NAD+ and Vitamin B3
Table of Contents

The human body relies on nicotinamide adenine dinucleotide (NAD), the active coenzyme form of vitamin B3, for most of its essential functions. Among other benefits, NAD helps boost energy, improve mental clarity, and promote a youthful appearance. In this article, we take a closer look at how vitamin B3 supports NAD production and your overall health.
What is NAD?
Nicotinamide adenine dinucleotide (NAD) is a coenzyme found in every cell of your body. It is vital for metabolic functions ranging from energy creation to DNA maintenance. It also serves as fuel for immune system strengthening and helps regulate your internal biological clock.
While naturally produced, NAD levels decline significantly with age—by age sixty, your levels are less than half of what they were in your forties. This decline is accelerated by stress, poor sleep, poor nutrition, and substance use. Low NAD levels are associated with fatigue, anxiety, depression, a weakened immune system, and age-related chronic conditions like diabetes, heart disease, and neurodegenerative disorders.
Does Vitamin B3 Increase NAD?
Vitamin B3 (niacin) is a precursor from which NAD is synthesized. It consists of nicotinic acid, nicotinamide, and nicotinamide riboside. Recent research shows that nicotinamide riboside can raise NAD levels in muscle and blood, potentially preventing conditions such as high cholesterol, diabetes, heart failure, and cognitive decline.
How Can I Increase My Vitamin B3?
You can boost your B3 levels through three primary methods:
- Food: Animal sources like beef, chicken, liver, and salmon are excellent, as are vegetarian sources like legumes, sunflower seeds, avocados, and fortified grains. Since B3 is water-soluble, it must be replenished daily. The RDA is 16 mg for men and 14 mg for women; avoid exceeding 35 mg daily without doctor supervision, as high doses can be toxic.
- Oral Supplements: While they can help, long-term high-dose supplementation can cause B-vitamin imbalances and side effects like flushing, liver stress, or stomach issues. Always prefer B-complex vitamins over isolated B3 supplements.
- IV Therapy: This is the safest and most effective method. IV infusions bypass the digestive system entirely, delivering a potent dose directly to the bloodstream for 100% absorption, avoiding the stomach irritation associated with high-dose pills.
Reset IV offers various packages containing vitamin B-complex (which includes B3) to help restore your levels:
We also provide specialized NAD IV treatments to increase energy, mental clarity, and focus.
Symptoms of Vitamin B3 Deficiency
Mild deficiency may cause headaches, fatigue, poor circulation, and indigestion. In severe cases, it can lead to pellagra —a serious condition characterized by skin lesions, severe gastrointestinal distress, and hallucinations.
Those at higher risk include:
- Individuals with limited dietary variety or malnutrition (e.g., alcohol use disorder, anorexia).
- People with chronic alcoholism (which hinders absorption).
- Patients with carcinoid syndrome (where tryptophan is converted into serotonin instead of niacin).
- Individuals with deficiencies in B2 or B6, which are needed to convert tryptophan into B3.



