Randomized Trialhigh evidence
A phase-II randomized controlled pilot study of nicotinamide riboside supplementation in older adults with amnestic mild cognitive impairment.
Alzheimer's & dementia : the journal of the Alzheimer's Association·July 1, 2026·PMID 42478598
Why it mattersNAD+ decline is implicated in Alzheimer’s disease, and NR is widely used to boost NAD+. This study provides early controlled evidence that short-term NR does not translate to cognitive or global hemodynamic benefits in aMCI, tempering expectations while hinting at regional brain perfusion effects that warrant longer investigation.

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