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Nutrition Facts with Dr. Greger

The Risks and Benefits of Nicotinamide

Nutrition Facts with Dr. Greger

Michael Greger, M.D. FACLM

Nutrition, Alternative Health, Health & Fitness

4.83.7K Ratings

🗓️ 4 September 2025

⏱️ 12 minutes

🧾️ Download transcript

Summary

NAM is a purported NAD+-boosting supplement.

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Transcript

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0:00.8

Have you ever wondered if there are more natural ways to lower your high blood pressure,

0:05.7

guard against Alzheimer's, loose weight, feel better?

0:08.7

Well, it turns out there is.

0:12.0

Welcome to the Nutrition Facts podcast.

0:14.5

I'm your host, Dr. Michael Greger.

0:18.0

Today we continue our series on NAD Plus, an enzyme that has founded all living things

0:23.3

and supposedly boosted by a variety of supplements.

0:27.8

Let's look at nicotinamide.

0:30.1

Here's our first story.

0:31.9

Ever since nicotinamide, NAM, was also shown to cure Pallagra, both nicotinic acid NAA and NAM have been collectively

0:41.0

referred to as niacin or vitamin B3, though they are distinct compounds.

0:45.8

For example, NAM is not plagued by the same kind of hot flash reaction.

0:50.2

Facial flushing attributed to niacinamide in some older studies were likely due to a

0:54.5

less purified form contaminated with residual N.A. The relative capacity of N.A. versus NAM

1:01.8

to generate NAD is unclear. Neither has been shown to boost search or an activity, but both

1:08.0

do extend the lifespan of C. elegance. I couldn't find any longevity trials for N.A. and rodents, however, NAM was put to the test

1:16.1

and failed to prolong the lives of mice.

1:19.3

What clinical effects might we expect in people?

1:23.6

Previously, I explored the proven anti-aging effects for topical nicotinamide on the skin

1:28.8

and the remarkable ability of whirled nicotinamide to help prevent skin cancer.

1:33.3

I also noted it failed to prevent type 1 diabetes despite promising mouse data,

1:39.3

though it may help reserve residual function and people newly diagnosed with type 1 diabetes, but apparently

...

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