Is NAD+ the Same as Vitamin B3? The Full Truth Explained
By Editorial Team
Reviewed by Kenya Bass, PA-C
Published Sep 5, 2025
10 min read

If you’ve ever looked into supplements for energy, longevity, or better overall health, chances are you’ve come across the terms NAD+ and Vitamin B3. Sometimes, these terms are used almost interchangeably, and that can cause a lot of confusion. After all, if Vitamin B3 is a vitamin and NAD+ is linked to energy and aging, aren’t they basically the same thing?
Not quite. While NAD+ and Vitamin B3 are closely related, they are not identical. Instead, Vitamin B3 acts as the raw material that your body needs to create NAD+, which is the molecule your cells actually rely on to keep you alive and functioning.
In this article, we’ll unpack what NAD+ really is, what Vitamin B3 does, how the two are connected, and why this relationship matters for your energy, metabolism, and long-term health. We’ll also look at supplements, natural ways to boost NAD+, and what science says about their benefits. By the end, you’ll have a clear understanding of how NAD+ and Vitamin B3 work together, but why they’re not the same thing.
What Is NAD+?
To understand the difference between NAD+ and Vitamin B3, we first need to look at NAD+ itself. NAD+ stands for nicotinamide adenine dinucleotide, and it’s a coenzyme that’s found in every single living cell in your body. Without NAD+, life as we know it would not be possible.
Think of NAD+ as a cellular helper. Its main job is to support the chemical reactions that keep your body running. One of the most important of these reactions is energy production. Every time you eat food, your body breaks it down into smaller molecules like glucose, fatty acids, and amino acids. But simply having these molecules is not enough—you need NAD+ to help convert them into ATP (adenosine triphosphate), the energy currency that powers everything from your heartbeat to your brain activity.
But NAD+ doesn’t stop at energy production. It also plays key roles in:
- DNA repair: Every day, your DNA suffers damage from things like UV rays, toxins, and even normal cellular processes. NAD+ helps repair that damage so your cells can keep working properly.
- Cell signaling: NAD+ is used by enzymes called sirtuins and PARPs, which control aging, stress resistance, and inflammation.
- Metabolic health: NAD+ helps regulate blood sugar and fat metabolism.
- Brain function: NAD+ is crucial for nerve cell communication and memory.
The problem is that as we age, NAD+ levels naturally decline. By middle age, your NAD+ supply may be half of what it was in your twenties, and this drop is linked to fatigue, slower metabolism, and an increased risk of age-related diseases. That’s why there’s growing interest in how to boost NAD+ levels through diet, lifestyle, or supplementation.
RELATED READ: NAD+: Your Body's Anti-Aging Powerhouse (And How to Keep Yours High)
What Is Vitamin B3?
Now let’s shift to Vitamin B3, which is sometimes also called niacin. Vitamin B3 is a water-soluble vitamin, meaning your body doesn’t store it for long periods, and you need a regular supply from food or supplements.
Vitamin B3 actually comes in different forms, including:
- Niacin (nicotinic acid)
- Nicotinamide (also called niacinamide)
- Nicotinamide riboside (NR)
All of these forms can be found in foods or supplements, and they all play important roles in human health. Some of the key functions of Vitamin B3 include:
- Supporting energy production by helping enzymes function.
- Promoting healthy skin and brain function.
- Supporting cardiovascular health by helping to regulate cholesterol.
- Preventing pellagra, a disease caused by Vitamin B3 deficiency that leads to diarrhea, dermatitis, and dementia.
You can get Vitamin B3 from a variety of foods, such as chicken, turkey, tuna, mushrooms, peanuts, and fortified cereals. Most people in developed countries get enough Vitamin B3 from their diet, but certain health conditions, heavy alcohol use, or poor diet can lead to deficiency.
So far, Vitamin B3 sounds important in its own right—but here’s where it connects to NAD+.
The Connection Between Vitamin B3 and NAD+
Vitamin B3 and NAD+ are not the same thing, but they are directly connected. Vitamin B3 is one of the building blocks your body uses to make NAD+. In other words, NAD+ can’t be produced without a steady supply of Vitamin B3.
Here’s how it works:
When you eat foods rich in Vitamin B3, or take it as a supplement, your body breaks it down and converts it into NAD+. Different forms of Vitamin B3 follow slightly different pathways:
- Niacin and nicotinamide are converted into NAD+ through a series of chemical reactions.
- Nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN), newer forms of Vitamin B3 found in supplements, can also be directly converted into NAD+ more efficiently.
This means that while Vitamin B3 is the precursor, NAD+ is the end product that your cells use.
Is NAD+ the Same as Vitamin B3?
This brings us back to the big question. Is NAD+ the same as Vitamin B3? The short answer is no, but they are deeply related.
Think of Vitamin B3 as the raw material, like unrefined flour, and NAD+ as the baked bread your body actually needs. Without flour, you can’t bake bread. Similarly, without Vitamin B3, your body can’t make NAD+. But eating flour and eating bread are not the same thing, and your body uses them differently.
The confusion comes from the fact that both NAD+ and Vitamin B3 are essential for health, and they both show up in discussions about energy, metabolism, and longevity. But it’s important to keep in mind that Vitamin B3 is a vitamin you get from your diet, while NAD+ is a coenzyme your body builds from that vitamin.

Health Benefits of NAD+
NAD+ has become a buzzword in the health and longevity space, and for good reason. Scientific research has shown that NAD+ supports multiple aspects of health:
Energy and metabolism: NAD+ is essential for converting food into usable energy. Without it, you’d feel drained and sluggish.
Healthy aging: Because NAD+ activates sirtuins, the so-called “longevity genes,” it helps regulate inflammation, stress response, and cell survival.
DNA repair: Every day, your DNA takes hits, and NAD+ helps repair that damage, which is crucial for preventing diseases like cancer.
Brain health: NAD+ is linked to better cognitive function, memory, and protection against neurodegenerative diseases.
Metabolic health: Higher NAD+ levels are associated with better insulin sensitivity and fat metabolism, reducing risks for type 2 diabetes and obesity.
Because of these wide-ranging benefits, NAD+ has become a target for anti-aging therapies and supplements designed to restore levels that naturally decline with age.
Health Benefits of Vitamin B3
Vitamin B3 also carries its own set of health benefits, beyond just being a precursor to NAD+. Historically, Vitamin B3 was one of the first vitamins discovered to be essential for preventing pellagra. But research has revealed it does much more:
Supports cholesterol management: Niacin, a form of Vitamin B3, has been used in higher doses to help raise HDL (“good” cholesterol) and lower triglycerides.
Promotes skin and brain health: Niacinamide is often used in skincare for its anti-inflammatory and protective effects, while also supporting brain function.
Reduces deficiency-related conditions: Getting enough Vitamin B3 ensures your body can produce enough NAD+ to keep your metabolism and energy stable.
Supports cardiovascular health: Vitamin B3 plays a role in blood circulation and heart health.
In short, Vitamin B3 is not only important as a stepping stone to NAD+, but also as a nutrient with its own unique benefits.
NAD+ vs. Vitamin B3 Supplements
Now that we’ve covered the science, you might be wondering: should you take Vitamin B3 supplements, NAD+ supplements, or both?
Traditional Vitamin B3 supplements include niacin and nicotinamide, which have been around for decades. These are effective for preventing deficiency and supporting general health. However, they may not always be the most efficient way to boost NAD+ levels as you age.
That’s why newer supplements like nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN) have become popular. These compounds are still considered Vitamin B3 derivatives, but they’re believed to raise NAD+ levels more directly and efficiently.
On the other hand, NAD+ supplements themselves are also available, though their absorption and effectiveness are still being studied.
In terms of safety:
- High-dose niacin can cause flushing, itching, or liver issues.
- Nicotinamide, NR, and NMN are generally well-tolerated.
- NAD+ supplementation is promising but not yet fully understood in terms of long-term effects.
Ultimately, whether you should take Vitamin B3 or NAD+ precursors depends on your health goals, your diet, and your doctor’s advice.
RELATED READ: Top 5 NAD+ Precursors for Energy, Longevity, and Healthy Aging
Can You Boost NAD+ Naturally?
The good news is that you don’t always need supplements to maintain healthy NAD+ levels. There are natural ways to support your body’s ability to make NAD+:
Eat a diet rich in Vitamin B3: Foods like chicken, turkey, tuna, mushrooms, peanuts, and fortified grains provide plenty of niacin.
Exercise regularly: Physical activity has been shown to naturally boost NAD+ by activating the same pathways as NAD+-dependent enzymes.
Practice intermittent fasting or caloric restriction: Research suggests that eating less, at least occasionally, can increase NAD+ and activate sirtuins.
Get quality sleep: Your circadian rhythm is closely tied to NAD+ levels.
By combining a healthy diet with good lifestyle habits, you can help your body maintain NAD+ levels naturally.
Safety, Side Effects, and Things to Know
While both Vitamin B3 and NAD+ are generally safe, there are a few things to keep in mind.
Too much niacin (Vitamin B3) can cause uncomfortable flushing, itching, and in very high doses, liver damage. That’s why niacin therapy for cholesterol is usually monitored by doctors.
Nicotinamide, NR, and NMN are generally considered safer at typical supplement doses, but long-term studies are still ongoing.
NAD+ supplementation, whether oral or intravenous, appears to be safe in the short term, but we don’t yet know all the long-term impacts.
It’s also important to note that not everyone needs supplements. If you’re already eating a balanced diet rich in Vitamin B3 and leading a healthy lifestyle, your NAD+ levels may be sufficient. Always talk to a healthcare provider before starting new supplements, especially if you have existing medical conditions or are taking other medications.
FAQs
1. Is NAD+ a vitamin?
No, NAD+ is not a vitamin. It’s a coenzyme that your body makes using vitamins like Vitamin B3.
2. Do you need both Vitamin B3 and NAD+ supplements?
Not necessarily. Most people get enough Vitamin B3 from diet. NAD+ precursors like NR or NMN may help boost levels as you age, but supplements aren’t required for everyone.
3. Can you get enough NAD+ just from food?
Yes, eating foods rich in Vitamin B3 helps your body produce NAD+. But NAD+ levels still decline with age, which is why some people explore supplements.
4. Is NMN the same as Vitamin B3?
Yes, NMN is a derivative of Vitamin B3. It’s one of the newer compounds studied for its ability to boost NAD+.
5. Which is better for anti-aging: Vitamin B3 or NAD+ boosters?
Vitamin B3 is essential for health and preventing deficiency. NAD+ boosters like NMN or NR are more directly targeted at restoring NAD+ levels for aging and longevity.
Conclusion
So, is NAD+ the same as Vitamin B3? The answer is no—but the two are closely connected. Vitamin B3 is the raw material, and NAD+ is the vital coenzyme that your cells use for energy, repair, and survival. Without Vitamin B3, your body can’t make enough NAD+, and without NAD+, your cells can’t function.
Both are essential for health. Vitamin B3 ensures your body has the building blocks, while NAD+ carries out the critical functions that keep you alive and healthy. By eating a balanced diet rich in Vitamin B3, living a healthy lifestyle, and considering supplementation if needed, you can support both Vitamin B3 levels and NAD+ production.
The takeaway is simple: NAD+ and Vitamin B3 are partners, not twins. One feeds into the other, and together they support energy, longevity, and vitality.
Share this article

What Foods Are High in NAD+? Best Diet to Boost Cellular Energy and Longevity
Editorial Team
Sep 2, 20258 min read

Urolithin A: Benefits, Side Effects, and Dosage (Science-Backed Guide)
Dr. Jossy Onwude, MD
Sep 2, 20259 min read

How to Lose Face Fat: 10 Science-Backed Tips for a Slimmer, Healthier Look
Dr. Jossy Onwude, MD
Sep 5, 202510 min read