Nicotinamide riboside supplement shows pr... - Cure Parkinson's

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Nicotinamide riboside supplement shows promise as a potential therapy for Parkinson’s disease - I started taking it today!

PDWarrior1900 profile image
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Nicotinamide riboside supplement shows promise as a potential therapy for Parkinson’s disease

Nicotinamide riboside (NR) is a member of the vitamin B3 family, which can be

found in foods like fruits, vegetables, meat, and milk. It is also used as a

nutritional supplement to boost cellular levels of NAD (nicotinamide adenine

dinucleotide).

NAD is an essential metabolic factor, which is vital to a multitude of cellular

processes, including energy metabolism, DNA damage repair, and control of

gene expression. Increased cellular NAD levels have been linked to a longer and

healthier life in animals and have been shown to protect neuronal cells against

various forms of stress. The study shows for the first time that the NAD levels

of the human brain can be increased by ingesting NR.

-- A potential new treatment --

The goal of this randomized, double-blinded phase I trial was to establish

whether NAD-metabolism can be augmented in the brain of individuals with

Parkinson's disease, by ingesting NR, an NAD-precursor. A total of 30

individuals with early Parkinson's disease received either 1000mg NR or placebo

for a total of 30 days. The study showed that NR supplementation significantly

increased NAD levels in the patient brain, and resulted in altered cerebral

metabolism and decreased markers of inflammation in the fluid surrounding the

brain and spinal cord. Moreover, a mild but significant improvement of

Parkinson's disease symptoms was seen in participants who showed

substantially increased brain NAD levels, and this correlated with the change in

the brain's energy metabolism pattern.

The study was led by Prof. Charalampos Tzoulis, at Haukeland University

Hospital and the University of Bergen.

Reviewed by Emily Henderson, B.Sc. Mar 2 2022

We are very excited about these results. This trial represents a

novel approach in experimental PD-therapy."

Nicotinamide riboside supplement shows promise as a potential therapy for Parkinson’s disease

Saved from URL: news-medical.net/news/20220...

"We believe that augmenting the brain's NAD metabolism will not only target

and rectify disease-related processes specific to PD, but may also optimize

neuronal metabolism and fortify neurons, rendering them more resilient against

age-related stress and neurodegenerative diseases. The results of the trial are

highly encouraging and nominate NR as a potential neuroprotective therapy for

PD, warranting further investigation in larger trials. A phase II study is already

ongoing at our Center", the Professor comments.

The study was conducted by scientists at Haukeland University Hospital and the

University of Bergen, Norway, in collaboration with the The Feinstein Institutes

for Medical Research in New York, USA.

Source:

University of Bergen

Journal reference:

Brakedal, B., et al. (2022) The NADPARK study: A randomized phase I trial of

nicotinamide riboside supplementation in Parkinson’s disease. Cell Metabolism.

doi.org/10.1016/j.cmet.2022.02.001.

Prof. Charalampos Tzoulis, Haukeland University Hospital and

University of Bergen

===========================================================

here are some links about Nicotinamide riboside and PD.

mindbodygreen.com/articles/...

news-medical.net/news/20220...

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PDWarrior1900
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51 Replies
HekateMoon profile image
HekateMoon

Sounds very promising Pd Warrior. Another of the B group to add to the arsenal..fingers crossed

PDWarrior1900 profile image
PDWarrior1900 in reply to HekateMoon

thanks!

jeffreyn profile image
jeffreyn

See also this post (plus comments) from a couple of months ago.

healthunlocked.com/cure-par...

park_bear profile image
park_bear

No significant effect on UPDRS scores. Most disease modifying treatments take longer than the 30 days allotted in this trial. So perhaps a longer trial would have shown better results:cell.com/cell-metabolism/fu...

UPDRS results
PDWarrior1900 profile image
PDWarrior1900 in reply to park_bear

... maybe you missed the last sentence of their report?--------------------------------------

"...warranting further investigation in larger trials."

John_morris71 profile image
John_morris71 in reply to PDWarrior1900

As far as I know - 'warranting further investigation in larger trials' does not mean much. Typically used when small sample/small duration trials do not show meaningful / strong Statistical/ Clinical significance. Like saying - it might work, we are not sure.

kevowpd profile image
kevowpd

'NOPARK' is the longer trial

clinicaltrials.gov/ct2/show...

Projected to fnish in 2024.

Individuals with PD (n = 200) will be recruited starting 01/09/2019. Newly diagnosed and/or treatment naïve patients will be given Selegiline 10 mg/day PO and Sinemet 100 x 3. Treatment efficacy will be assessed upon reexamination every 1 month. If adequate symptomatic relief is not achieved, the dopaminergic therapy may be increased by 150 mg levodopa until optimal effect or a maximum dose of Sinemet 200 x 3. If adequate symptomatic relief is not achieved on this dose, the patient will excluded and further followed-up at the regular outpatient service. Once optimal effect is reached (i.e. stable treatment for at least 3 months, the regime will be frozen for the duration of the study period (52 weeks). Patients will then be randomized to receive either Nicotamide riboside or placebo. Both the participants and the investigators are masked. The trial will have a 52 weeks (1 year) exposure period, during which patients will self-administer NR 500 mg x 2/day, or placebo per os. In addition, all patients will take a stable regime of selegiline 10 mg/day plus optimal dopaminergic therapy. After the baseline visit, participants will be reassessed at 4, 13, 26, 39 and 52 weeks in person. Clinical evaluation will be performed by one of the neurologists involved in the study and/or the study nurse. The primary outcome of the study is the total score of the Movement disorder society Unified parkinson's disease rating scale (MDS-UPDRS) comparing the NR and and placebo group.

LAJ12345 profile image
LAJ12345

My husband took niagen for about a year and we didn’t notice any change but it might have been helping. There is a tiny bit in the Hardys den with added vitamers.

PDWarrior1900 profile image
PDWarrior1900 in reply to LAJ12345

thank you but i don't understand your post... what is.. "hardys den with added vitamers" ???

LAJ12345 profile image
LAJ12345 in reply to PDWarrior1900

hardynutritionals.com/produ...

We swear by this. It replaces a lot of other product. Hubby was on the clinical dose of 12 per day for ages and I’m sure it helps. He was feeling very well so cut that back to 8 and subsequently deteriorated slowly but that also could have been caused by other factors . He also reduced the amount of restore gold at the same time from 16 to 9. So he is back on the full dose of both and nearly back to his previous state of last October.

wehaveparkinsons.com/produc...

PDWarrior1900 profile image
PDWarrior1900 in reply to LAJ12345

thank you!

Ghmac profile image
Ghmac in reply to LAJ12345

Glad to hear your husband is doing better!

LAJ12345 profile image
LAJ12345 in reply to Ghmac

Thanks. He’s back to his bossy snippy I can do it myself personality 🤣which is a relief.

PDWarrior1900 profile image
PDWarrior1900 in reply to LAJ12345

you can buy the individual ingredients for a LOT LESS MONEY at Amazon

LAJ12345 profile image
LAJ12345 in reply to PDWarrior1900

I did try to do that initially thinking the same as you that it would be cheaper and it didn’t work the same and it was much less convenient and no cheaper. Also a pain to keep ordering so many different things. And I’m pretty sure now it is what was working . Having reduced it and gone backwards then increased it again and he springs back to life. It’s pretty amazing the transformation so I have to keep recommending it.

John_morris71 profile image
John_morris71 in reply to LAJ12345

Same here - gave my mother Tru Niagen and did not find any improvement in PD symptoms. Gave her doses of 600mg/day and 300mg/day for prolonged periods. May be it improved her overall well being.

Now I am giving her NMN - 375mg/day. Plan is to give for at least 6 months.

donheff profile image
donheff

Interesting study. I have been taking an NR supplement for about 3 years, starting before I was diagnosed with PD. I read an article about the first studies to document that NR and NMN (both NAD+ precursors) increased the blood plasma levels of NAD+ and presumably would raise the levels available in the cells. Several of the researchers were so impressed with the findings that they began taking NR or NMN themselves. I hoped the NAD+ increases might reach and positively affect neuronal cells. If the findings of this study hold up, maybe it does.

PDWarrior1900 profile image
PDWarrior1900 in reply to donheff

also, how much do you take? thanks

donheff profile image
donheff in reply to PDWarrior1900

I am only taking 300mg of Tru Niagen NR per day. This study used 1000mg for 30 days. I will see if further information supports using a higher dose. My wife and I initially used Basis, a different NR supplement from Elysium, but both of us developed diarrheia over time. Basis contains another ingredient that has that side effect in some people. The Tru Niagen formulation doesn't use it. YMMV.

PDWarrior1900 profile image
PDWarrior1900 in reply to donheff

i just started taking 1 gram daily... bought the stuff pretty cheap from china

PDWarrior1900 profile image
PDWarrior1900

thanks for your comment... but has NR helped your PD?

donheff profile image
donheff in reply to PDWarrior1900

If this comment was directed to me, my answer is there is no way to know. I started taking NR on the hopes that it would have general cell metabolism benefits countering aging effects before I learned I have PD. Changes would likely be mild and would slow down cell deterioration. My PD has been stable since my diagnosis 20 months ago but that may simply be the standard CD/LD "honeymoon." I decided when I started that I would just take the NR on faith while keeping an eye on studies to see what develops. I did the same with glucosamine/chondroitin after it helped my arthritic dog. But when double blind studies demonstrated the G/C was no better than placebo I dropped it (and noticed no change).

PDWarrior1900 profile image
PDWarrior1900 in reply to donheff

how long did it take before you had visible and constant tremors? (i'm still in the very early stage of PD)

donheff profile image
donheff

I never got that far. In October of 2020 I noticed a mild tremor in my right hand. I looked up PD and saw the list of other weird symptoms that accompany it (constipation, dermatitis, orthostatic hypotension, an on and on) and immediately suspected PD. Luckily, I was able to set up an appointment with a motion disorder specialist at Georgetown Hospital a few days later. She made an initial clinical diagnosis immediately and followed that up with an MRI (to eliminate other possibilities) and a DatScan which showed significant dopamine deficiencies. She started me on 25/100 CD/LD 3 times a day which eliminated the tremors. I remain on that dosage today although I added an extended release pill at night since I was having stiffness and aches that interfered with sleep. I was initially reluctant to start CD/LD because my tremor was mild and I was worried about wasting my "window" of effectiveness. My MDS convinced me that the "window" doesn't actually result from taking the drug but rather from progression of the disease. Might as well get as much relief as you can early on.

PDWarrior1900 profile image
PDWarrior1900 in reply to donheff

STAY STRONG!

a 'MIRACLE CURE' is around the corner for all of us!

jimcaster profile image
jimcaster

I have been taking the TruNiagen brand of Nicotinamide Riboside for 4 years. I was prompted to start because of this post by Sunvox.

healthunlocked.com/cure-par...

PDWarrior1900 profile image
PDWarrior1900 in reply to jimcaster

how's it working for you jim?

kevowpd profile image
kevowpd in reply to PDWarrior1900

Its not a symptomatic treatment in any material or measurable respect (or at all, probably). Consequently, the only answer JC can give you is that he doesnt know, but takes it because its worth the punt that it will have a positive impact on his disease course.

jimcaster profile image
jimcaster in reply to PDWarrior1900

Kevo is right. I view TruNiagen as a long term play. In general, I think of supplements which make me feel better as treating symptoms and (hopefully) some other supplements slow down the progression of the underlying disease even though I can't immediately notice any change. I hope TruNiagen is one of the latter.

PDWarrior1900 profile image
PDWarrior1900 in reply to jimcaster

hi jimthere are several different truniagen products on amazon

please tell me which one are you taking? thanks

-----------------------------------

amazon.com/s?k=truniagen&cr...

jimcaster profile image
jimcaster in reply to PDWarrior1900

I get the third bottle which says "Best Seller" because it has 300 mg capsules. I take 3 per day (total of 900 mg) because the Norwegian studies use 1000 mg per day.

PDWarrior1900 profile image
PDWarrior1900 in reply to jimcaster

hi jim is this the one you are taking? thanks for the feedback

-----------------

amazon.com/TRU-NIAGEN-Suppl...

jimcaster profile image
jimcaster in reply to PDWarrior1900

Yes. Exactly. 300 mg per pill.

PDWarrior1900 profile image
PDWarrior1900 in reply to jimcaster

thanks! pardon me for asking (my member isn't very good) -- but aren't you in the buntanetap trial?

jimcaster profile image
jimcaster in reply to PDWarrior1900

Yes. I was evaluated and approved last month. I have a baseline visit and first dose next week.

PDWarrior1900 profile image
PDWarrior1900 in reply to jimcaster

WOW! We are all PRAYING for your successful treatment!

jimcaster profile image
jimcaster in reply to PDWarrior1900

Thanks! My expectations are low, but the clock is ticking and it's in Phase 3, so it's worth trying...

PDWarrior1900 profile image
PDWarrior1900 in reply to jimcaster

keep a POSITIVE ATTITUDE! It's gonna WORK!

Windermere1 profile image
Windermere1

I started taking TruNiagen a year ago for RLS and it works brilliantly. I was also diagnosed with PD 3 years ago but can’t tell whether TruNiagen is helping my PD symptoms because I take LD and high dose b1 which I know helps

PDWarrior1900 profile image
PDWarrior1900 in reply to Windermere1

thanks for the feedback and very glad to hear that 'whatever it is' .. it is working for you ... I'm not on any meds ... my neuro/MDS says I do 'not' have PD (but he's wrong) ... I'm supposed to see him in March and take a bunch of worthless blood tests... I'm not doing either. I'm taking about 40 supplements daily... and exercising as best as I can (bad left hip) -- for now... I'm "holding my own" ....

PDWarrior1900 profile image
PDWarrior1900 in reply to Windermere1

by the way, what is 'RLS'?

PDWarrior1900 profile image
PDWarrior1900 in reply to PDWarrior1900

also, how much B1 are you taking?

Windermere1 profile image
Windermere1 in reply to PDWarrior1900

50mg of b1 sublingual every other day. Works much better than oral B1HCL for me and easier to take

PDWarrior1900 profile image
PDWarrior1900 in reply to Windermere1

wow, only '50' mg! -- I'm taking 1,500 mg daily!

Windermere1 profile image
Windermere1 in reply to PDWarrior1900

but you will be taking oral b1 which requires very high does. Sublingual goes under your tongue to dissolve and straight through the mucus membrane into bloodstream whereas oral b1 has to fight through your stomach

PDWarrior1900 profile image
PDWarrior1900 in reply to Windermere1

thanks for the reminder... cause i'm taking B12 liquid for several months... i'll look into the liquid version of B1

PDWarrior1900 profile image
PDWarrior1900 in reply to Windermere1

i was just on amazon search for b1 liquid... not finding anything stronger than 12mg per serving... so would you be so kind as to tell me your brand? thanks

PDWarrior1900 profile image
PDWarrior1900 in reply to Windermere1

is this the one you are taking? it's not liquid... it's a table that dissolves

--------

amazon.com/Superior-Source-...

Windermere1 profile image
Windermere1 in reply to PDWarrior1900

This is where I get mine

To be successful must be taken in a specific way. Not just swallowed.

Before any food or drink or cleaning teeth. Place under tongue to dissolve then hold saliva in mouth without swallowing for at least 30 minutes to allow to cross mucus membrane. Once you swallow it becomes ineffective. Don’t eat or drink for at least 30/60 minutes after swallowing.

Colour
PDWarrior1900 profile image
PDWarrior1900 in reply to Windermere1

wow... you've got a helluva lot more discipline that I have! ... but thanks for the image... i'll look that up

Windermere1 profile image
Windermere1

restless leg syndrome

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