Salvage pathway raises a handful of sensible questions. This page answers them in order, starting with the fundamentals and moving to applications.
This page was last updated on 2026-01-22 and is reviewed periodically as new material appears.
Nicotinamide adenine dinucleotide, abbreviated NAD+, is a dinucleotide composed of two nucleotides joined by phosphate groups. One nucleotide contains adenine; the other contains nicotinamide. The molecule exists in oxidized (NAD+) and reduced (NADH) forms, and the reversible hydride transfer between them underlies many metabolic oxidation-reduction reactions. In cells, NAD+ serves as an electron acceptor in pathways such as glycolysis, the citric acid cycle, and oxidative phosphorylation. Its concentration and redox ratio vary by compartment, tissue, and metabolic state.
Beyond redox chemistry, NAD+ is consumed as a substrate by enzymes that transfer ADP-ribose or remove acetyl groups. Sirtuins use NAD+ in deacylation reactions, poly(ADP-ribose) polymerases use it in DNA damage responses, and CD38 hydrolases convert it to signaling metabolites. Because these enzymes compete for the same pool, changes in NAD+ availability can influence multiple cellular processes. The relative contribution of each consumption route differs by cell type and condition, and precise quantitative links remain an active area of study.
Research on NAD+ spans biochemistry, aging biology, and metabolism. Studies often examine how NAD+ levels change with age, diet, exercise, or disease states, and whether precursor supplementation alters those levels. Findings in animal models do not automatically translate to humans, and measurement methods vary across studies. Questions about tissue-specific effects, long-term consequences, and causal relationships remain open. NAD+ itself is not established as a single therapeutic agent with a broad clinical role.
In redox reactions, NAD+ accepts a hydride ion, which consists of two electrons and one proton. The hydride adds to the nicotinamide ring at a specific carbon, converting NAD+ into NADH. Dehydrogenase enzymes use this step in glycolysis, the citric acid cycle, and fatty acid oxidation. NADH later donates electrons to the mitochondrial electron transport chain, helping to drive ATP synthesis. The balance between NAD+ and NADH reflects the metabolic state of a cell, and shifts in that balance can alter how pathways operate.
Beyond electron transfer, NAD+ serves as a substrate for enzymes that cleave it and attach its ADP-ribose portion to other molecules. This group includes poly(ADP-ribose) polymerases, CD38, and sirtuins. Such reactions consume NAD+ and can influence its availability for metabolism. Cells replenish NAD+ through a salvage pathway that recycles nicotinamide and through routes starting from tryptophan or vitamin B3 forms. How these synthesis and consumption routes are coordinated across tissues remains an active area of study, and compartment-specific concentrations are difficult to measure directly.
| Property | Value | Notes |
|---|---|---|
| Chemical formula | C21H27N7O14P2 | Free acid form; salt and hydrate forms differ in mass. |
| Molar mass | 663.43 g/mol | Anhydrous free acid; counterions and water change the value. |
| Appearance | White to off-white powder | Typical solid reagent; exact color varies by purity and form. |
| Solubility class | Highly water-soluble | Aqueous solutions are acidic; organic solubility is generally limited. |
| Common synonyms | DPN, coenzyme I, NAD | Older literature often uses diphosphopyridine nucleotide or DPN. |
Commercial NAD+ is supplied as a solid, often as the free acid or a salt, and purity is verified by chromatographic methods. Laboratories typically store it desiccated at minus 20 degrees Celsius or below. Working solutions are prepared fresh because even sterile aqueous solutions can lose activity over hours to days depending on pH and temperature. Documentation may include a certificate of analysis, an assay value, and a recommended retest date. Researchers should verify identity and purity when results depend on precise cofactor concentrations.
NAD+ is commonly measured by high-performance liquid chromatography with ultraviolet detection, often at 254 or 260 nm. Enzymatic cycling assays provide higher sensitivity by coupling NAD+ to a reporter reaction. Mass spectrometry can distinguish NAD+ from close analogues and confirm isotope labeling. Sample preparation usually involves rapid quenching of metabolism to prevent interconversion with NADH. Because NAD+ and NADH differ by one hydride, extraction conditions strongly affect the measured ratio.
In aqueous solution, NAD+ is most stable under mildly acidic to neutral conditions and degrades faster at high pH or elevated temperature. The molecule can hydrolyze at the pyrophosphate bond or undergo nonenzymatic cyclization. Buffers, chelating agents, and cold temperatures slow these losses during analysis. Repeated freeze-thaw cycles are generally avoided because they can promote degradation and concentration changes. Light exposure is also controlled, though NAD+ is less photolabile than some related nucleotides.
Purified NAD+ is typically supplied as a white to off-white powder and stored desiccated at low temperature. Airtight containers limit moisture uptake, while protection from light reduces degradation of the nicotinamide ring. Aqueous stock solutions are less stable than solid material and are often aliquoted before freezing. Repeated freeze-thaw cycles can lower integrity, so working portions are kept separate. Purity is commonly checked by ultraviolet absorbance near 260 nm, high-performance liquid chromatography, or mass spectrometry.
Stability studies show that NAD+ can hydrolyze under prolonged heat, extreme pH, or microbial contamination. Phosphate buffers near neutral pH are often used for short-term handling, though exact stability depends on concentration, temperature, and matrix. In biological samples, endogenous enzymes can rapidly degrade NAD+, making cold chain and fast processing important. Analytical reports should state extraction conditions, internal standards, and validation parameters. Without those details, comparisons across studies remain difficult and potentially misleading.
Beyond redox chemistry, NAD+ serves as a substrate for enzymes that cleave the molecule and transfer its ADP-ribose moiety or remove acetyl groups. Sirtuins consume NAD+ during deacetylation, poly(ADP-ribose) polymerases use it in DNA damage responses, and CD38 enzymes hydrolyze it to signaling metabolites. These consumption pathways mean that NAD+ availability can influence gene regulation, DNA repair, and calcium signaling. Cellular NAD+ concentrations decline in some tissues with age in animal models, but whether this decline is a cause or consequence of aging in humans remains an active open question.
Nicotinamide adenine dinucleotide, commonly abbreviated NAD+, is a dinucleotide coenzyme built from an adenine nucleotide and a nicotinamide nucleotide joined by a pyrophosphate linkage. Its oxidized form carries a positive charge on the nicotinamide ring, while the reduced form, NADH, carries a hydride equivalent. The molecule participates in hundreds of oxidoreductase reactions, where it accepts or donates electrons and protons. Because it can cycle between oxidized and reduced states without net consumption, NAD+ functions as a reusable electron carrier rather than a fuel molecule.
[D]espite massive deployment of police and other resources to implement the UN Conventions, production and consumption of, and trafficking in, prohibited substances have increased exponentially over the past 30 years, representing what can only be described as a failure, which the police and judicial authorities also recognise as such ... [T]he policy of prohibiting drugs, based on the UN Conventions of 1961, 1971 and 1988, is the true cause of the increasing damage that the production of, trafficking in, and sale and use of illegal substances are inflicting on whole sectors of society, on the economy and on public institutions, eroding the health, freedom and life of individuals. The road to repeal would be difficult. Individual nations could withdraw from the treaty under the provisions of Article 30. However, as former UN drug official Cindy Fazey notes, the convention has no termination clause, and therefore would remain in effect even if only one signatory remained. The Transnational Radical Party report noted that denunciation is the only route to changing the control regime established by the treaty:
The carpal tunnel is an anatomical compartment located at the base of the palm. Nine flexor tendons and the median nerve pass through the carpal tunnel, which is surrounded on three sides by the carpal bones that form an arch. The median nerve provides feeling or sensation to the thumb, index finger, long finger, and half of the ring finger. At the level of the wrist, the median nerve supplies the muscles at the base of the thumb that allow it to abduct, move away from the other four fingers, as well as move out of the plane of the palm. The carpal tunnel is located at the middle third of the base of the palm, bounded by the bony prominence of the scaphoid tubercle and trapezium at the base of the thumb, and the hamate hook that can be palpated along the axis of the ring finger. From the anatomical position, the carpal tunnel is bordered on the anterior surface by the transverse carpal ligament, also known as the flexor retinaculum. The flexor retinaculum is a strong, fibrous band that attaches to the pisiform and the hamulus of the hamate. The proximal boundary is the distal wrist skin crease, and the distal boundary is approximated by a line known as Kaplan's cardinal line. This line uses surface landmarks, and is drawn between the apex of the skin fold between the thumb and index finger to the palpated hamate hook.
where Ep is potential energy, q is the charge of the particle, and U is the electric potential difference (also known as voltage). When the charged particle is accelerated into time-of-flight tube (TOF tube or flight tube) by the voltage U, its potential energy is converted to kinetic energy. The kinetic energy of any mass is:
=== Demographics === The introduction of refrigeration and evolution of additional technologies drastically changed agriculture in the United States. During the beginning of the 20th century, farming was a common occupation and lifestyle for United States citizens, as most farmers actually lived on their farm. In 1935, there were 6.8 million farms in the United States and a population of 127 million. Yet, while the United States population has continued to climb, citizens pursuing agriculture continue to decline. Based on the 2007 US Census, less than one percent of a population of 310 million people claim farming as an occupation today. However, the increasing population has led to an increasing demand for agricultural products, which is met through a greater variety of crops, fertilizers, pesticides, and improved technology. Improved technology has decreased the risk and time involved for agricultural management and allows larger farms to increase their output per person to meet society's demand.
Sources: en.wikipedia.org
== Urine tests == Urine bilirubin may also be clinically significant. Bilirubin is not normally detectable in the urine of healthy people. If the blood level of conjugated bilirubin becomes elevated, e.g. due to liver disease, excess conjugated bilirubin is excreted in the urine, indicating a pathological process. Unconjugated bilirubin is not water-soluble and so is not excreted in the urine. Testing urine for both bilirubin and urobilinogen can help differentiate obstructive liver disease from other causes of jaundice. As with billirubin, under normal circumstances, only a very small amount of urobilinogen is excreted in the urine. If the liver's function is impaired or when biliary drainage is blocked, some of the conjugated bilirubin leaks out of the hepatocytes and appears in the urine, turning it dark amber. However, in disorders involving hemolytic anemia, an increased number of red blood cells are broken down, causing an increase in the amount of unconjugated bilirubin in the blood. Because the unconjugated bilirubin is not water-soluble, one will not see an increase in bilirubin in the urine. Because there is no problem with the liver or bile systems, this excess unconjugated bilirubin will go through all of the normal processing mechanisms that occur (e.g., conjugation, excretion in bile, metabolism to urobilinogen, reabsorption) and will show up as an increase of urobilinogen in the urine. This difference between increased urine bilirubin and increased urine urobilinogen helps to distinguish between various disorders in those systems.
In biochemistry, a metabolic pathway is a linked series of chemical reactions occurring within a cell. The reactants, products, and intermediates of an enzymatic reaction are known as metabolites, which are modified by a sequence of chemical reactions catalyzed by enzymes. In most cases of a metabolic pathway, the product of one enzyme acts as the substrate for the next. However, side products are considered waste and removed from the cell. Different metabolic pathways function in the position within a eukaryotic cell and the significance of the pathway in the given compartment of the cell. For instance, the electron transport chain and oxidative phosphorylation all take place in the mitochondrial membrane. In contrast, glycolysis, pentose phosphate pathway, and fatty acid biosynthesis all occur in the cytosol of a cell. There are two types of metabolic pathways that are characterized by their ability to either synthesize molecules with the utilization of energy (anabolic pathway), or break down complex molecules and release energy in the process (catabolic pathway). The two pathways complement each other in that the energy released from one is used up by the other. The degradative process of a catabolic pathway provides the energy required to conduct the biosynthesis of an anabolic pathway. In addition to the two distinct metabolic pathways is the amphibolic pathway, which can be either catabolic or anabolic based on the need for or the availability of energy.
==== Adverse effect ==== The common early side effects of SSRIs include nausea and loose stool, which can be solved by discontinuing the treatment. Headache, dizziness, insomnia are the common early side effects as well. Sexual dysfunction, anorgasmia, erectile dysfunction, and reduced libido are common adverse side effects of SSRIs. Sometimes they may persist after the cessation of treatment. Withdrawal symptoms like dizziness, headache and flu-like symptoms (fatigue/myalgia/loose stool) may occur if SSRI is stopped suddenly. The brain is incapable of upregulating the receptors to sufficient levels especially after discontinuation of the drugs with short half-life like paroxetine. Both fluoxetine and its active metabolite have a long half-life therefore it causes the least withdrawal symptoms.
=== Cardiovascular disease === Beyond diabetes, RAGE is crucial in cardiovascular disease pathogenesis, particularly atherosclerosis. Although RAGE is present in atherosclerotic plaques in both diabetic and non-diabetic patients, its expression is heightened in diabetic individuals. RAGE activation in smooth muscle cells, endothelial cells, and macrophages promotes atherosclerotic lesion development through mechanisms involving oxidative stress, inflammatory signaling, and immune cell recruitment. RAGE-mediated signaling exacerbates vascular inflammation, endothelial dysfunction, and plaque instability. Animal studies demonstrate that blocking RAGE in diabetic models can reduce lesion formation and improve vascular function, even without affecting blood glucose levels.
=== Other vertebrates === There is no credible evidence that the candiru, a South American parasitic catfish, can swim up a human urethra if one urinates in the water in which it lives. The sole documented case of such an incident, written in 1997, has been heavily criticized upon peer review, and this phenomenon is now largely considered a myth. The skin of a chameleon is not adapted solely for camouflage purposes, nor can a chameleon change its skin color to match any background. Chameleons usually change color for social signaling, based on their mood, and for heat regulation. The use in social signaling may be to display bright colors for only brief periods of time to avoid increased visibility to predators. Contrary to the allegorical story about the boiling frog, frogs die immediately when cast into boiling water, rather than leaping out; furthermore, frogs will attempt to escape cold water that is slowly heated before reaching their critical thermal maximum. The Pacific tree frog and the Baja California chorus frog are some of the only frog species that make a "ribbit" sound. The misconception that all frogs, or at least all those found in North America, make this sound comes from its extensive use in Hollywood films. The memory span of goldfish is much longer than just a few seconds. It is up to a few months long. Pacus, South American fish related to piranhas, do not attack or feed on human testicles.
Sources: en.wikipedia.org
Baeckeoffe, a potato stew from Alsace Beef bourguignon, a French dish of beef stewed in red burgundy wine Bigos, a traditional stew in Polish cuisine Birria, a traditional stew from Mexico Bo kho (Vietnamese: bò kho), a beef stew in rich seasonings, served with bread, noodle or plain rice from Vietnam Bollito misto, consisting of beef, veal, and pork simmered in an aromatic vegetable broth from Italy Booyah, an American meat stew Bosnian pot, a stew with beef or lamb which is a national dish in Bosnia and Herzegovina Bouillabaisse, a fish stew from Provence Brongkos, a spicy Javanese meat with beans stew from Indonesia, made of Pangium edule, coconut milk, and various spices Brunswick stew, from Virginia and the Carolinas Burgoo, a Kentuckian stew Brudet, fish stew from Dalmatia regions, known in Greece as bourdeto Caldeirada, a fish stew from Portugal Carbonade flamande (stoofvlees), a traditional Belgian beef and onion stew made with Belgian beer Cawl, a Welsh stew Chakapuli, a Georgian stew made with lamb chops, coriander and tarragon leaves, and white wine Chanakhi, a Georgian lamb stew with tomatoes, aubergines, potatoes, greens, and garlic Charquicán, a Chilean dish Chicken mull, whole chicken and seasonings Chicken paprikash, chicken stew with paprika Chili con carne, a meat and chili pepper stew originating in Texas Chilorio, a pork stew from Sinaloa, Mexico Cincinnati chili, developed by Macedonian immigrants from Greece immigrants in the Cincinnati area Cholent, a slow-cooked Jewish dish Chorba (also spelt "shorba"), a stew like soup dish found in various North African, Middle Eastern, Central Asian, South Asian, and European cuisines Cochinita pibil, an orange color pork stew from Yucatán Peninsula, Mexico Cocido, a traditional Spanish and Portuguese strew with many variants (madrileño, montañés, à portuguesa, etc.) Cotriade, a fish stew from Brittany Cream stew, a yōshoku Japanese white stew Crow stew, a sour cream-based stew made with crow meat, popular in the United States during the Great Depression Daal, the Indian legume stew that has many varieties, a staple food throughout Asia Dalma, a traditional dish of Odisha, India; contains pulses with vegetables Daube, a French stew made with cubed beef braised in wine, vegetables, garlic, and herbs Dinuguan, pork blood stew from the Philippines Eintopf, ('one pot') the German word for a stew: many different regional specialty recipes for Eintopf are known in Germany. For example, the Kassel area has a type called Lumben un Fleeh in the local dialect (Standard German: Lumpen und Flöhe – 'rags and fleas'), which is quite similar to Irish stew. There are thicker German stews such as Hasenpfeffer or Labskaus; these would not usually be considered an Eintopf, though the technical difference is minor (longer cooking times and fewer vegetables) Estofadong baboy, pork stew from the Philippines Ewedu, vegetable stew from Nigeria Fabada asturiana, an Asturian bean and meat stew Feijoada, Brazilian or Portuguese bean stew Fårikål, traditional Norwegian stew with lamb or mutton and white cabbage Főzelék, a thick Hungarian vegetable dish Gaisburger Marsch, a German dish of stewed beef served with Spätzle and potatoes Gheimeh, an Iranian stew with cubed lamb and yellow split peas Ghormeh sabzi, an Iranian stew with green herbs, dried limes, beans, and sheep meat Goulash, a Hungarian meat stew with paprika Gumbo, a Louisiana creole dish Hachee, a Dutch type of stew with wine or vinegar Haleem, an Indian-Pakistani lentil and beef stew Hasenpfeffer, a sour, marinated rabbit stew from Germany Hayashi rice, a Japanese dish of beef, onions and mushrooms in red wine and demi-glace sauce, served with rice Irish stew, made with lamb or mutton, potato, onion, and parsley Ishtu, a curry in Kerala, India made from chicken or mutton, potato, and coconut milk Istrian stew or yota, or jota, a dish popular in Croatian and Slovenian Istra and NE Italy I-tal stew, a Rastafarian vegan dish of mostly Caribbean root vegetables and spices Jjigae, a diverse range of Korean stews Kaldereta, a goat meat stew from the Philippines Kalops, a traditional Swedish beef stew, with onions and carrots, served with potatoes and pickled beets Kare-kare, stewed beef or oxtail and vegetables in peanut sauce from the Philippines Karelian hot pot, from the region of Karelia in eastern Finland Kharcho is a traditional Georgian soup containing beef, rice, cherry plum purée, and chopped walnuts Khash, a traditional Armenian/Azerbaijani dish of pig's or cow's feet Khoresht, a variety of Persian stews, often prepared with saffron Kokkinisto, Greek stew with red meat, in a tomato passata with shallots, cinnamon, and other spices Kuurdak, a type of stew from Central Asia Kuzhambu, (also called Pulusu or Saaru, depending on region) a range of stews from southern India based on tamarind broth and vegetables, meat or fish Lobscouse, a Norwegian stew with beef, potato, onion, and carrot Lancashire hotpot, an English stew Lecsó, a summertime favourite in Hungary, vegetable stew with bell pepper and tomato as main ingredients Linseneintopf ("lentil stew") Lobby, a stew from Staffordshire, England Locro, a stew (mainly in the Andes region) Machanka, a Belarus and Ukraine pork stew Matelote, a French fish stew made with freshwater fish, fish stock, and wine Mechado, a Philippine beef stew Moppelkotze Moqueca, a Brazilian stew with fish (or shrimp, crab, or other seafood) as its main ingredient Mućkalica, a Serbian stew Nihari, an Indian meat stew, usually made with goat, chicken, lamb and less commonly beef. It is made overnight and served for breakfast. Nikujaga, a Japanese beef and potato stew Oil down, national dish of Grenada, made of breadfruit, salted meat, chicken, dumplings, callaloo, coconut milk, and spices Olla podrida, a Spanish red bean stew Pašticada, a Croatian stew from the region of Dalmatia Peperonata, an Italian stew made with peppers Pepposo, a Tuscan beef stew Pescado blanco, a white fish stew from Pátzcuaro, Michoacán, Mexico Pichelsteiner a traditional German stew Pörkölt, a Hungarian meat stew resembling goulash, flavoured with paprika Potjiekos, a South African stew Pot-au-feu, a simple French beef stew Pozole, a Mexican stew or soup Puchero, a stew from Andalusia, Spain, also common in South America and the Philippines Ratatouille, a French vegetable stew Rendang, an Indonesian spicy beef stew Ragoût, a French stew Sāmbār, a lentil-based spiced vegetable stew, cooked with pigeon pea and tamarind broth in South Indian cuisine Sancocho, a stew from the Caribbean Scouse, a stew commonly eaten by sailors throughout Northern Europe, popular in seaports such as Liverpool Semur, a typical Indonesian stew with beef or chicken, potatoes, carrots, various spices, and kecap manis (sweet soy sauce) Stufato, an Italian stew Steckrübeneintopf (based on rutabaga) Slumgullion, a watery stew of meat and vegetables Tagine, a Moroccan stew, named after the conical pot in which it is traditionally cooked or served Tocană, a Romanian stew prepared with tomato, garlic, and sweet paprika Tharid, a traditional Arab stew of bread in broth Wat, an Ethiopian and Eritrean stew Waterzooi, a Belgian stew Yahni, a Greek (γιαχνί), Turkish, and Persian stew
== Lipid metabolism disorders == Lipid metabolism disorders (including inborn errors of lipid metabolism) are illnesses that disrupt normal processes in breaking down or synthesizing fats (or fat-like substances). Lipid metabolism disorders are associated with an increase in the concentrations of plasma lipids in the blood such as LDL cholesterol, VLDL, and triglycerides, which most commonly leads to cardiovascular diseases. Often these disorders are hereditary. Gaucher's disease (types I, II, and III), Niemann–Pick disease, Tay–Sachs disease, and Fabry's disease are all disorders of lipid metabolism. Rarer disorders of lipid metabolism include sitosterolemia, Wolman's disease, Refsum's disease, and cerebrotendinous xanthomatosis.
== 1960 attempted coup and disbandment == "It remained the elite force of the empire," notes historian Bahru Zewde, "until discredited in the wake of the attempted coup of 1960." That unsuccessful coup had been planned by its commander Brigadier-General Mengistu Neway, and his brother Germame Neway. In 1961, it numbered nine battalions; in 1969 some 7,000 men. In 1974, the Commander was Major-General Tafessa Lemma. The Kebur Zabagna was disbanded after the Derg consolidated their hold on Ethiopia. After the Imperial Bodyguard attempted to overthrow the Emperor in 1962 its most lethal element, the Berari Neber whose paratroopers had just completed training and received their wings from the Emperor a bare 2 months earlier were separated and attached to the regular army. The men selected out of the Berari-Nebir were responsible for the anti-hijack program. The Anti-Hijack program interdicted about 4 hijack attempts. In the most famous one of these was in 1972 when Wallelign Mekonnen with ELF (Eritrean Liberation Front) trained operatives led a 3 man 2 women cell in an abortive attempt to hijack an Ethiopian airlines Boeing 707. They reportedly smuggled 1 grenade and 1 handgun on the plane in the women's underpants. Ethiopian anti-Hijack commandos shot and killed two hijackers and the rest were killed by a bomb they set off.
Unlike soil, hydroponic nutrient solutions do not have cation-exchange capacity (CEC) from clay particles or organic matter. The absence of CEC and soil pores means the pH, oxygen saturation, and nutrient concentrations can change much more rapidly in hydroponic setups than is possible in soil. Selective absorption of nutrients by plants often imbalances the amount of counterions in solution. This imbalance can rapidly affect solution pH and the ability of plants to absorb nutrients of similar ionic charge (see article membrane potential). For instance, nitrate anions are often consumed rapidly by plants to form proteins, leaving an excess of cations in solution. This cation imbalance can lead to deficiency symptoms in other cation based nutrients (e.g. Mg2+) even when an ideal quantity of those nutrients are dissolved in the solution. Depending on the pH or on the presence of water contaminants, nutrients such as iron can precipitate from the solution and become unavailable to plants. Routine adjustments to pH, buffering the solution, or the use of chelating agents is often necessary. Unlike soil types, which can vary greatly in their composition, hydroponic solutions are often standardized and require routine maintenance for plant cultivation. Under controlled laboratory conditions hydroponic solutions are periodically pH adjusted to near neutral (pH 6.0) and are aerated with oxygen.
Sources: en.wikipedia.org
NAD+ is a coenzyme found in all living cells. It carries electrons in metabolic reactions and also serves as a substrate for enzymes involved in signaling and DNA repair. Its oxidized and reduced forms are central to energy metabolism.
NAD+ is the oxidized form and NADH is the reduced form. The pair accepts and donates electrons in redox reactions. Their ratio helps indicate the metabolic state of a cell or compartment.
No. Nicotinamide mononucleotide (NMN) and nicotinamide riboside (NR) are precursors that cells can convert into NAD+. They are distinct molecules with different absorption and metabolism profiles.
It indicates the oxidized form, which has a positive charge on the nicotinamide nitrogen. The reduced partner NADH lacks that charge and carries added electrons. The plus sign is part of the standard abbreviation, not a separate ion.