[HN Gopher] NMN: A Stable, Reliable NAD+Activator and Anti-Aging...
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       NMN: A Stable, Reliable NAD+Activator and Anti-Aging Molecule
       (2020)
        
       Author : simonebrunozzi
       Score  : 52 points
       Date   : 2022-08-17 15:30 UTC (7 hours ago)
        
 (HTM) web link (www.ncbi.nlm.nih.gov)
 (TXT) w3m dump (www.ncbi.nlm.nih.gov)
        
       | evo_9 wrote:
       | Been taking this for nearly 5 years. Shits the real deal. No
       | pretending when you're competing still against 20-something that
       | barely washed out of their pro nhl career... but yeah not like
       | being 55 and playing high level hockey is any sort of 'proof'
       | around here (or my multiple sets of 20-25 pull-ups I do regularly
       | and I could barely do 10 when I was 30).
        
         | throwaway_4ever wrote:
         | Before taking this, please read
         | https://www.foundmyfitness.com/topics/nicotinamide-mononucle...
         | and the possible link between NMN and increased cancer
         | prevalence. I believe the research is still too early and there
         | is a risk with this compound.
        
           | evo_9 wrote:
           | Look up Dr. Standfield on YouTube he has a great health
           | channel on all this stuff and digs into everything including
           | NMN/nr and all the backing metadata / Cochrane research
           | papers...
        
             | ShivShankaran wrote:
             | Brad had a fallout with Sinclair and Sinclair blocked him
             | on twitter for asking a question about NMN and it's risks.
             | 
             | Since that Brad has stopped taking NMN and also requests
             | people not to.
        
               | evo_9 wrote:
               | That's not 100% true, he recommends NR because there are
               | human trials and NMN is still being studded. Also he
               | won't be adding either until he's around 45-50 (he's only
               | in his 30s)
               | 
               | I had a one-on-one phone call with him Sunday (Dr.
               | Standfield) and we discussed my experience with NMN vs NR
               | and which was ideal for my situation. Long / short his
               | review of my stack was summed up as 'you are doing
               | everything right stick with NMN.' The only change was to
               | switch from l-serine to glycine.
               | 
               | It is true Sinclair blocked him after he asked for
               | clarion some of his research (so rude!).
        
             | throwaway_4ever wrote:
             | This Dr. Stanfield? /s
             | 
             | "Molecules I Used To Take But Have Now Stopped
             | 
             | NMN:
             | 
             | I focus on stopping my NAD from declining by using
             | Apigenin, Quercetin, Fisetin, Niacin, regular exercise, a
             | great diet, periods of safe fasting, and restful sleep.
             | 
             | Since I'm 30, there's not a reason for me to take NMN in
             | addition to the above strategies at the moment.
             | 
             | As I enter my mid-30s, if my NAD levels are going down I
             | will start taking NR.
             | 
             | At this stage, there is far more published human data on NR
             | compared with NMN. NR also has its Generally Recognized As
             | Safe (GRAS) certification from the FDA. For those reasons,
             | I would start NR, and not NMN."
             | 
             | https://drstanfield.com/my-supplements/
        
         | bilsbie wrote:
         | What's your dose and brand? Why NMN vs NR?
        
           | mmh0000 wrote:
           | These are great questions, I'd also like to know dose
           | frequency.
        
           | polotics wrote:
           | Also, what about NMN versus Niagen (Tru)? Also as I
           | understand these molecule may be fragile, do you keep them in
           | the fridge?
        
             | MacsHeadroom wrote:
             | Niagen is a trade name for NR. So you're asking the same
             | question.
        
             | evo_9 wrote:
             | I do put all the more advanced stuff in the fridge
             | including NMN, NR, rapamycin, heavy molecular weight
             | Hyaluronic Acid
        
           | agrothberg wrote:
           | I take 250mg / day of NMN from NOVOS Labs
           | (https://novoslabs.com/product/novos-boost/). I can't
           | definitively say I feel the effects.
           | 
           | The site offers a nice write up on NMN:
           | https://novoslabs.com/nicotinamide-mononucleotide-nmn-and-
           | lo....
        
           | evo_9 wrote:
           | 1gram every morning except my rest day when I take rapamycin.
           | 
           | alivebyscience.com (they recently changed their name and I
           | can't remember how to spell it sorry ha ha)
        
           | evo_9 wrote:
           | I've been taking NR too on and off as well, in my experience
           | it doesn't seem to have much effect on my athletic
           | performance. So for me I'm sticking with an NMN even though
           | there's more clinical studies on nr at the moment
        
         | david-gpu wrote:
         | Do you also supplement it with anything else, such as TMG or
         | another methyl group donor, as Sinclair recommends?
         | 
         | Also, if you don't mind, what is your dose per unit of body
         | weight, frequency and/or delivery method (oral/sublingual)?
        
           | evo_9 wrote:
           | I do. Along with Apigenin, and a few other new molecules.
           | 
           | Sublingual.
        
         | sometimeshuman wrote:
         | If I had to guess, when you started taking it at 50 you were
         | also exceptionally fit and healthy for your age. Would you
         | invest that money in a supplement if you were already over the
         | hill ?
         | 
         | According to Dr.Sinclair (referenced in another comment), the
         | NMN most people buy is probably worthless given it isn't
         | stable. I buy it anyway because I have no better option and it
         | doesn't burden my budget.
        
           | evo_9 wrote:
           | True, I played high-level hockey my whole life. And have
           | actively worked out at a very high level most of my life...
           | However I noticed everything dropping off around 50 and
           | nothing seem to curb that. Especially my on ice speed which
           | used to be always in the mid-20s and had dropped to the upper
           | teens...
           | 
           | After starting NMN particular my VO two max and on ice speed
           | went back up to my norm and have remained the same and
           | actually gone back up and he's always 22 to 25 miles an hour,
           | at least when I'm playing against other high-end talent....
           | Sorry for the Poor grammar working out and using voice Rec
        
         | subrat_rout wrote:
         | How are you taking it? And what does it cost?
        
       | LinuxBender wrote:
       | This is an interesting topic. I've followed Dr. Sinclairs work
       | for some time. For me specifically I personally did not
       | experience any notable gains but I only used NMN for about 6
       | months and it was one of the more expensive supplements of the 50
       | or so that I take.
       | 
       | I've since switch back to just taking NAM daily since excess NMN
       | is converted back to NAM for storage. I would like to learn how
       | to improve the process of converting NAM -> NR -> NMN -> NAD+ but
       | I have not found much literature on this process. Just flow
       | diagrams. The literature explains that the bi-directional cycle
       | of conversion slows with age but I can't find anything explaining
       | what the specific mechanisms are that degrade with age and how to
       | modify the root cause of the degradation.
        
         | joshu wrote:
         | Do you have a list published somewhere?
        
           | LinuxBender wrote:
           | I do not. I used to list my methods on a website but I prefer
           | to have people research this topic themselves and fully
           | understand it as their physiology and pre-existing conditions
           | will differ from mine. What works for me may have negative
           | side effects on others and I would prefer they take
           | responsibility for the trial-and-error process they will have
           | to go through. I've even stopped using the scientific method
           | as it is just too slow given the complexity of all the
           | systems in a mammal and how they interact with one another
           | and I could not in good conscience promote that for others.
        
             | wallfacer77 wrote:
             | Do you have a blog? If not, would you be interested in
             | making one? You could post it on HN and as the replies
             | surely are telling you already, people will enjoy reading
             | it.
             | 
             | You may get some useful comments too with suggestions for
             | different supplements and stuff.
        
         | ck2 wrote:
         | NAM NR and NMN all use different absorption pathways and have
         | different pitfalls.
         | 
         | There's good reason people stopped using NAM once there were
         | alternatives available, topic well outside the scope of HN but
         | not hard to google.
         | 
         | You cannot change the conversion process/rate, at least not
         | with current knowledge, it is rate limited by multiple
         | biological processes.
         | 
         | I strongly caution to use google scholar and not blogs/youtube
         | for information.
         | 
         | Also everyone should be aware because of the high cost there is
         | A LOT of counterfeit NMN out there, never buy unknown
         | brands/sources.
        
           | LinuxBender wrote:
           | _You cannot change the conversion process /rate, at least not
           | with current knowledge_
           | 
           | That is precisely the wall I have hit but I am a stubborn old
           | bastard and will not give up.
        
             | ck2 wrote:
             | There are PhDs with multi-million dollar grants who cannot
             | do it.
             | 
             | I mean let's say they did somehow figure out an enzyme to
             | speed it up, it would likely cost more than just
             | supplementing more of the desired precursors.
             | 
             | There might be some obscure food or supplement that does
             | what you want but it will cost more because it will be rare
             | and then you've got the problem of huge consistency between
             | batches because all manufacturing in China/India is the
             | wild-west.
             | 
             | Easier to just take the precursors which are mass produced
             | so prices slowly coming down, though
             | covid/inflation/supply-chain threw it a curve.
        
           | balfirevic wrote:
           | > never buy unknown brands/sources
           | 
           | All NMN brands are unknown to me - how do I judge?
        
         | ziddoap wrote:
         | > _of the 50 or so that I take_
         | 
         | I'm no doctor and have absolutely no idea what I'm talking
         | about with respect to supplements, but my god that seems like
         | just an absurd amount of supplements (especially if some of
         | them are doing multiple things like a multivitamin or
         | whatever). Do you take all 50 of these daily? Do you like...
         | Blend them up so your not popping pills for 15 minutes straight
         | every morning?
        
           | LinuxBender wrote:
           | I cycle some molecules up and down. Some molecules I take at
           | different times of the day or week. Some can only be taken a
           | couple times a week as they can be toxic if not used
           | correctly. Some are safe to take daily. I have researched all
           | of them extensively. Some of them I take at levels that would
           | make people cringe as the _known literature_ around some of
           | them is incomplete.
           | 
           | I am not a fan of multivitamins though I do keep one around
           | and rarely touch it. Most of them contain very low quality
           | components, most notably the vitamin E which is nearly almost
           | always alpha-tocopherol and since I am male that is a major
           | risk for prostate cancer if not taken with the right balance
           | of gamma-tocopherol and selenium. Rather I prefer to take the
           | tocotrienols. Multivitamins also contain a low quality form
           | of vitamin C in the form of ascorbic acid and that is a topic
           | in and of itself. I prefer to get the majority of my vitamin
           | C from green leafy vegetables using a high powered blender
           | that acts as a juicer.
           | 
           | I do at times carry with me a small metal canister that can
           | hold about 10-15 pills when I know I will be eating food
           | someone else made, but most of that is for different formulas
           | of garlic extracts, digestive enzymes, TUDCA, oregano oil and
           | other things that assist with digestion and neutralization of
           | pathogens in food.
           | 
           | If you are interested in these topics a good starting point
           | is nih.gov, just be highly skeptical of any studies you find.
           | Their search is awful so I would use google and put in
           | "site:nih.gov some topic"
        
             | elif wrote:
             | Cringe of 'known literature' in an area where pharma
             | companies buy their own safety studies is warranted.. in
             | exactly the opposite way in which you cringe.
             | 
             | The burden of safety is on the consumer to navigate cherry
             | picked and designed studies whose purpose is to minimize
             | perceived risk, not to understate safety margins...
             | 
             | I also hope your research is in pharmacology school and not
             | blogs and tiktok.
        
             | replygirl wrote:
             | can't imagine being this afraid of mortality
        
               | LinuxBender wrote:
               | I have a different view on this topic. I can walk into
               | any sports bar and ask any person who is going to win.
               | They will not only have a fairly accurate answer but will
               | also be able to tell me who will make how many touch-
               | downs, intercepts, passes with a high degree of accuracy.
               | 
               | And yet...
               | 
               | If I ask that same person what percentage of their thymus
               | has converted to fat I will get blank stares or receive
               | ad-hominem attacks from them. Whereas they predicted
               | touch-downs I can predict their risks of all cause
               | mortality and health span by observing their behavior and
               | physical characteristics. I would never point it out to
               | them as that would be rude and counter-productive.
               | Knowing advanced analytical statistics on football
               | players might net them some money from gambling but will
               | not extend their healthspan or lifespan.
               | 
               | I find this to be both fascinating and disturbing at the
               | same time. To me, the priorities of people are topsy-
               | turvy upside down and backwards. I do not expect many
               | people to share my view.
        
               | hericium wrote:
               | For most, the fear is more of old age problems, not
               | death, I think.
        
               | Jeff_Brown wrote:
               | I can't think of a more reasonable thing to fear than
               | death.
        
               | staticassertion wrote:
               | I generally feel that anyone not afraid of mortality has
               | some extreme denial or depression going on (more often
               | the former).
        
               | nick__m wrote:
               | I am afraid on the decline before my death, death itself
               | while not immediately desirable is not that frightening
               | in comparison.
               | 
               | An uncle recently deceased in from cardiac arrest in his
               | bed at his home during his sleep at 83. He was fishing
               | the day before.... That's an ideal death IMHO. If you
               | knew that you would have a similar death, would you be
               | afraid ? I would not.
        
               | staticassertion wrote:
               | Even the idea of an "ideal death" just rings of denial to
               | me. Yes, getting punched is getting better than stabbed,
               | but I wouldn't exactly romanticize it.
               | 
               | The issue isn't the "dying", it's the endless trillions
               | of years of experience we are deprived of in death.
        
             | pyrophane wrote:
             | I would be curious, if you are willing, to see a complete
             | list of the items you take and why.
        
               | bratao wrote:
               | +1, I would love to get this!
        
             | GordonS wrote:
             | How much do you spend on supplements every month?
        
               | LinuxBender wrote:
               | I honestly do not keep track of it. I consider this an
               | alternative to other expensive hobbies that I have since
               | given up such as off-roading and renting ultra-lights. I
               | know that it does not come close to what I used to spend
               | on repairing off-road vehicles.
        
             | jrimbault wrote:
             | I think the underlying question was "Why not eat food ?" or
             | "Why do you use so much complements if you can eat normally
             | ?"
        
               | LinuxBender wrote:
               | That is a good question. I personally am compensating for
               | the lack of nutrients in food and also over-compensating
               | for damage that I have done to my organs from a lifetime
               | of eating a "standard american diet" or what I prefer to
               | call a "first world diet". A healthy food diet just
               | wasn't cutting it for me, especially given that stomach
               | acid and other aspects of digestion decrease with age. I
               | can compensate with digestive enzymes, tudca,
               | benfotiamine and chelated zinc but that has rapidly
               | diminishing effects.
               | 
               | My goals go far beyond what a good diet and moderate
               | exercise and decent sleep alone can accomplish but I
               | would never even try to convince anyone to do what I am
               | doing nor would I even suggest it unless one researches
               | all of the molecules and their downstream effects ad-
               | nauseam.
        
       | joshfraser wrote:
       | You can also take NAD+ intravenously. IV clinics in most major
       | cities will be able to offer it and it's nothing short of
       | incredible. The difference to energy levels and mental clarity
       | after taking it are both immediate and undeniable.
        
         | gavinray wrote:
         | Why pay a bunch of money for that?
         | 
         | Anyone can buy bacteriostatic water from medical supply
         | websites, along with syringes, themselves. I can personally
         | recommend Hospira brand.
         | 
         | Just give yourself the IV.
        
           | amelius wrote:
           | What if the substance comes as a powder? How do you know if
           | it dissolves completely? It just sounds too risky.
        
             | nick__m wrote:
             | I afraid of needles and of opiate addiction so I never used
             | injectable drugs but if I had to inject myself with an
             | homemade solution, I would follow that manual1 , use a
             | syringe that include a filter2 and usebacteriostatic water
             | like gavinray said.
             | 
             | That should cover all the probable risks, with the
             | exception of those caused by the substance itself.
             | 
             | 1) https://harmreduction.org/issues/safer-drug-
             | use/injection-sa...
             | 
             | 2) https://www.exchangesupplies.org/shopdisp_filter_syringe
             | .php
        
               | amelius wrote:
               | I think it is strange that the filter doesn't have a
               | description of the pore size.
        
           | cjbgkagh wrote:
           | DIY NAD+ IV will give an uncomfortable rush if you take too
           | much too quickly. I presume you mean infusion which needs to
           | be done slowly with a drip or an infusion pump.
        
           | GordonS wrote:
           | Can you IM it too? IM usually has a slight drop in
           | bioavailability vs IV, but it's much easier.
        
             | cjbgkagh wrote:
             | NAD+ IM will hurt a fair bit at the injection site.
        
         | cjbgkagh wrote:
         | I've tried high dose NAD+ IV and the effect wears off too
         | quickly for me for it to be worth it. The 750mg dose only
         | giving a boost for less than 24hrs.
        
         | mmh0000 wrote:
         | In your experience, how long does the effect last for? At
         | around $600/treatment (at least according to a quick Google),
         | it better last awhile.
        
           | joshfraser wrote:
           | I do them once every two months. The benefits are most
           | noticeable for the first couple weeks.
        
       | evo_9 wrote:
       | Since a lot of people are asking me different questions in this
       | thread I figured I'd let people know if you wanna just email me
       | look at my profile and reach out. Happy to share my entire stack
       | with anybody that wants to see it...
       | 
       | Or if you happen to be a high-level hockey player in Denver we're
       | starting to look for a few guys to fill out our winter roster =)
        
       | tguvot wrote:
       | been taking not exactly NMN, but NR (tru niagen) for a few
       | months. my liver enzymes (alt/ast) first time in a very long time
       | are back in proper range.
        
         | samstave wrote:
         | Do you drink a lot? Were you drinking a lot before you started
         | taking them, and reduced drinking - or did you change anything
         | other that adding NR/NMN to your intake?
        
           | tguvot wrote:
           | Drinking same as before (1.5l-3l at any given day). Also got
           | some different multivitamins, but I doubt that they changed
           | anything.
           | 
           | There are some mouse studies that nmn/nr improve alt/ast
           | level, but it not really clear is it just enzyme level
           | normalization or does it actually repair anything. So i am
           | not sure at this point of time is it improvement or
           | "improvement"
           | 
           | Edit. in case by drinking it was implied alcohol and not
           | water, no. just some wine here and there. no big changes
        
             | GordonS wrote:
             | Not the GP, but I'm pretty sure they were asking if you
             | drank a lot of alcohol, not water :)
        
               | pyrophane wrote:
               | Heh, saw 1.5/3L/day and I just thought, well, that's a
               | lot of alcohol.
        
               | tguvot wrote:
               | ooopsie...(there are also a lot of discussions about how
               | much water you drink, etc...) in this case not more than
               | usual. some wine here and there. nothing major and no
               | alcoholism, if this is what was implied
        
       | joshu wrote:
       | i am a bit wary of any doctor with a podcast
        
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       (page generated 2022-08-17 23:02 UTC)