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NAD+

9 Signs You Might Need a NAD+ Boost

Georgina Glenn, Registered Nurse May 14th 2025

9 Signs You Might Need a NAD+ Boost

Feeling a little more drained than usual? Struggling with brain fog, poor sleep, or slower recovery? These could be more than just signs of a busy life, but they also might be your body’s way of asking for a boost in NAD+.

In this article, we cover 9 common signs that may point to depleted NAD+ levels and help you understand whether it’s time to consider ways to restore this essential coenzyme!

What Is NAD+ – And Why Should You Care?

Before we get into how to tell your NAD+ levels are low, let’s talk about what it actually is first.

NAD+ (that’s short for nicotinamide adenine dinucleotide, but don’t worry, there’s no quiz at the end) is a vital molecule found in every single cell of your body, playing a central role in energy production, cellular repair, and healthy ageing.

Now, the problem is that NAD+ levels dip as we age. Add in modern-life stressors like lack of sleep, high stress, or even illness, and our natural levels can deplete significantly faster. That’s why giving your NAD+ levels a little boost could make all the difference,  whether you’re chasing better energy, focus, recovery or just want to feel more like you.

What Is NAD+ - And Why Should You Care?

9 Signs You Might Need a NAD+ Boost

Here are 9 signs that you might need a NAD+ boost…

1. Constantly Tired, Even After a Full Night’s Sleep?

Waking up exhausted despite a decent stretch of sleep? This is quite common, but it’s also not something to ignore. Persistent fatigue can sometimes stem from more than just poor sleep, it may indicate that your cells aren’t producing energy efficiently. 

NAD+ is a coenzyme essential for energy production at the cellular level. Low levels can disrupt how mitochondria function, and that’s essentially central to how energised (or drained) you feel each day. 

Recent research has linked impaired NAD+ metabolism with conditions like Chronic Fatigue Syndrome (CFS), suggesting that replenishing NAD+ could be an essential piece of the puzzle.

2. Struggling With Brain Fog or Mental Drift?

If your thoughts feel cloudy and your focus is fading, it might not be ‘just one of those days’. The brain is a high-demand organ, which means it requires a vast amount of cellular energy. 

NAD+ supports the repair of neurons, regulates neurotransmitters like dopamine and serotonin, and helps reduce inflammation in the brain. So, low levels of NAD+ can mean your brain is working harder for less output,  which translates into foggy thinking, lapses in memory and trouble concentrating. 

3. Taking Longer to Bounce Back From Exercise or Illness?

Recovery used to be quick for you, and now it drags. Whether it’s post-workout fatigue or lingering symptoms after a cold, a sluggish recovery could hint at insufficient NAD+ levels. 

This molecule plays a critical role in muscle repair, immune function, and reducing oxidative stress. When NAD+ is depleted, your body can struggle to repair tissue or recover efficiently. Restoring it may help accelerate healing and get you back to full strength faster.

4. Easily Overwhelmed or Sensitive to Stress?

Life throws plenty at us, but if you’re finding it unusually difficult to cope (even with small stressors) it could point to deeper biochemical imbalances. 

NAD+ is involved in the regulation of our stress response, partly through its influence on the hypothalamic-pituitary-adrenal (HPA) axis and neurotransmitter balance. Low NAD+ can leave you emotionally brittle, with less resilience to everyday challenges. Replenishing it may help to:

  • Rebalance your mood.
  • Improve mental clarity
  • Provide a calmer baseline from which to handle stress.

5. Mood Swings or Low Mood That’s Hard to Shift?

If your mood feels like it’s all over the place or persistently low despite healthy habits, it’s worth digging deeper. NAD+ influences the production and regulation of mood-related neurotransmitters like serotonin, dopamine, and norepinephrine. These chemicals don’t just “boost mood” in a general sense, and they affect many things. Including: 

  • Motivation
  • Interest
  • Emotional regulation
  • Sleep

Low NAD+ may reduce their availability, potentially contributing to low-grade depression or emotional instability. Topping up NAD+ levels could be an important adjunct to more traditional mental health strategies.

6. Poor-Quality Sleep, Even With a Good Routine?

Struggling to feel refreshed even with a consistent bedtime? NAD+ is intricately linked to circadian rhythm, which is your body’s very own natural sleep-wake cycle. 

It also supports mitochondrial function, which affects how well your body restores itself overnight.

Low levels of NAD+ can impair both the quality and structure of your sleep, potentially leaving you tired no matter how early you turn in. 

Restoring NAD+ can help reset biological rhythms and improve how restful your sleep truly is.

7. Seeing Premature Signs of Ageing?

Fine lines showing earlier than expected? Joints aching? Memory not as sharp? These can be early flags of cellular ageing, and NAD+ plays a frontline role in this process. 

Naturally, our NAD+ levels decline with age, and there’s not much we can do about that. But when the drop happens too early or too steeply, it can accelerate ageing symptoms.

From supporting DNA repair to fuelling cell regeneration, boosting NAD+ may help to slow premature ageing and promote better long-term vitality, both inside and out.

8. Weight Plateauing Despite a Healthy Lifestyle?

If you’re eating well, staying active, and still not shifting excess weight, yes, it’s frustrating, but not necessarily your fault. 

NAD+ is deeply involved in metabolic function, especially in converting nutrients into usable energy. A sluggish metabolism due to low NAD+ can make it harder to lose weight or even maintain a healthy weight. By supporting metabolic efficiency, NAD+ may help your body respond better to diet and exercise efforts.

9. Feeling ‘Off’ Without Knowing Why?

Sometimes it’s not one big symptom. It’s just a lingering sense that things aren’t quite right. 

You’re doing everything ‘right’, eating well, getting enough rest, exercising consistently,  yet still feel flat. That vague but persistent unease could be due to underlying NAD+ depletion. 

Because NAD+ affects nearly every system in the body, from immune response to energy production, low levels can cause a wide range of subtle but real issues. Supporting NAD+ could bring back a feeling of genuine wellness and balance that healthy habits alone haven’t yet unlocked.

How to Boost NAD+ Levels Naturally

While NAD+ levels do decline naturally with age, there are a number of things you can do that can play a part in boosting NAD+ naturally. Adopting a healthy lifestyle, including regular exercise and a balanced diet, can certainly help. Taking steps to reduce stress and improve your sleep routine can also help.

Some specific strategies to build into a holistic healthy lifestyle to boost NAD+ could include:

  • Regular exercise, including High-Intensity Interval Training (HIIT)
  • Fasting or intermittent fasting
  • Taking B vitamins (especially niacinamide)
  • Sleep optimisation
  • Heat/cold exposure

Healthy lifestyle options also bring other benefits and are always advisable, even if you also decide you could benefit from the direct influx of an additional NAD+ boost.

How to Boost NAD+ Levels Naturally

Supporting Your NAD+ Levels

If you’ve recognised a few of the signs we’ve talked about, and lifestyle changes alone aren’t quite doing the trick, supplements might be worth considering.

The NAD+ Injection Pen offers a straightforward, at-home way to give your levels a more direct lift. Because it bypasses the digestive system, it allows for higher absorption compared to oral supplements, something that can make a real difference if you’re looking for noticeable results!

It’s designed to support areas like energy, recovery and healthy ageing, and can be a practical addition to a more personalised approach to wellbeing. Feeling run down or out of balance doesn’t always mean something’s wrong – but it could be a sign that your cells need a bit of extra support.

If you’re curious about how the NAD+ Injection Pen works or whether it’s right for you, you can find more information here.

Supporting Your NAD+ Levels