NMN Dosage: What Human Studies Have Actually Used
Two different questions: studied dose vs. recommended dose
This page answers one question only: what NMN doses have human clinical trials actually used? It does not answer, and is not designed to answer, "what dose should a person take?" Those are different questions with different evidence requirements. A dose that a research team selected for a short trial — often chosen for practical, funding, or pharmacokinetic-modeling reasons — is not the same thing as a dose demonstrated to be optimal, and no human trial to date has been designed to identify an optimal consumer dose. Nothing on this page or elsewhere on this hub should be read as a dosing recommendation.
A note on funding and conflicts of interest
Most of the trials in the table below were conducted or funded, at least in part, by companies that manufacture or sell NMN or NMN-related ingredients, or include authors employed by such companies. This is disclosed in the table's "Funding / COI" column and detailed in full underneath it. Funding and conflicts of interest are reported here because they are relevant context when evaluating a body of evidence — industry funding does not by itself invalidate a study, and none of the trials below were found to have concealed or misrepresented their funding. But readers should be able to see this context alongside the findings, not have to look for it separately, particularly because the most heavily industry-connected trials also happen to include some of the higher doses in this table.
Human NMN trials by studied dose
The table below summarizes randomized, placebo-controlled human NMN trials identified through a review of the current published literature, current as of this page's last-reviewed date. It is not necessarily exhaustive of every NMN trial ever conducted, but reflects the trials with clear, verifiable dosing, population, and outcome data at time of writing, each independently checked against its primary source (PubMed and/or the publishing journal) rather than taken from secondary summaries.
| Study | Population | n | Dose | Frequency | Duration | Design | Key reported outcomes | Safety observations | Funding / COI | PMID | DOI |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Igarashi et al., 2022, npj Aging[1] | Healthy men, ≥65y | 20 | 250 mg/day | Once daily | 6 or 12 weeks | RCT, double-blind, placebo, parallel | Blood NAD+ ↑; no effect on insulin sensitivity, skeletal muscle mass, or visceral fat area; nominal (non-robust) gait speed/grip changes | Well tolerated; no significant deleterious effect reported | Industry funded / author employment | 35927255 | 10.1038/s41514-022-00084-z |
| Okabe et al., 2022, Frontiers in Nutrition[2] | Healthy adults, 20–65y | 30 (29 completed) | 250 mg/day | 125 mg twice daily | 12 weeks + 4-wk follow-up | RCT, double-blind, placebo, parallel | Blood NAD+ nearly doubled | No serious adverse events; minor GI symptoms in both arms | Industry funded / author employment | 35479740 | 10.3389/fnut.2022.868640 |
| Katayoshi et al., 2023, Scientific Reports[3] | Healthy middle-aged adults | 36 | 250 mg/day | 125 mg twice daily | 12 weeks | RCT, double-blind, placebo, parallel | NAD+ metabolites ↑; pulse wave velocity (arterial stiffness) trended lower, not statistically significant | Well tolerated; no adverse events attributed to treatment | No competing interests reported | 36797393 | 10.1038/s41598-023-29787-3 |
| Akasaka et al., 2023, Geriatrics & Gerontology International[4] | Men ≥65y with diabetes and reduced grip/gait | 14 | 250 mg/day | Once daily | 24 weeks | RCT, double-blind, placebo | No significant improvement in grip strength or walking speed vs. placebo (small sample) | Tolerable; no severe adverse events | Not verified | 36443648 | 10.1111/ggi.14513 |
| Morifuji et al., 2024, GeroScience[5] | Healthy older adults, 65–75y | 60 | 250 mg/day | Once daily | 12 weeks | RCT, double-blind, placebo, parallel | Prespecified primary outcome (stepping test) not significantly different from placebo at 4 or 12 weeks; secondary outcomes: NAD+ ↑, shorter 4-m walking time than placebo, improved sleep quality (PSQI) | No adverse effects attributed to treatment | Industry funded / author employment | 38789831 | 10.1007/s11357-024-01204-1 |
| Yoshino et al., 2021, Science[6] | Postmenopausal women, prediabetic, overweight/obese | 25 | 250 mg/day | Once daily | 10 weeks | RCT, double-blind, placebo, parallel | ↑ muscle insulin sensitivity and insulin signaling; ↑ muscle-remodeling gene expression | No severe adverse events reported | Industry ties disclosed | 33888596 | 10.1126/science.abe9985 |
| Huang, 2022, Frontiers in Aging (Uthever)[13] | Healthy adults, 40–65y | 66 | 300 mg/day | 150 mg twice daily | 60 days | RCT, multicenter, double-blind, placebo, parallel | NAD+/NADH ↑38% vs. 14.3% placebo; SF-36 quality-of-life score ↑6.5% vs. 3.4%; HOMA-IR stable vs. worsened in placebo | Not detailed in the abstract; not independently confirmed beyond the efficacy findings | Industry funded / author employment | 35821806 | Not independently confirmed |
| Liao et al., 2021, J Int Soc Sports Nutr[7] | Recreational runners | 48 | 300 / 600 / 1,200 mg/day | Once daily, 3 dose arms + placebo | 6 weeks, combined with training | RCT, double-blind, 4-arm, placebo-controlled | Certain submaximal / ventilatory-threshold-related oxygen-uptake measures improved more at medium and high doses alongside training; VO2max itself did not significantly differ between groups | Well tolerated; no serious adverse events reported | No competing interests reported | 34238308 | 10.1186/s12970-021-00442-4 |
| Yi et al., 2023, GeroScience[8] | Healthy adults, 40–65y | 80 | 300 / 600 / 900 mg/day | Once daily before breakfast, 3 dose arms + placebo | 60 days | RCT, multicenter, double-blind, placebo, dose-dependent, parallel | Dose-dependent NAD+ ↑; ↑ 6-minute walk distance; improved self-reported wellbeing | Safe and well tolerated up to 900 mg/day | Industry funded / author employment | 36482258 | 10.1007/s11357-022-00705-1 |
| Pencina et al., 2023 (pilot)[9] | Overweight/obese adults, 55–80y | 32 | 1,000 or 2,000 mg/day | Once or twice daily, block-randomized | 14 days | RCT, double-blind, placebo, block-randomized | Dose-dependent NAD+ ↑; established basis for larger follow-up trial | No severe adverse events reported | Not verified | 35182418 | 10.1093/gerona/glac049 |
| Fukamizu et al., 2022, Scientific Reports[10] | Healthy adults, 20–65y | 31 | 1,250 mg/day | Once daily | Up to 4 weeks | RCT, double-blind, placebo, parallel (dose-escalation safety design) | No changes exceeding normal physiological variation across hematology, biochemistry, urine, body composition | No severe adverse events reported | Industry funded / author employment | 36002548 | 10.1038/s41598-022-18272-y |
| Christen et al., 2026, Nature Metabolism[11] | Healthy adults, mean age ~35y | 65 | 1,000 mg/day | Once daily, 1 of 4 study arms (NMN / NR / nicotinamide / placebo) | 14 days | RCT, open-label, placebo-controlled, 4-arm, parallel | NMN ~doubled circulating NAD+, comparable to NR; nicotinamide did not; gut-microbiome and short-chain-fatty-acid changes observed | Not detailed in available primary text | Not verified | 41540253 | 10.1038/s42255-025-01421-8 |
| Pencina et al., 2023, JCEM[12] | Overweight/obese adults, ≥45y | 30 | 2,000 mg/day | 1,000 mg twice daily | 28 days | RCT, double-blind, placebo, 2:1 randomization | NAD+ significantly ↑, returning toward baseline ~28 days after last dose; ↓ LDL, non-HDL cholesterol, body weight, diastolic blood pressure; no significant change in strength measures | No serious adverse events; 24 on-treatment adverse events in 15 of 30 participants (2 moderate, remainder mild); frequency similar across groups | Industry funded / author employment | 36740954 | 10.1210/clinem/dgad027 |
Funding and conflicts of interest, in full
The compact labels above summarize what each trial's own published conflict-of-interest statement says, verified directly against the primary source. "Not verified" means no funding/COI statement could be independently located in the primary material accessible for this page — it is not a claim that a conflict exists or does not exist.
- Igarashi 2022: three co-authors (Y. Fukamizu, T. Sato, T. Sakurai) are employees of Mitsubishi Corporation Life Sciences Limited, a manufacturer of NMN ingredients.
- Okabe 2022: four co-authors (K. Yaku, Y. Uchida, Y. Fukamizu, T. Sato/T. Sakurai per the paper's disclosure) are employees of Mitsubishi Corporation Life Sciences Limited.
- Katayoshi 2023: the authors state "no competing interests."
- Akasaka 2023: no funding or conflict-of-interest statement could be located in the primary abstract record accessible for this page.
- Morifuji 2024: three co-authors (M. Morifuji, S. Higashi, M. Nagata) are employees of Meiji Holdings Co., Ltd., a food and nutrition company.
- Yoshino 2021: a co-author discloses receiving "a part of patent-licensing fees from MetroBiotech (USA) and Teijin Limited (Japan)"; another co-author is listed as an inventor on an NMN-related patent application. This study was not funded by those companies, but the disclosed royalty interest is reported here for transparency.
- Huang 2022 (Uthever): the sole author was, per the paper's own disclosure, "employed by Effepharm (Shanghai) Co., Ltd.," which markets NMN under the Uthever brand.
- Liao 2021: the authors state "none of the authors had a conflict of interest."
- Yi 2023: one co-author is an employee of Abinopharm, Inc.; two co-authors are employees of Aba Chemicals, Co. — both NMN ingredient suppliers.
- Pencina 2023 (pilot, J Gerontol A Biol Sci Med Sci): no funding or conflict-of-interest statement could be independently located for this specific paper. Other trials from an overlapping author group (below) disclose funding from Metro International Biotech; this is noted for context but is not treated as confirmed for this specific study without its own disclosure.
- Fukamizu 2022: the study was conducted at Pharma Foods Co., Ltd. and funded by Mitsubishi Corporation Life Sciences Limited, which also supplied test material; five co-authors are Mitsubishi Corporation Life Sciences Limited employees.
- Christen 2026: no funding or conflict-of-interest statement could be independently located in the primary material accessible for this page.
- Pencina 2023 (JCEM): "This study was funded by Metro International Biotech." A senior co-author is disclosed as a "consultant and equity owner in Metro International Biotech," the maker of the MIB-626 formulation tested in the trial; other co-authors report research funding from the same sponsor.
Industry funding does not by itself invalidate a study, and none of the disclosures above indicate concealed or misrepresented funding — every conflict noted here was disclosed by the study's own authors in the publication. It is reported so readers can weigh it alongside the findings themselves.
What the studied-dose range actually shows
Across these trials, studied daily doses span roughly an eightfold range — from 250 mg/day up to 2,000 mg/day — with 250 mg/day and the 300–900 mg/day band the most frequently used.[1][8] Higher doses have generally been tested over shorter durations (14–28 days), while the lowest common dose, 250 mg/day, has the longest track record among these trials, extending to 24 weeks.[4] No trial has directly compared a full range of doses against each other over a long duration in the same population, and no trial was designed to identify a minimum effective dose or a ceiling dose for any specific health outcome.
Why this page does not recommend a dose
A recommended dose requires evidence of a specific outcome, a demonstrated dose-response relationship for that outcome, and safety data at the recommended level over a realistic duration of use. For NMN, no combination of trials currently meets that bar for any specific consumer-relevant outcome. Some trials report dose-dependent increases in blood NAD+ within their own study population,[8] but a marker increasing in a dose-dependent way is not, by itself, evidence that a specific dose produces a specific health benefit. Converting any figure in the table above into a personal recommendation would go beyond what these trials were designed to show.
Related reading
For what these same trials report on tolerability and adverse events in more detail, see NMN Safety and Side Effects. For how and when trial participants took their doses, see Taking NMN: Timing, Storage, and Practical Use. For who these trials generally excluded, and who should speak with a doctor before considering NMN, see Who Should Talk to a Doctor Before Taking NMN?
- Studied human NMN doses range from 250 mg/day to 2,000 mg/day across 13 identified randomized, placebo-controlled trials, each independently verified against its primary source.
- 250 mg/day is the most-studied single dose and has the longest studied duration (24 weeks).
- Higher doses (1,000–2,000 mg/day) have generally only been tested over short durations (14–28 days).
- Most of these trials were funded by, or included authors employed by, companies that manufacture or sell NMN ingredients — disclosed in full in the table below.
- No trial has been designed to identify an optimal, minimum-effective, or ceiling consumer dose — this page is a record of what's been studied, not a recommendation.
- Igarashi M, Nakagawa-Nagahama Y, Miura M, et al. Chronic nicotinamide mononucleotide supplementation elevates blood nicotinamide adenine dinucleotide levels and alters muscle function in healthy older men. npj Aging. 2022. doi:10.1038/s41514-022-00084-z. PMID: 35927255.Three co-authors are employees of Mitsubishi Corporation Life Sciences Limited.
- Okabe K, Yaku K, Uchida Y, et al. Oral Administration of Nicotinamide Mononucleotide Is Safe and Efficiently Increases Blood Nicotinamide Adenine Dinucleotide Levels in Healthy Subjects. Frontiers in Nutrition. 2022. doi:10.3389/fnut.2022.868640. PMID: 35479740.Four co-authors are employees of Mitsubishi Corporation Life Sciences Limited.
- Katayoshi T, Uehata S, Nakashima N, et al. Nicotinamide adenine dinucleotide metabolism and arterial stiffness after long-term nicotinamide mononucleotide supplementation: a randomized, double-blind, placebo-controlled trial. Scientific Reports. 2023. doi:10.1038/s41598-023-29787-3. PMID: 36797393.Authors declare no competing interests.
- Akasaka H, Nakagami H, Sugimoto K, et al. Effects of nicotinamide mononucleotide on older patients with diabetes and impaired physical performance: A prospective, placebo-controlled, double-blind study. Geriatrics & Gerontology International. 2023. doi:10.1111/ggi.14513. PMID: 36443648.Funding/COI not independently verified.
- Morifuji M, Higashi S, Ebihara S, Nagata M. Ingestion of β-nicotinamide mononucleotide increased blood NAD levels, maintained walking speed, and improved sleep quality in older adults in a double-blind randomized, placebo-controlled study. GeroScience. 2024. doi:10.1007/s11357-024-01204-1. PMID: 38789831.Three co-authors are employees of Meiji Holdings Co., Ltd. Prespecified primary outcome (stepping test) was not significant; walking-speed and sleep findings were secondary outcomes.
- Yoshino M, Yoshino J, Kayser BD, et al. Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women. Science. 2021. doi:10.1126/science.abe9985. PMID: 33888596.A co-author discloses patent-licensing fees from MetroBiotech (USA) and Teijin Limited (Japan).
- Liao B, Zhao Y, Wang D, et al. Nicotinamide mononucleotide supplementation enhances aerobic capacity in amateur runners: a randomized, double-blind study. Journal of the International Society of Sports Nutrition. 2021. doi:10.1186/s12970-021-00442-4. PMID: 34238308.Authors declare no conflict of interest. VO2max itself did not differ significantly between groups; only certain submaximal/threshold measures improved at higher doses.
- Yi L, Maier AB, Tao R, et al. The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults. GeroScience. 2023. doi:10.1007/s11357-022-00705-1. PMID: 36482258.One co-author is an employee of Abinopharm, Inc.; two co-authors are employees of Aba Chemicals, Co.
- Pencina KM, Lavu S, Dos Santos M, Beleva YM, Cheng M, Livingston D, Bhasin S. MIB-626, an Oral Formulation of a Microcrystalline Unique Polymorph of β-Nicotinamide Mononucleotide, Increases Circulating Nicotinamide Adenine Dinucleotide and its Metabolome in Middle-Aged and Older Adults. Journals of Gerontology: Series A. 2023. doi:10.1093/gerona/glac049. PMID: 35182418.Published online 2022, print issue 2023 Jan 26 (78(1):90-96). Funding/COI for this specific paper not independently verified; related trials from an overlapping author group disclose Metro International Biotech funding.
- Fukamizu Y, Uchida Y, Shigekawa A, et al. Safety evaluation of β-nicotinamide mononucleotide oral administration in healthy adult men and women. Scientific Reports. 2022. doi:10.1038/s41598-022-18272-y. PMID: 36002548.Conducted at Pharma Foods Co., Ltd. and funded by Mitsubishi Corporation Life Sciences Limited; five co-authors are Mitsubishi Corporation Life Sciences Limited employees.
- Christen S, Redeuil K, Goulet L, et al. The differential impact of three different NAD+ boosters on circulatory NAD and microbial metabolism in humans. Nature Metabolism. 2026. doi:10.1038/s42255-025-01421-8. PMID: 41540253.Study design, N, dose, duration, and NAD+ findings independently verified via PubMed. Funding/COI and detailed adverse-event information were not independently verified from accessible primary material.
- Pencina KM, Valderrabano R, Wipper B, et al. Nicotinamide Adenine Dinucleotide Augmentation in Overweight or Obese Middle-Aged and Older Adults: A Physiologic Study. Journal of Clinical Endocrinology & Metabolism. 2023. doi:10.1210/clinem/dgad027. PMID: 36740954.Funded by Metro International Biotech; a senior co-author is a consultant and equity owner in Metro International Biotech.
- Huang H. A Multicentre, Randomised, Double Blind, Parallel Design, Placebo Controlled Study to Evaluate the Efficacy and Safety of Uthever (NMN Supplement), an Orally Administered Supplementation in Middle Aged and Older Adults. Frontiers in Aging. 2022. doi:Not independently confirmed. PMID: 35821806.Sole author was employed by Effepharm (Shanghai) Co., Ltd., which markets NMN under the Uthever brand.