What does NAD mean in medical terms?
30 May 2025

In this article, we’ll explain what NAD means in medical terms and why it might appear on your medical records or notes. We’ll also look at what NAD stands for in a different context, nicotinamide adenine dinucleotide, and why this molecule plays an important role in the body. Understanding both meanings can help you feel more confident when discussing your health with a doctor or reading through medical information.
Key Takeaways
Here are the five biggest takeaways from this article about NAD and its meaning in medical terms:
In medical records, NAD usually means "nothing abnormal detected" or “no acute distress”.
NAD+ is a crucial molecule found in all living cells. It plays a key role in energy production and overall cell health.
NAD helps repair damaged DNA and keeps cells functioning properly. This supports the body’s natural ability to age healthily and may reduce the risk of age-related problems.
NAD supports brain clarity, memory, and focus. It also helps the body process nutrients efficiently and maintain a strong immune system.
Ageing naturally reduces NAD levels, but they may be boosted through a balanced diet, certain lifestyle habits, or through supplements such as NAD+ injections, like those offered by Vivere.
What does NAD mean in medical terms?
In a medical setting, NAD most commonly stands for “nothing abnormal detected” or “no abnormality detected”. It’s a term used by doctors and other healthcare professionals to indicate that an examination or test has shown no signs of concern. For example, if your notes say “chest – NAD”, it means that the examination of your chest appeared normal.
In urgent care or A&E, NAD can also be used to mean “no acute distress”. This suggests that the person being assessed does not appear to be in serious pain or immediate discomfort at the time of examination.
You may also come across a different use of NAD, often referred to as NAD+, especially in the context of health and wellness. In this case, NAD+ refers to a molecule found in all living cells that plays an essential role in energy production and overall cell health [1]. This is the type of NAD that is available from Vivere.
The importance of NAD in the body
NAD is essential for many processes that keep the body functioning well [2]. It plays a major role in how cells produce energy, repair themselves and maintain normal brain and body functions [3]. Here’s how NAD supports various aspects of our health.
Production of energy
NAD helps convert the food we eat into energy that our cells can use. This process is vital for everything from movement to thinking. Without enough NAD, the body may struggle to keep up with daily demands, which can lead to tiredness and issues with energy levels.
Repairing cells and maintaining DNA to promote healthy ageing
Every day, our cells experience wear and tear. NAD helps support the body’s natural repair processes by aiding DNA repair and keeping cells functioning properly. This can help reduce the effects of ageing and protect against age-related conditions.
Supporting brain function and cognition
NAD plays a key role in brain health by helping nerve cells communicate and produce energy. It supports memory, focus and mental clarity. Low levels of NAD have been linked to brain fog, memory problems and slower thinking, particularly in older adults.
Supporting the immune system
By helping cells stay healthy and energised, NAD also plays a role in keeping the immune system strong. A healthy immune system is better able to respond to illness, recover from infections and protect the body from disease.
Supporting healthy metabolism
NAD is involved in how the body processes nutrients like fats and sugars. It helps regulate metabolism, which affects things like weight, energy balance and blood sugar levels. Maintaining good NAD levels can support overall metabolic health.
Supporting healthy ageing
As we age, NAD levels naturally decline. This can slow down important processes in the body, contributing to tiredness, slower metabolism and signs of ageing. Supporting NAD levels, either naturally or through supplements, may help promote better long-term health and more graceful ageing.
Final Thoughts
NAD is a term with more than one meaning in the world of healthcare. In everyday medical notes, it usually stands for “nothing abnormal detected” or “no acute distress”, both of which are used to reassure that no immediate concerns were found during an examination.
However, NAD+ also refers to a vital molecule in the body that plays a central role in energy production, cell repair, brain function, metabolism and immune health. As we get older, NAD+ levels naturally decline, which can affect how our bodies work and how we feel. Understanding the different meanings of NAD can help you feel more informed when looking after your own health or discussing treatment options with a healthcare professional.
Vivere helps you take control of your health with personalised insights from state-of-the-art gut microbiome testing, nutritional guidance, science-backed supplements and expert support. Sign up today and start living better, for longer.
Sources
[1] What is NAD⁺? | Nicotinamide Adenine Dinucleotide
[2] NAD+ metabolism and its roles in cellular processes during ageing - PMC
Author

Scott Weaver
Medical Content Writer
Medical Reviewer

Yusra Serdaroglu Aydin
Head of Nutrition and Registered Dietitian
Yusra is a registered dietitian with a multidisciplinary background in nutrition, food engineering, and culinary arts. She has a strong foundation in personalised nutrition, microbiome research, and food innovation. At Vivere, she leads the development and continuous improvement of nutrition-focused products and services. Her work involves aligning scientific research with product strategy, enhancing user experience, and supporting cross-functional collaboration. With experience in business development and training, she brings a practical, science-based approach to creating effective, health-oriented solutions.