How NAD⁺ and NADH Keep You Alive? The Molecules That Power You!
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How NAD⁺ and NADH Keep You Alive? The Molecules That Power You!

Louise W Lu

Written by

Louise W Lu, PhD, MPH, BMLS

Michelle Ordner

Reviewed by

Alexandra V Goldberg, Registered Dietitian

 

The NAD Code: Unlocking Energy, Aging, and Mitochondria – Part 1

Understanding NAD⁺ and NADH: The Yin and Yang of Cellular Energy

 

Do you often feel exhausted, even though you're sleeping well and eating right? The issue may not be your age or stress level—it might be a molecule inside your cells called NAD⁺ that's quietly running low.

Together with its "twin sibling" NADH, NAD⁺ plays a key role in powering your body, supporting recovery, and regulating metabolism. When the balance between these two shifts, your energy and vitality start to fade.

 



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What Are NAD⁺ and NADH?

NAD⁺ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in every cell of your body. It helps your cells convert nutrients from food into usable energy.

NAD⁺ comes in two forms:

  • NAD⁺: Like a battery that hasn’t been charged yet—ready to absorb energy.
  • NADH: A fully charged battery—ready to release energy into the cell.

These two forms are constantly cycling in a process called the redox cycle. This cycle is essential for life: helping you breathe, think, move, and repair tissue.

 



Where Does NADH Come From? What Does It Have to Do with Eating?

The food you eat doesn’t become energy directly. It has to be converted into ATP (your body’s energy currency) through metabolic processes inside your cells. NAD⁺ is the key link in this transformation.

  1. You eat carbohydrates and fats, which are broken down into glucose and fatty acids.
  2. These molecules enter your cells and are gradually dismantled during glycolysis and the citric acid cycle, releasing high-energy electrons.
  3. NAD⁺ grabs hold of those electrons, stores their energy, and becomes NADH.

In short, we eat so that NAD⁺ can charge up into NADH—and NADH can then power our cells.

 

 



A Simple Analogy: The Energy Battery Inside Your Cells

Imagine your body as a box of rechargeable batteries:

  • NAD⁺ is the empty battery, waiting to be charged.
  • It collects energy from food and turns into NADH—a fully charged battery.
  • NADH delivers that energy to your mitochondria to generate ATP.
  • Once discharged, it returns to the NAD⁺ state to restart the process.

If your cells are full of fully charged NADH but lack fresh NAD⁺, the cycle stalls. Without enough NAD⁺ to keep the charging system going, electrons build up, energy conversion slows down, and your cells suffer from metabolic stress and power shortage.

 



How NAD⁺ and NADH Fuel Your Cells

Now that you understand how NADH is formed, let’s look at how it's used. This cycle takes place billions of times per day in your body:

  1. You eat, and nutrients enter your cells.
  2. Metabolic reactions release high-energy electrons.
  3. NAD⁺ captures these electrons and becomes NADH.
  4. NADH delivers the electrons to the mitochondria, where they power the electron transport chain and create ATP.
  5. Once used, NADH becomes NAD⁺ again, ready to restart the cycle.

This is an incredibly efficient energy system—provided your cells have enough NAD⁺. Without it, everything gets backed up.



Why the NAD⁺/NADH Ratio Matters

What matters isn’t just the amount of NAD⁺ or NADH you have—but the balance between them. This ratio reflects how many batteries are ready to be charged (NAD⁺) versus how many are already full (NADH).

  • If the NAD⁺ ratio is high, your energy system is constantly refreshing—efficient and clean-burning. 😄
  • If NADH builds up and NAD⁺ runs low, it’s like your system is clogged with batteries that can’t release their charge—causing a backup in energy production. 😫

When NAD⁺ levels are high, your body functions like a high-efficiency energy plant: producing energy, burning fat, and repairing cells with ease.

But when NADH dominates and NAD⁺ is in short supply, it’s like your cells are clogged with charged batteries that can’t discharge. The electron transport chain becomes blocked, ATP production drops, and excess electrons lead to oxidative stress and mitochondrial dysfunction. The result? Fatigue, slow recovery, impaired metabolism, and faster aging.😱😱

This is why many people feel drained—even when they’re sleeping well and eating healthy. It’s not always what you do on the outside. Sometimes, the imbalance starts inside your cells.

 



Conclusion: It’s All About Balance

NAD⁺ and NADH are two sides of the same energy cycle—like a pair of batteries constantly switching roles. One charges, one discharges.

When NAD⁺ is low and NADH is stuck, your energy cycle stalls. You feel sluggish, foggy, and prematurely tired.

The good news? This imbalance is fixable through lifestyle and targeted nutrition.

From NAD⁺-boosting supplements (like NMN, PQQ, and CoQ10) to strategies that support your body’s own NAD⁺ production (like intermittent fasting and regular aerobic exercise), you can restore the balance. NMN is a direct precursor to NAD⁺, easily absorbed and converted in your cells. PQQ promotes mitochondrial biogenesis, helping your cells generate more energy. And reduced CoQ10 supports the electron transport process and reduces oxidative stress. Together, these tools can help reboot your cellular energy system.

In the next post, we’ll dive deeper into a fundamental question:
Why do NAD⁺ levels naturally decline with age—and what can we do to reverse it?

 



Authors:

Louise W Lu

Louise W Lu

Registered Nutritionist (NZ Reg. 82021301), PhD of Nutrition Science, Honorary Academic at the University of Auckland. Louise blends clinical research with public health to help people eat better and live stronger.

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Alexandra V Goldberg

Alexandra V Goldberg

Registered Dietitian (NZ Reg. 20-02273) and expert in nutrition, medicinal chemistry, and skincare. Alexandra helps clients reach their health goals with science-backed strategies in post-op recovery, feeding tolerance, and weight management.

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