Fig. 4: Metabolic model supporting the mode of action of the three NAD+ precursors in increasing NAD+ levels after oral administration.

NR and NMN elevate circulatory NAD+ levels via the Preiss–Handler pathway, while rapidly absorbed Nam acutely affects NAD+ via the salvage pathway. Bold arrow, high fast activity; intermediary arrow, intermediary sustainable activity; dashed arrow, low activity; blue bacteria in white rectangle, gut microbiota. WB, whole blood. Figure created using https://BioRender.com.