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Dihydronicotinamide Mononucleotide Disodium Salt

Also known as: NMN disodium salt, dihydronicotinamide mononucleotide disodium, reduced NMN, NMNH, nicotinamide mononucleotide (reduced form)

Overview

Dihydronicotinamide mononucleotide disodium salt (NMN) is a reduced form of nicotinamide mononucleotide, a precursor to nicotinamide adenine dinucleotide (NAD+), a coenzyme critical for cellular energy metabolism, DNA repair, and sirtuin activation. While preclinical studies suggest that NMN supplementation may enhance NAD+ levels and improve metabolic and age-related physiological decline, clinical evidence in humans remains limited and inconsistent. Recent meta-analyses of randomized controlled trials show that NMN supplementation (250–2000 mg/day for up to 12 weeks) significantly increases blood NAD+ levels, but does not consistently improve markers of glucose metabolism (e.g., fasting glucose, insulin, HbA1c) or lipid profiles in middle-aged and older adults [1]. Notably, one preclinical study in mice found that NMN supplementation blunted the beneficial effects of exercise on glucose metabolism in diet-induced obesity, raising concerns about context-specific efficacy [2]. Overall, while NMN effectively raises NAD+ in humans, its functional health benefits remain unproven, and long-term safety and optimal dosing are not well established [3][4].

Dosage Guide

Therapeutic Doses

For treatment of specific conditions

General supplementation250-1000 mg/dayMost common range in clinical trials; increases NAD+ levels
High-dose regimens1000-2000 mg/dayUsed in some trials but no added metabolic benefit observed

Upper Intake Limit

Maximum safe daily intake

2000 mgNo serious adverse events reported up to 2000 mg/day in short-term studies; long-term safety unknown

Special Forms

Alternative forms for specific needs

Nicotinamide riboside (NR)

Alternative NAD+ precursor with better absorption and established safety profile

Nicotinamide mononucleotide (NMN)

Standard oxidized form; more studied than dihydronicotinamide form

Clinical Notes

  • No proven metabolic benefits (glucose/lipid control) despite increased NAD+ levels
  • Potential interference with exercise-induced metabolic benefits observed in animal models
  • Long-term safety data in humans are lacking
  • High doses may increase demand for methyl donors (e.g., choline, folate, B12) due to nicotinamide methylation and excretion
  • Dihydronicotinamide form (NMNH) is less studied than NMN; human data are extremely limited

Research

Key FindingsPubMed
1

NMN (250–2000 mg/day) did not significantly improve fasting glucose, insulin, HbA1c, HOMA-IR, or lipid profiles in adults over 14 days to 12 weeks

Effects of Nicotinamide Mononucleotide on Glucose and Lipid Metabolism in Adults: A Systematic Review and Meta-analysis of Randomised Controlled Trials.
Current diabetes reports2024
2

In mice with diet-induced obesity, NMN supplementation reduced the glucose-metabolism benefits of exercise

Exercise-induced benefits on glucose handling in a model of diet-induced obesity are reduced by concurrent nicotinamide mononucleotide.
American journal of physiology. Endocrinology and metabolism2021
3

Clinical evidence for NAD+ precursors like NMN improving physiological function in humans is limited and inconclusive

Dietary Supplementation With NAD+-Boosting Compounds in Humans: Current Knowledge and Future Directions.
The journals of gerontology. Series A, Biological sciences and medical sciences2023
4

NAD+ depletion is linked to aging and chronic diseases; NMN is among precursors being studied, but clinical efficacy remains uncertain

Importance of NAD+ Anabolism in Metabolic, Cardiovascular and Neurodegenerative Disorders.
Drugs & aging2023
5

High-purity synthetic nicotinamide riboside (NR) was well tolerated in a 90-day toxicity study, supporting safety of NAD+ precursors at high doses

Safety Assessment of High-Purity, Synthetic Nicotinamide Riboside (NR-E) in a 90-Day Repeated Dose Oral Toxicity Study, With a 28-Day Recovery Arm.
International journal of toxicology2020
6

NR is a unique NAD+ precursor that bypasses rate-limiting steps in NAD+ biosynthesis, with potential advantages over nicotinic acid and nicotinamide

Nicotinic acid, nicotinamide, and nicotinamide riboside: a molecular evaluation of NAD+ precursor vitamins in human nutrition.
Annual review of nutrition2008
7

Systematic review confirms NMN elevates NAD+ but shows no consistent benefit on glucose or lipid metabolism in adults

Efficacy of oral nicotinamide mononucleotide supplementation on glucose and lipid metabolism for adults: a systematic review with meta-analysis on randomized controlled trials.
Critical reviews in food science and nutrition2025

Products Containing Dihydronicotinamide Mononucleotide Disodium Salt(1 report)