptogens:
- Cordyceps: Boosts oxygen use and ATP (energy), may enhance cognition; similar to reishi but more energizing.
- Ashwagandha: Reduces stress/cortisol, protects neurons; early studies show it clears amyloid plaques.
- Polyphenols and Senolytics (Aging-Cell Clearers):
- Resveratrol (from grapes, berries): Activates sirtuins (NAD+-dependent enzymes), improves memory in trials.
- Pterostilbene (blueberries): More bioavailable than resveratrol; reverses cognitive decline in animal models.
- Fisetin (strawberries, apples): Senolytic that clears damaged cells; 2025 studies link it to reduced brain inflammation.
- Quercetin (onions, apples): Anti-inflammatory; combined with dasatinib (a cancer drug), it reversed Alzheimer's gene signatures in recent UCSF research.
- Nootropics and Peptides:
- Citicoline: Boosts acetylcholine and dopamine; repairs neuron membranes, with evidence for mild cognitive impairment reversal.
- Bacopa monnieri: Enhances memory via BDNF (brain-derived neurotrophic factor); 12-week cycles show sustained benefits.
- Semax and Selank: Peptides that promote neurogenesis and reduce anxiety; Semax mimics ACTH for brain repair, used in 10-day cycles.
- Nutrients and Oils:
- Omega-3s (DHA/EPA from fish oil or algae): Reduce plaque buildup; high-dose trials (e.g., 2g/day) slow progression.
- Vitamin D: Emerging 2025 reviews show supplementation (2,000–5,000 IU/day) protects against Alzheimer's by modulating immunity.
- Coenzyme Q10 (CoQ10): Antioxidant for mitochondrial health; may reverse energy deficits in brain cells.
- Nattokinase: From natto; improves blood flow, reduces clots; preliminary links to better brain oxygenation.
- Emerging Pharmaceuticals/Treatments:
- Lithium (low-dose, e.g., 5–10 mg): 2025 Nature study showed it reverses memory loss and protects neurons without toxicity.
- Sargramostim: Stimulates immune cells to clear brain debris; in Phase 2 trials.
- Aducanumab or similar anti-amyloid drugs: Clear plaques; FDA-approved but controversial for side effects.
- Cancer drugs (e.g., dasatinib + quercetin): 2025 UCSF findings reversed Alzheimer's gene expression in models.
- Lifestyle/Other: Intermittent fasting (16:8) boosts ketones like MCT oil; exercise (aerobic + strength) promotes neurogenesis; meditation reduces stress-induced degeneration.
- Meals: Emphasize NAD+ foods—e.g., breakfast: eggs + oats + blueberries (tryptophan + niacin + pterostilbene). Lunch: salmon + lentils + asparagus. Dinner: turkey + brown rice + onions (quercetin). Snack: sunflower seeds or nutritional yeast on yogurt.
- Hydration/Oils: 1–2 tbsp coconut/MCT oil in coffee/tea (for ketones); add turmeric (1 tsp with black pepper for curcumin absorption).
- Activity: 30 min aerobic exercise (walk/run); 10 min meditation; 16:8 fasting window (e.g., eat 12pm–8pm).
- Sleep: 7–9 hours; use dim lights pre-bed.
- AM (Energy/Cognition Focus):
- NAD+ Precursor: 250–500 mg NR or niacin (from food if possible; supplement 3x/week).
- Lion's Mane: 1,000 mg extract (for NGF; pair with chaga/reishi blend: 500 mg each for antioxidants).
- Omega-3: 1,000 mg DHA/EPA.
- Citicoline: 250 mg (membrane repair).
- Vitamin D: 2,000 IU (if deficient).
- PM (Recovery/Anti-Inflammatory):
- Turmeric/Curcumin: 500 mg with piperine.
- Bacopa: 300 mg (memory boost).
- Resveratrol or Pterostilbene: 100–250 mg (sirtuin activation).
- CoQ10: 100 mg (mitochondrial support).
- Weekly Add-Ins:
- Fisetin/Quercetin: 500 mg each, 2–3 days/week (senolytic days; take with fat).
- Lithium Orotate: 5 mg, 3x/week (if approved; monitor kidneys).
- Peptides (if accessible): Semax nasal spray (20–40 mcg/day for 10 days, then break); Selank for stress.
- Nattokinase: 100 mg, 2x/week (blood flow).
- Week 1: Half doses to test tolerance.
- Track: Journal cognition (e.g., memory tests), get bloodwork for NAD+ markers or inflammation (CRP, tau).
- Sources in Israel: iHerb, Tevaly, or local pharmacies for most; peptides via specialized suppliers.
- Duration: Run 12 weeks, then reassess. If symptoms persist, explore clinical trials (e.g., for P7C3-A20 or lithium).

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