Does a special vitamin help brain fog and tiredness after long COVID?

Original Title

Effects of nicotinamide riboside on NAD+ levels, cognition, and symptom recovery in long-COVID: a randomized controlled trial

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Summary

Scientists tested a supplement called nicotinamide riboside (NR) in people with long-COVID to see if it helps with brain fog, tiredness, and mood by boosting a brain chemical called NAD+.

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Surprising Findings

NAD+ levels tripled, yet cognitive performance didn’t improve

Many assume boosting NAD+ should enhance brain function—especially in conditions like long-COVID tied to mitochondrial dysfunction. This disconnect challenges that assumption.

Practical Takeaways

Consider trying NR for long-COVID fatigue or brain fog—but track symptoms and be prepared for side effects.

low confidence

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66%
Moderate QualityOverall Score

Publication

Journal

eClinicalMedicine

Year

2025

Authors

Chao-Yi Wu, W. Reynolds, Isabel Abril, A. McManus, Charles Brenner, Gabriel González-Irizarry, Leidys Gutiérrez-Martínez, Olivia Sun, Jonathan Rosand, Rudolph E. Tanzi, Steven Arnold, E. Guzmán-Vélez

Open Access
2 citations
Analysis v1