Randomized human clinical outcomes
Controlled human research measuring a functional or clinical outcome. A Level A label does not mean that every endpoint was positive or that the finished Nutrae product was tested.
Completed human studies and registered human trials, organised molecule by molecule. Every record shows the population, form, dose, duration, measured endpoint, result and the limitation that matters.
A randomized trial can report a negative result. A biomarker can move without a functional benefit. A registered protocol has no outcome yet. Each label describes the design—not marketing value.
Controlled human research measuring a functional or clinical outcome. A Level A label does not mean that every endpoint was positive or that the finished Nutrae product was tested.
Human evidence showing exposure, biomarker change or short-term tolerability without establishing a meaningful health outcome.
Human evidence that can identify an association or exploratory signal but cannot establish causation.
A registered trial or published protocol without public results. It documents active research but supplies no evidence of benefit.
Human studies consistently support an increase in measured NAD+ biomarkers after NR chloride, while functional, metabolic and performance outcomes remain inconsistent. The evidence base includes healthy adults and several disease-specific populations; those contexts are kept separate, and NR chloride findings are not transferred to NRHM without a documented bridge.

Development values; the final approved label controls at release.
Human studies largely concern NR chloride and measured biomarkers or study-specific outcomes. They do not test NRHM or the planned Nutrae capsule.
Nutrae intends to use NRHM. The exact signed salt identity and verified nicotinamide-riboside equivalent must be reconciled to the final label; results from NR chloride cannot automatically be transferred to NRHM or the finished capsule.
12 records in this review
Established oral bioavailability of NR in humans. Dose-dependent elevation of blood NAD+ was demonstrated after single oral doses.
Foundational pharmacokinetic evidence confirming NR is orally bioavailable and raises blood NAD+ in humans.
Single-dose PK study only. Does not establish chronic efficacy, tissue distribution or functional outcomes.
Industry-associated and public funding; disclosures reported in the article.
The short trial reported marked NAD+ metabolome augmentation, general tolerability and no detected methyl-donor depletion signal.
Provides short-term high-dose safety context in a Parkinson's population; it is not evidence for routine high-dose use or functional benefit.
Disease-specific short-term safety study in Parkinson's patients, not healthy adults. Does not establish functional benefit.
Consult the article for complete funding and conflict disclosures.
Whole-blood NAD+ increased by approximately 22%, 51% and 142% in the 100, 300 and 1,000 mg/day groups within two weeks and remained elevated. Adverse-event incidence, type and severity were similar to placebo, with no serious safety signal reported.
Supports a dose-responsive blood NAD+ biomarker effect and short-term tolerability for NR chloride.
A biomarker increase does not demonstrate improved energy, performance, disease prevention, slower aging or longer life. The study applies to NR chloride rather than an unspecified NR salt.
Industry-sponsored by ChromaDex; employee and consultant relationships are disclosed in the article.
PBMC NAD+ increased by approximately 60% compared with placebo. Blood-pressure and arterial-stiffness findings were exploratory and did not remain significant after multiplicity correction. Body composition, glycemic control, motor function and aerobic exercise capacity did not improve.
Supports a human NAD+ biomarker effect but not a broad cardiovascular, metabolic or physical-performance claim.
Small, short crossover trial. Exploratory cardiovascular signals must not be promoted as established benefits.
The study reports public funding and ChromaDex-supplied study material, with relevant investigator relationships disclosed in the article.
Muscle NAD-related metabolites changed and selected inflammatory cytokines decreased, but mitochondrial bioenergetics and whole-body metabolic function did not improve.
Shows short-term target engagement in older male muscle without demonstrating a functional metabolic benefit.
Very small, short, all-male study. Molecular and cytokine changes are not equivalent to a clinical outcome.
Public and industry-associated support or material supply is disclosed in the article; consult the full disclosure when presenting this study.
NR appeared tolerable but did not improve insulin sensitivity, glucose metabolism, energy expenditure or body composition compared with placebo.
Provides important negative human outcome evidence and does not support metabolic-improvement claims.
Restricted to obese, insulin-resistant men, used NR chloride at a high study dose and cannot determine the final directions for Nutrae's intended NRHM product.
NR study material was supplied by ChromaDex; consult the article for complete funding and conflict disclosures.
Whole-blood NAD+ was approximately doubled. The NR-placebo difference was reported as 49.4 micromoles per litre with a 95% confidence interval of 39.5 to 59.3. One case of hypotension was judged probably related to NR.
Confirms short-term blood NAD+ target engagement but does not establish a functional benefit.
Short, open-label biomarker study with a small NR subgroup and no long-term outcome assessment.
Industry study conducted with Nestle Research involvement; relevant affiliations and disclosures appear in the article.
Whole-blood NAD+ was comparatively stable across age and lifestyle but changed after NR supplementation.
Whole-blood NAD+ responds to NR, but current evidence does not establish it as a validated biological-age marker.
Cross-cohort analyses cannot establish that increasing whole-blood NAD+ produces a health or longevity benefit.
The author list includes institutional and industry affiliations; use the full article disclosure with any detailed presentation.
Insulin sensitivity and mitochondrial function did not improve compared with placebo. Small changes in fat-free mass, sleeping metabolic rate and skeletal-muscle acetylcarnitine were reported.
Does not support broad metabolic or mitochondrial-function claims for NR chloride; the small secondary signals remain exploratory.
Only 13 participants, six weeks and several secondary measurements. The findings do not establish a general functional benefit.
Public and university funding with material supplied by ChromaDex; disclosures are reported in the article.
Six-minute walk distance improved by a between-group difference of 17.6 metres. Co-administration with resveratrol added no additional benefit.
Provides a positive functional-outcome signal in a disease population, not evidence for general wellness or healthy aging.
Disease-specific population with established functional limitation, not generalisable to healthy adults seeking general wellness benefits.
Funded by the National Institutes of Health; study material supplied by ChromaDex. Disclosures are reported in the article.
Cerebral NAD+ increased in a subset of participants with variable baseline levels. Mild clinical improvement signals were observed on exploratory rating scales.
Provides preliminary evidence of cerebral target engagement; does not demonstrate a disease-modifying effect.
Small, short, disease-specific and exploratory. Clinical signals require confirmation in larger, longer trials.
Study material supplied by ChromaDex; public and institutional funding disclosed.
The primary hepatic-fat endpoint did not improve compared with placebo. Secondary ALT and GGT signals were reported only in the lower-dose group.
Does not support a hepatic-fat-reduction claim for NR; secondary liver-enzyme signals require confirmation.
Combination product (NRPT), not NR alone; disease-specific population and secondary outcomes only.
Funded by the University of Michigan and other sources; ChromaDex supplied study material.
NR chloride was generally well tolerated in short human studies. Longer-term use, uncommon adverse effects and the safety bridge to NRHM are less certain.
Narrative critical review of 25 human articles; useful for context but not a substitute for the underlying trials.
EFSA assessed NR chloride as safe up to 300 mg/day for healthy adults, excluding pregnant and lactating women, under the uses evaluated. This is not an efficacy finding, does not evaluate NRHM and does not determine Nutrae's final directions.
DOI: 10.2903/j.efsa.2019.5775 · Source ↗
The FDA had no questions regarding the notifier's GRAS conclusion for specified conventional-food uses as a source of vitamin B3. This is not FDA approval, supplement approval or proof of efficacy.
Direct human healthy-aging evidence remains preliminary. Published human studies use substantially different doses, populations or uncontrolled designs, while registered randomized healthy-aging results are not yet public.

Development values; the final approved label controls at release.
Human studies of calcium alpha-ketoglutarate use differing formulations, doses, populations and designs. No completed study tests the planned Nutrae capsule.
Ingredient research does not establish an outcome for the finished Nutrae capsule. The final product specification and label will control at release.
5 records in this review
CTX decreased, including a reported 37% reduction at 24 weeks. Bone mineral density increased from baseline, but the between-group difference was not statistically significant.
Provides human evidence for a bone-turnover biomarker at a high dose in a specific osteopenic population, not evidence for healthy aging or Nutrae's eventual directions.
The alpha-ketoglutarate dose was substantially higher than Nutrae's planned per-capsule amount, and the population and outcome differ from the intended general-wellness use.
Funding and conflict information is not available in the PubMed abstract; verify the full article disclosure before a detailed public presentation.
The study documented systemic metabolic exposure after oral Ca-AKG administration.
Supports oral exposure at a single high dose, not clinical efficacy.
Only six men, one dose and no wellness, functional or long-term outcome.
Funding and conflict information is not available in the PubMed abstract.
The analysis reported an average reduction of approximately eight years in the selected DNA-methylation age estimate. This result comes from an uncontrolled retrospective analysis of a proprietary multi-ingredient product (Rejuvant) and cannot be attributed to Ca-AKG alone.
An exploratory uncontrolled association that cannot establish causation, cannot separate Ca-AKG from the other ingredients, and should not be described as proven age reversal.
No randomized control, self-selected participants, multi-ingredient product, commercial clock endpoint and substantial commercial conflicts. It is not proof of age reversal. The headline '8-year' figure is frequently cited out of context — it applies only to this specific uncontrolled study and not to Ca-AKG generally.
Authors disclosed commercial roles or interests related to the Rejuvant product and Ponce de Leon Health.
The registry lists the trial as active, not recruiting, with estimated completion in January 2027. No results were publicly posted as of 2026-07-18.
Demonstrates active clinical investigation, not evidence of benefit.
A protocol cannot support an efficacy claim. Recruitment status and completion dates can change, and the sustained-release study product does not automatically match Nutrae's planned capsule.
Funding and sponsor information is listed in the protocol and registry; no commercial result may be inferred before publication.
No results were publicly posted in the trial registry as of 2026-07-18.
Shows ongoing research only and cannot support a public benefit claim.
Registry information is not an efficacy result, and its dose and release profile cannot determine Nutrae's final directions.
Use the registry's current sponsor and funder fields when results become available.
Long-term supplemental safety data in healthy adults remain limited. Ca-AKG also contributes calcium, so total calcium intake and individual medical context matter.
Contextual review that emphasizes the limited direct human evidence base; it does not validate a specific Nutrae dose or formulation.
Urolithin A has several randomized human trials, with selected muscle-strength, endurance and exposure signals. Several primary functional outcomes were not significant, the latest pooled evidence remains low certainty, and principal trials used proprietary formulations.

Development values; the final approved label controls at release.
Human studies used specific Urolithin A formulations and reported mixed study-specific outcomes. They do not test the planned Nutrae capsule.
Principal trials used proprietary formulations. Equal nominal milligrams do not establish equal exposure or clinical equivalence for a finished Nutrae capsule.
12 records in this review
Twelve percent had detectable circulating UA glucuronide at baseline. About 40% were high converters 24 hours after pomegranate juice, while direct 500 mg UA produced more than six-fold higher 24-hour exposure than juice.
Direct dosing produced more consistent measured exposure than relying on conversion of dietary precursors in this study.
Exposure is not a clinical health outcome. The study used a proprietary formulation and does not establish equivalence to Nutrae's planned capsule.
The study product was Mitopure and multiple authors were affiliated with its developer; consult the article disclosures.
No serious or product-related non-serious adverse events and no clinically relevant laboratory changes were reported. The studied proprietary formulation was bioavailable; 500 and 1,000 mg/day changed selected acylcarnitine and muscle molecular measures.
Supports short-term bioavailability, tolerability and biomarker activity for the studied proprietary formulation.
Phase 1 biomarker study, not a functional efficacy or longevity trial. It does not establish bioequivalence for a finished Nutrae capsule.
Funded by Amazentis, with company employee or shareholder relationships disclosed in the article.
The primary six-minute-walk and maximal ATP-production outcomes were not significantly better than placebo. Selected muscle-endurance measures improved versus placebo at two months, but not consistently at four months because of placebo-group improvement. Some biomarkers improved.
Provides preliminary selected endurance and biomarker signals without demonstrating the primary functional outcomes.
Small trial, all participants were White, COVID-related disruption occurred and selected positive secondary findings require confirmation.
Funded by Amazentis, with company-related author conflicts disclosed.
The primary peak-power outcome did not improve significantly. Hamstring average torque improved by approximately 12% with 500 mg and 9.8% with 1,000 mg versus placebo, and maximum flexion torque improved by approximately 10.6% and 10.5%. Broader quadriceps, handgrip, walking and aerobic outcomes were mostly not significant between groups.
Supports selected lower-limb strength signals, not a broad performance or physical-function claim.
Some positive findings were secondary endpoints, the sample was modest, and the studied proprietary formulation is not automatically equivalent to Nutrae's capsule.
Funded by Amazentis, with company-related author conflicts disclosed.
The study reported improvements in selected strength and endurance endpoints.
A small athlete-specific signal that requires replication and should not be generalized to all adults.
Very small, all-male, resistance-trained population and multiple performance endpoints.
Use the full article's funding and conflict disclosures. The methods state that the capsules used Timeline Mitopure-sourced urolithin A powder.
There was no significant treatment interaction for VO2max and no significant improvement in 3,000-metre performance. Perceived exertion and creatine kinase response after the time trial were lower in the urolithin A group.
Does not support faster race performance or higher VO2max; selected recovery-related signals are exploratory and setting-specific.
Short, highly specific all-male elite-athlete setting with limited generalizability.
Amazentis-related funding and disclosures are reported in the article.
Selected immune-cell and functional biomarkers changed after supplementation.
Short-term immune biomarker evidence only; it does not show prevention or treatment of infection or disease.
Short proof-of-concept study without clinical infection or disease outcomes; some analyses were exploratory.
Amazentis-funded with company affiliations and conflicts disclosed.
Only the six-minute-walk outcome could be pooled: mean difference 17.03 metres, 95% confidence interval -5.33 to 39.40, p=0.135, I-squared 0%. Other strength, endurance and biomarker signals were heterogeneous and exploratory.
The current human evidence base is small, short and low certainty; it does not establish a broad physical-performance benefit.
Only five heterogeneous trials, small samples, short durations and substantial reliance on company-sponsored proprietary formulations.
The component trials were predominantly company-sponsored; consult the review and individual-trial disclosures.
Recruiting; no results publicly posted as of 2026-07-18.
Documents active clinical investigation, not evidence of benefit.
Registry information is not an efficacy result. Disease-specific surgical setting, not general wellness.
Consult the trial registry for current sponsor and funder information.
Recruiting; no results publicly posted as of 2026-07-18.
Documents active clinical investigation, not evidence of benefit.
Disease-specific oncology setting. No results available. Does not support general wellness claims.
Consult the trial registry for current sponsor and funder information.
Recruiting; no results publicly posted as of 2026-07-18.
Documents active clinical investigation, not evidence of benefit.
Registry information is not an efficacy result. No published data available.
Consult the trial registry for current sponsor and funder information.
Recruiting; no results publicly posted as of 2026-07-18.
Documents active clinical investigation, not evidence of benefit.
Multiple active arms, no results available and no basis for an efficacy claim.
Consult the trial registry for current sponsor and funder information.
Urolithin A was generally well tolerated in relatively small, short human studies. Longer-term safety, uncommon adverse effects and medicine interactions remain less certain.
A 2024 review of five studies and 250 healthy participants found selected strength and endurance signals but no consistent anthropometric, cardiovascular or broad physical-function benefit; longer studies were recommended.
The FDA had no questions regarding the notifier's GRAS conclusion for specified conventional-food uses. This is not FDA approval, dietary-supplement approval, proof of efficacy or UAE authorization.
The Swiss authority classified pure urolithin A as a novel food requiring authorization. Do not describe urolithin A as broadly EU-approved or globally authorized.
Ingredient studies are not automatically trials of a finished Nutrae product. Results depend on the exact form, formulation, dose, population and duration studied.
Food supplement for adults. Not a substitute for a varied diet or healthy lifestyle. Do not exceed the stated daily dose. Seek qualified medical advice before use if pregnant or nursing, using medicines, managing a medical condition, or preparing for surgery. Stop use and seek advice if an adverse reaction is suspected. Individual responses vary.
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