What are the effects of Nicotinamide adenine dinucleotide (NAD+) supplementation during pregnancy?

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Last updated: May 19, 2025 • View editorial policy

From the Research

NAD+ supplementation during pregnancy is not currently recommended due to insufficient safety data. Pregnant women should avoid taking NAD+ supplements like nicotinamide riboside (NR) or nicotinamide mononucleotide (NMN) as these compounds have not been adequately studied in human pregnancy 1. While NAD+ plays important roles in cellular energy production, DNA repair, and metabolic functions, and some animal studies suggest potential benefits, the safety profile for developing fetuses remains unknown.

Key Considerations

  • The placenta is permeable to many substances, and supplements that haven't been specifically tested during pregnancy could potentially affect fetal development.
  • Instead, pregnant women should focus on obtaining nutrients through a balanced diet and only take supplements specifically recommended by their healthcare provider, such as prenatal vitamins containing folate, iron, calcium, and other essential nutrients with established safety profiles 2.
  • If you're interested in supporting cellular health during pregnancy, discuss with your obstetrician about evidence-based approaches like proper nutrition, adequate sleep, moderate exercise, and stress management techniques that are known to be safe during pregnancy.

Evidence Summary

  • A recent study published in 2023 highlights the importance of NAD+ in mammalian development and the potential consequences of NAD+ deficiency during pregnancy 1.
  • Another study published in 2024 evaluated the safety and effectiveness of NAD+ supplementation in different clinical conditions, but did not specifically address pregnancy 2.
  • Overall, the current evidence suggests that NAD+ supplementation during pregnancy is not recommended due to insufficient safety data, and pregnant women should prioritize evidence-based approaches to support cellular health.

References

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.