Compound comparison

Epithalon vs NAD+

Epithalon and NAD+ are both discussed in longevity research, through telomerase and sirtuins respectively.

Updated September 2026
This page is an educational comparison, not medical advice, and it does not recommend either compound. Regulatory status differs between them; see the table below.

Epithalon and NAD+ are compared because both are popular in longevity discussions, though they are different kinds of molecule. Epithalon, also spelled Epitalon, is a synthetic four-amino-acid peptide based on epithalamin from the pineal gland. NAD+ is an essential coenzyme, not a peptide, involved in cellular energy production and DNA repair. Neither is FDA-approved.

At a glance

EpithalonNAD+
What it isSynthetic tetrapeptide (Ala-Glu-Asp-Gly) based on epithalamin from the pineal gland, studied in longevity researchEssential coenzyme (not a peptide) involved in cellular energy production and DNA repair, made by the body from dietary precursors
How it's thought to workReported to activate telomerase and to normalize melatonin secretion and circadian rhythmCofactor for sirtuins (SIRT1 to SIRT7), proteins involved in DNA repair and energy metabolism; levels are described as declining with age
Regulatory statusNot FDA-approvedInjectable NAD+ is not an FDA-approved treatment
Strength of evidenceMostly Russian laboratory and animal studies; longevity claims go beyond the human evidenceAging research is mostly in animals and labs; a small 2019 human pilot study measured how infused NAD+ is processed
Reported side effectsMinimal; possible injection site irritation. Long-term human safety, including telomerase-related risk, is not well characterizedFlushing (warmth and discomfort) that typically passes within 15 to 30 minutes; nausea
Common vial sizes10mg, 50mg, 100mg100mg, 500mg, 1000mg
Mixing math example10 mg + 2 mL BAC water = 5,000 mcg/mL, 50 mcg per unit500 mg + 5 mL BAC water = 100,000 mcg/mL, 1 mg per unit

Key differences

Epithalon is reported to activate telomerase, an enzyme that maintains the protective caps on chromosomes, and to normalize melatonin secretion and circadian rhythm. NAD+ acts as a cofactor for sirtuins, proteins involved in DNA repair, mitochondrial function and energy metabolism.

Epithalon is a synthetic peptide. NAD+ is made by the body from dietary precursors, and its levels are described as declining with age.

Epithalon's reported side effects are minimal, with possible injection site irritation; long-term human safety, including any risk related to telomerase activation, is not well characterized. NAD+ is associated with flushing that typically passes within 15 to 30 minutes, and nausea.

What the research covers

Epithalon's research is mostly Russian laboratory and animal work reporting telomerase activation and lifespan effects, and its longevity claims go beyond the human evidence. NAD+ aging research is also mostly in laboratory and animal models, with a small 2019 human pilot study of how infused NAD+ is processed.

Sources

  1. Effect of Epitalon on biomarkers of aging, life span and spontaneous tumor incidence in female Swiss-derived SHR mice. Anisimov VN et al. Biogerontology, 2003. Preclinical
  2. Peptide promotes overcoming of the division limit in human somatic cells. Khavinson VKh et al. Bulletin of Experimental Biology and Medicine, 2004. Preclinical
  3. A Pilot Study Investigating Changes in the Human Plasma and Urine NAD+ Metabolome During a 6 Hour Intravenous Infusion of NAD+. Grant R et al. Frontiers in Aging Neuroscience, 2019. Human trial
  4. NAD+ in aging, metabolism, and neurodegeneration. Verdin E et al. Science, 2015. Review

How we choose and check sources

Frequently asked questions

What is the difference between epithalon and NAD+?

Epithalon is a synthetic tetrapeptide reported to activate telomerase. NAD+ is a coenzyme that acts as a cofactor for sirtuins.

Is epithalon or NAD+ FDA-approved?

Neither is an FDA-approved treatment. Epithalon is not FDA-approved, and injectable NAD+ is not an FDA-approved treatment.

Is there human evidence that epithalon or NAD+ extends lifespan?

No. Lifespan findings for epithalon come from laboratory and animal studies, and most NAD+ aging research is also preclinical.

Is epitalon the same as epithalon?

Yes. Epitalon and epithalon are two spellings of the same peptide.

Both entries, plus the calculator

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