A new area of research is starting to reshape how we think about aging, energy, and performance at the cellular level. At the center of this discussion is a molecule called NAD, which stands for nicotinamide adenine dinucleotide. NAD is not just another nutrient or supplement. It is a core currency of life inside your cells. Every time your body creates energy, repairs DNA, regulates inflammation, or adapts to stress, NAD is involved. As we age, NAD levels naturally decline, and this decline is closely tied to fatigue, slower recovery, reduced cognitive function, and increased susceptibility to disease. Understanding what controls NAD and how we can influence it is one of the most important frontiers in both medicine and performance.
To understand NAD, it helps to picture the cell as a city powered by electricity. The mitochondria are the power plants, and NAD is one of the key carriers that moves energy through the system. Specifically, NAD exists in two forms, NAD plus and NADH. NAD plus is like an empty battery waiting to be charged, while NADH is the charged version carrying energy. When nutrients like glucose and fatty acids are broken down, electrons are transferred onto NAD plus, converting it into NADH. This NADH then delivers those electrons into the mitochondrial electron transport chain, where energy is converted into ATP, the usable form of energy that powers everything from muscle contraction to brain function.
As long as this cycle is flowing efficiently, energy production remains stable. But this system is not just about energy. NAD also acts as a signaling molecule that controls enzymes involved in DNA repair, inflammation, and cellular stress responses. Some of the most important enzymes that use NAD include sirtuins, which are often described as longevity proteins, and PARPs, which are involved in repairing damaged DNA. There is also another major consumer of NAD that has gained attention recently, an enzyme called CD38.
CD38 plays a unique role in the body. It sits on the surface of many cells, especially immune cells, and acts as an NAD degrading enzyme. In simple terms, CD38 breaks down NAD. This is not inherently bad. CD38 has important roles in immune signaling and calcium regulation, which are essential for proper cellular communication. However, as we age, CD38 activity tends to increase. This means that more NAD is being consumed and less is available for energy production and repair processes.
Now imagine your cellular city again. If NAD is the electricity and CD38 is a drain that continuously leaks power out of the system, then over time, the entire city starts to dim. The power plants still exist, but they cannot generate enough usable energy because the supply is constantly being depleted. This creates a state where the cell is not fully broken but is no longer operating at its optimal level. This is what we often experience as fatigue, slower recovery, brain fog, and reduced resilience to stress.
Traditionally, the approach to restoring NAD has focused on providing precursors, compounds that the body can use to build more NAD. One of the most well known is nicotinamide riboside, often abbreviated as NR. These precursors act like raw materials. They enter the cell and feed into pathways that synthesize NAD. This can increase NAD levels, but it does not address the underlying issue of why NAD is being depleted in the first place. It is similar to pouring more water into a bucket that has a hole in the bottom. You may temporarily increase the level, but if the leak is not addressed, the system will remain inefficient.
This is where recent research has introduced a new concept. Instead of only adding more precursors, what if we also reduce the rate at which NAD is being broken down. This is where polyphenols come into play. Polyphenols are plant derived compounds found in foods like berries, tea, and certain herbs. They have long been associated with antioxidant and anti inflammatory effects, but newer research suggests they may also influence enzymes like CD38.
In a recent human study, a specific blend of polyphenols was shown to reduce CD38 activity while simultaneously increasing NAD levels. This is significant because it demonstrates a dual mechanism. On one side, NAD levels are rising, and on the other side, the drain that is depleting NAD is being partially closed. When this polyphenol blend was combined with an NAD precursor like nicotinamide riboside, the effects were even greater. NAD levels increased more than either intervention alone, and participants also showed improvements in physical performance and cognitive function.
To understand why this combination works so well, think of it like managing both income and expenses. NAD precursors increase your income by providing more raw material to build NAD. Polyphenols reduce your expenses by limiting how quickly NAD is being broken down by enzymes like CD38. When both sides are addressed, the net result is a more stable and sustained increase in NAD availability.
At a molecular level, polyphenols appear to interact with signaling pathways that regulate CD38 expression and activity. While the exact mechanisms are still being explored, there is evidence that polyphenols can influence transcription factors and inflammatory signaling pathways that control how much CD38 is produced. Chronic inflammation is known to increase CD38 expression, so by reducing inflammatory signaling, polyphenols may indirectly lower CD38 activity. This creates an environment where NAD can be preserved and utilized more effectively.
There is also an important redox component to this story. NAD and NADH are central to the balance between oxidation and reduction within the cell. This redox balance determines how efficiently electrons flow through the mitochondrial system. If the system becomes too reduced or too oxidized, electron flow becomes inefficient, and reactive oxygen species can accumulate. By increasing NAD availability and improving the NAD to NADH ratio, the cell can restore a more optimal redox state. This improves mitochondrial efficiency, reduces oxidative stress, and enhances the cell’s ability to produce energy.
The improvements seen in physical performance, such as increased walking distance in a timed test, likely reflect better mitochondrial function and improved muscle energetics. When muscle cells have more available NAD and a more balanced redox state, they can sustain energy production for longer periods. This translates into improved endurance and reduced fatigue. Similarly, improvements in cognitive function may be linked to enhanced neuronal energy metabolism and reduced neuroinflammation.
For clinicians, this research suggests a shift in how we approach interventions aimed at improving energy, recovery, and aging related decline. Instead of focusing solely on supplementation with NAD precursors, it may be more effective to combine strategies that both increase NAD production and reduce NAD consumption. This means considering not just what we add into the system, but also what we remove or modulate. It also highlights the importance of addressing underlying drivers of inflammation, as these can directly impact enzymes like CD38.
For strength coaches and performance practitioners, the implications are equally important. Energy production is the foundation of all performance. If an athlete’s cellular energy system is compromised, no amount of programming or motivation will fully compensate. Supporting NAD metabolism can enhance recovery, improve work capacity, and increase resilience to training stress. This does not mean replacing sound training principles, but rather augmenting them by ensuring the cellular environment is optimized for adaptation.
There are also practical considerations. Nutrition plays a key role, as many polyphenols are found in whole foods. Diets rich in colorful fruits, vegetables, and plant compounds naturally provide a spectrum of polyphenols that can support these pathways. Supplementation may offer more targeted and concentrated effects, but it should be viewed as part of a broader strategy that includes diet, sleep, and stress management.
Another important point is that more is not always better. Excessive antioxidant intake can blunt adaptive signaling, especially in the context of training. The goal is not to eliminate oxidative stress, but to create a balanced environment where signaling is preserved while excessive damage is minimized. This requires a nuanced approach that considers timing, dosage, and individual context.
At a systems level, this research reinforces the idea that biology is interconnected. You cannot isolate one pathway without considering its relationship to others. NAD metabolism is linked to energy production, inflammation, redox balance, and cellular signaling. Interventions that target multiple nodes within this network are likely to be more effective than those that focus on a single mechanism.
In simple terms, if you want to improve how the body produces and uses energy, you need to both supply the raw materials and fix the leaks in the system. NAD precursors provide the building blocks, while polyphenols help preserve what is already there. Together, they create a more efficient and resilient cellular environment.
For someone new to this concept, the key takeaway is that energy at the cellular level is not just about calories or macronutrients. It is about how efficiently your cells can convert those nutrients into usable energy and how well they can maintain that system over time. NAD is central to that process, and strategies that support NAD metabolism can have wide ranging effects on health and performance.
For someone more advanced, the opportunity lies in integrating this knowledge into personalized protocols. This means assessing not just symptoms, but underlying markers of redox balance, inflammation, and metabolic function. It means using interventions in a phased and strategic manner, building a foundation before layering more advanced tools. And it means continuously monitoring feedback and adjusting based on response.
Ultimately, this emerging research does not provide a final answer, but it offers a powerful framework. It shifts the focus from simply adding more inputs to optimizing the entire system. It highlights the importance of balance, efficiency, and adaptability. And it opens the door to more precise and effective strategies for supporting health, performance, and longevity.