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NAD+ and Skin Health: The skin health benefits of niacinamide

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Most people think of NAD+ as a molecule for boosting energy, metabolism, and cellular longevity. And they’re not wrong. But that’s only part of the story.


NAD+ is a coenzyme involved in hundreds of biological processes, many of which also impact the health and appearance of your skin. It helps maintain cellular health within the skin barrier. It supports DNA repair in cells exposed to UV. It may even smooth lines and wrinkles. However, when NAD+ declines with the aging process, your skin doesn’t just age faster, it also stops functioning the way it should.


That’s why our new  NAD+ supplement features niacinamide (also known as nicotinamide), a thoroughly studied, flush-free form of vitamin B3 (also known as niacin) shown to help restore NAD+ levels and support skin health where it starts: beneath the surface. Niacinamide, a B vitamin, acts as a precursor to NAD+ , making it a popular ingredient in serums aimed at rejuvenating the skin. But we’ve only scratched the surface — let’s dive deeper into the science.

Diagram of "Skin health, powered by NAD+" that shows the benefits of NAD+ for skin health including helping to repair UV damage, preserving collagen, and regenerating skin cells
Image from Tally Health

Support skin aging | The benefits of NAD

Your skin is constantly renewing, repairing, and defending against environmental stressors, but it can’t do this without NAD+ . This coenzyme fuels processes that keep skin firm, resilient, and youthful. The potential benefits of NAD+ therapies also include a reduction in inflammation and improvements in chronic skin conditions like eczema and psoriasis.

Repairs UV damage

NAD+ powers enzymes that repair DNA damage caused by sun exposure and pollution—two major contributors to premature skin aging [1, 2]. The NAD+ precursor, niacinamide, has also been shown to inhibit inflammatory markers in skin cells exposed to UV radiation [3]. Preliminary research suggests that NAD+ may help repair UV damage and improve skin health.

Preserves collagen & elasticity

NAD+ -dependent sirtuins help regulate collagen production and skin firmness, preserving youthful skin structure. NAD+ also supports the regeneration of dermal fibroblasts, cells responsible for producing collagen and elastin [2]. There is ongoing research into how NAD+ supports collagen production and skin firmness.

Boosts skin cell renewal

Stem cells, essential for tissue repair and regeneration, depend on NAD+ for proper function and maintenance. In studies on older mice, NAD+ precursors like niacinamide have been shown to enhance wound healing and promote skin regeneration [4]. Early results from these studies indicate promising benefits, though further research is needed to confirm these findings in real-world scenarios.

A collage depicting the relationship between NAD+ and skin health. The top left shows a close-up of an older adult
Image from Tally Health

The skin health benefits of niacinamide

Research shows that niacinamide supplementation can replenish NAD + levels, supports mitochondrial energy production, strengthens the skin barrier, and reduces pigmentation [3]. These effects may be especially beneficial for slowing skin aging in older adults and individuals with naturally lower NAD + levels in the skin. Also, by supporting NAD + and acting as an antioxidant, niacinamide helps protect against the formation of senescent cells—aging cells that contribute to premature skin aging. Nicotinamide riboside is another effective precursor to NAD + that promotes cellular health and metabolic functions.


With skin cancer rates on the rise [5], it’s also noteworthy that one study found taking niacinamide twice daily was reported to reduce the incidence of new non-melanoma skin cancers by 23% compared to placebo after one year in high-risk individuals. It also lowered the risk of developing actinic keratosis, a precancerous skin condition [6].

Closeup of skin with a VENN diagram showing the intersection of Longevity and Healthy skin as NAD+
Image from Tally Health

Longevity, NAD+, and healthy skin

Ever wonder how you’re aging at the cellular level? Your skin may hold the answer. Hallmarks of aging like genomic instability, mitochondrial dysfunction, epigenetic alterations, and stem cell exhaustion can manifest as visible signs of aged skin, including slower wound healing, reduced regenerative capacity, lower skin turnover, decreased collagen production, and hyperpigmentation [2].


Research also shows that NAD+ levels naturally decline with age, contributing to slower cell turnover, diminished collagen synthesis, and impaired DNA repair [2]. NAD+ -dependent proteins like SIRT1 and SIRT6 are also found to be downregulated in older skin, possibly due to NAD+ depletion [7, 8]. The good news? Replenishing NAD+ has been shown to support skin regeneration, enhance mitochondrial function, and reduce oxidative stress [2]. Human clinical trials are currently investigating the effects of NAD+ on aspects of aging and skin health.

Closeup of a white cosmetic cream with the text "Science-backed tips to support NAD+ and skin health. There are tips under the heading readying "Wear sunscreen daily", "Supplement with Niacinamide", "Incorporate high-intensity exercise" and "Stick to a consistent sleep schedule".
Image from Tally Health

Science-backed tips to support NAD⁺ and skin health

Although NAD+ naturally declines with the aging process, research shows there are actionable ways to slow this decline and support healthy, youthful skin from within. Here’s what science suggests:

Wear sunscreen daily

Applying broad-spectrum sunscreen daily is one of the simplest and most effective ways to protect your skin from UV damage. UV radiation peaks between 10 am and 4 pm, so limiting outdoor time during those hours can further reduce exposure. However, since no sunscreen blocks 100% of UV rays, supplementing with NAD+ may offer added protection. Research shows that NAD+ supplementation significantly reduces UV-induced skin damage [9]. The potential benefits of NAD+ supplements include providing added protection against UV damage.

Supplement with niacinamide

Want to boost NAD+ levels quickly? Then you’ll want to consider oral NAD precursor supplements. In one human clinical trial, a 500 mg dose of dietary supplement niacinamide significantly increased NAD + within 12 hours, with levels continuing to rise after 48 hours [10]. A daily dose of Tally Health's signature NAD+ booster delivers 1,000 mg of niacinamide across two 500 mg capsules.


Taking NAD precursors supplements orally is a convenient way to help promote cellular energy production and DNA repair, while benefitting from the key skin anti-aging benefits. Niacinamide, as one of the NAD+ precursors, can be taken as an oral supplement due to its stability and absorption advantages.


It's important to consult with healthcare providers before adding dietary supplements like NAD+ to one's routine.

Incorporate high-intensity exercise

Research shows that exercising to exhaustion alters NADH metabolism in the skin, which may potentially enhance the skin’s ability to manage oxidative stress and support cellular repair [11]. While the study focused on exhaustive exercise, incorporating HIIT, endurance workouts, or strength training to failure may offer similar benefits. Aim for a few sessions each week that challenge your stamina. Additionally, NAD+ restoration through exercise can improve muscle function and endurance.

Apply topical niacinamide/nicotinamide

If you’re looking to reduce fine lines, wrinkles, hyperpigmentation, or blotchiness, or accelerate wound healing, research shows that skin care products containing 5% nicotinamide can help improve all of these concerns in as little as 12 weeks [12, 13]. Leading dermatologists support the use of niacinamide for improving skin health, as well as oral niacinamide supplements.

Stick to a consistent sleep schedule

Going to bed and waking up at the same time each day helps reinforce your circadian rhythm, the internal clock that regulates your sleep-wake cycle. When this rhythm is disrupted, it’s not just sleep that suffers. Research shows that disrupted sleep-wake cycles are linked to lower NAD+ levels [14].


Mitochondria not only rely on NAD+ but also high-quality sleep to function efficiently [15]. Sleep deprivation impairs mitochondrial function, contributing to cellular stress and visible signs of aging skin [16]. Fortunately, supplementing with an NAD+ precursor has also been shown to improve both mitochondrial function and sleep quality [2]. Maintaining NAD+ levels can also support cognitive function and overall health.

Use red light therapy

Red light therapy at a wavelength of 670nm has been reported to boost NAD+ levels by stimulating mitochondrial function [17]. As for skin health, early research is promising. In one small study, participants who used a red light face mask twice a week saw shallower wrinkles and firmer, smoother skin after just one month [18]. Additionally, red light therapy can enhance NAD+ precursors within the body, such as nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN).

Embrace the infrared sauna

Infrared sauna supports both skin health and NAD+ levels. For one, it improves blood flow, helping deliver nutrients to the skin. Secondly, researchers found that after just two hours, the infrared sauna increased elastin by over 600% and collagen by nearly 80% within five hours [19]. Saunas also activate heat shock proteins, which have been shown to boost NAD+ production [20]. Additionally, an infrared sauna may benefit skeletal muscle health by boosting NAD+ levels.

Chill out with cold exposure

If heat’s not your thing, cold exposure—like cold plunges or cold showers—may also boost NAD+ and benefit your skin. In animal studies, cold air exposure significantly increased collagen levels [21], while cold exposure in humans has been shown to raise NAD+ precursor metabolites in the blood, indicating activation of NAD+ metabolism [22]. Additionally, cold exposure can help manage metabolic disorders by increasing NAD+ levels. There is evidence that cold exposure after a workout can impair exercise gains, so timing may be key.

Mind your dietary habits

Research shows that diets high in fat, sugar, or excess calories can lower NAD+ levels [19]. High sugar intake has also been linked to visible signs of aging skin, like reduced collagen and elasticity [23, 24]. In contrast, preventing caloric excess (when done without nutrient deficiencies) has been shown to boost cellular NAD+ and support collagen production [25, 26, 27]. However, it is important to note that taking NAD+ supplements in high doses may lead to potential side effects such as stomach upset, headache, or skin flushing.

Looking for NAD supplements?

Tally Health’s  NAD+ booster supplement is designed to help elevate NAD⁺ levels to fuel key cellular functions that support healthy aging.


It is important to consult with a healthcare provider before starting NAD+ supplements to ensure safety and proper dosage, especially for those taking other medications or who are pregnant or breastfeeding.

What is NAD+?

NAD+ is a coenzyme involved in hundreds of biological processes, many of which also impact the health and appearance of your skin. It helps maintain cellular health within the skin barrier. It supports DNA repair in cells exposed to UV. It may even smooth lines and wrinkles

Does NAD+ have skin health benefits?

Yes, this coenzyme fuels processes that keep skin firm, resilient, and youthful. The potential benefits of NAD+ therapies also include a reduction in inflammation and improvements in chronic skin conditions like eczema and psoriasis.

How can I boost NAD+ levels to support skin health?

Research shows there are actionable ways to slow NAD+ level decline and support healthy, youthful skin from within such as wearing sunscreen daily, incorporating high-intensity exercise, using red light therapy, and supplementing with Niacinamide. 

Recommended Supplements

CITATIONS

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