In a 12-week single-arm study, 15 middle-aged Japanese women took 500 mg/day of NMN. Growth of anagen hairs and hair diameter increased, and subjective hair-quality and fatigue scores changed. The findings are preliminary because the trial had no placebo group.
A phase 1/2 trial gave oral NMN for two weeks to 25 adults with steroid-resistant or steroid-dependent immune thrombocytopenia. Five participants, or 20%, met the platelet-response criterion, suggesting an early metabolic approach involving the CD38–NAD+ axis.
A 2026 study gave oral NMN to D-galactose-induced aging-model mice for six weeks and reported improved spatial memory, increased antioxidant enzymes, reduced neuroinflammation, more butyrate-producing bacteria, and activation of Nrf2/HO-1. The findings are preclinical.
CD38 is an enzyme that increases with aging and degrades NAD+ and NMN. This article reviews three CD38-mediated pathways, the cycle involving cellular senescence and inflammation, and preclinical studies of CD38 inhibition by apigenin and quercetin.
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