review in cutaneous and ocular toxicology. It looked at how aging skin changes across its different layers. Because the key thing to understand is that aging skin doesn't just look older. It's actually legit structurally weaker and metabolically older and slower. One of the first major changes is something that's called a flattened dermal epidermal junction. This is the interface that's between the outermost skin layer and the deeper supportive layer. So when this flattens, skin actually becomes more fragile and literally nutrient delivery becomes less efficient. So right away we see a huge loss of structural support and a loss of metabolic communication. That's why we're seeing like more mitochondrial focus on the skin. Okay? Because once this starts, we see reduced collagen and then we have less like elastin synthesis and we lose that flexibility. And these are the proteins that are really giving the skin its firmness. So when their production is going down there, your skin is basically less resilient. You're going to be more prone to wrinkling. So then like sun exposure is going to make you wrinkle more than it used to. And then of course we get to the actual thinning of the skin itself. This is happening because we have what are called caratinosytes and they go through turnover. So as we age that turnover slows down, meaning new skin cells are produced a lot more slowly just like a lot of cells in our body. But at the same time melanocy activity is decreasing. So then we're getting like uneven pigmentation and that like weird complexion or like I used to look so vibrant, now I have age spots where now I'm kind of gray looking. So across every layer of the skin, the same theme is emerging. Less renewal, you have less structure and less overall mitochondrial and metabolic activity. Very similar kind of thing happening with the hair because hair follicles are naturally among the most metabolically active structures in the entire body. That's why they're so sensitive to DHT, to hormones, and like they require constant energy supply. They have a lot of cell division. DNA repair that's required. They're tightly regulated when it comes to inflammation. That's why when we get stressed, we can lose hair. So, just to maintain normal growth, it's a lot of energy. And as we age, a bunch of things happen simultaneously. We get follicular stem cell activity that goes down. Then, we have a uh a decrease in pigment production and the whole like hair growth cycle shifts. So, it leads to thinning. So you have like slower regrowth and eventually you also have graying which kind of works on a different axis. So just like the skin, hair aging isn't really random. It's the result of declining mitochondrial energy and just cellular energy in the first place and the ability to regenerate which brings us to the molecule that sits kind of underneath all of this. People think NAD is just like a fancy supplement that's being sold. I'm not even talking about NAD from a supplement form. We're talking about just flat out NAD as a literal metabolic co-actor required for energy production. Like we would be dead within 15 seconds if we didn't have NAD. So it's required for enzymes when all kinds of different longevity pathways and DNA repair. So to put it simply, NAD nicotenomide adinide ducleotide is one of the most fundamental currencies of cellular metabolism. And the problem is that NAD goes down as we age. It also declines really fast with chronic inflammation and with metabolic dysfunction. So the more metabolically unhealthy you are and inflamed you are, it goes down really fast. And this decline affects all tissues and all cells, but it hits metabolically active tissues the hardest. So that means our skin cells and our hair follicles, which also happens to be on the surface and what we see. So when NAD is dropping, these tissues lose their energy availability and DNA repair capacity and they lose sort of inflammatory control. This means that the very systems that are required for youthful looks are the first to degrade. That's why it's the first sign of poor health. This is kind of interesting is where NMN, nicotanomide monucleotide, comes in because it's kind of interesting. NMN is upstream of NAD. It's a direct precursor in the NAD salvage pathway. It means that NMN itself is not the active molecule because it doesn't directly create the NAD, the energy. It doesn't directly repair DNA. its role is kind of logistical. It feeds into the supply chain that eventually becomes NAD. So technically speaking, this nicotenomide monucleotide is not for hair or for skin. It's for the body because it supports the cellular environment that allows these tissues to function properly. Which brings us into like the deeper longevity mechanisms which I'm a nerd about because the real story happens at three different levels. We have the mitochondria, we have inflammation, we have DNA repair. We have the stem cell side too, but that's a little bit separate. The mitochondria are responsible for producing like the energy that's required for this repair, right? For DNA repair, for protein synthesis, for cellular renewal, and again in the skin and hair follicules, the energy is needed for all kinds of things, for structural maintenance, for this constant cellular turnover, lots of energy demand. There was a study that was published in the journal of investigative dermatology. It looked at mitochondrial electron transport chain activity literally in human skin cells. They essentially found that complex 2 activity in the mitochondria significantly decreased with age. So essentially the mitochondria was not functioning as well. And this decline was linked to reduced expression of its catalytic subunits. So what's called SDHA and SDHB. And if you want that in human terms, basically complex 2 is part of the electron transport chain where we actually turn an electron into energy. So when its activity uh when this activity declines, electron flow is much less efficient. So that leads us to two really major things. For one, we have less ATP energy production, but we also have more oxidative stress. Less energy and more exhaust. That sounds terrible. That's like the worst, right? So now you have less energy for repair and renewal and more damage occurring. It's a perfect recipe for aging. You can't even repair from your own metabolic waste. This is where the research on NMN nicotanomide monucleotide actually gets really interesting because there was a study in the journal of the international society of sports nutrition. So uh ISSM this looked at whether NMN improves aerobic capacity and oxygen utilization in humans. Sounds interesting like what does that have to do with this? But we'll get there. They took 48 runners and they put them into either low, medium or highdose NMN versus placebo for 6 weeks. They found that NMN increased ventilary threshold and oxygen utilization but not V2 max which tells us something. It suggests that NMN didn't really make them stronger but it made them more metabolically efficient. This is important. Mitochondria were using oxygen more effectively. And now while this study is muscle tissue, muscle depends heavily on oxidative phosphorilation. So improvements in metabolic efficiency can suggest that improved mitochondrial respiratory capacity had occurred as well which matters a ton for skin and hair because those tissues live and die by mitochondrial performance. So what this is telling us is that there's a lot of interesting correlation between enamin NAD mitochondria and the hair and skin. Like for some reason we think hair and skin is on this different axis than metabolic health. It's just DNA telomeirs. That's it. No, it's metabolic. Now, in a minute, I'm going to go through like some diet strategies, some actually some fasting strategies. There's some things that you can do to increase enamin. I also put a link down
the other piece of this is the inflammation piece and DNA repair and how that dovetales together. Chronic low-grade inflammation is probably the central driver of aging because it's metabolically damaging and it's of course damaging all kinds of other things. Skin is constantly exposed to pollution. We have UV radiation coming at all angles. We have oxidative stress. We have phthalates. We have bisphenol A. We have all kinds of things we're exposed to. So skin has to like deal with this stuff all the time, constantly regenerating. And then hair follicles are also just undergoing constant cycles of proliferation. And both processes for both hair and skin require massive DNA repair capacity. Okay? And NAD once again is required for both of these. There was a study in nature cell biology that looked at how NAD metabolism influences cellular scinessence. They found that scinesscent cells exhibited reduced NAD levels and increased inflammatory cytoine secretion. A scesscent cell is basically a zombie cell. It's like a proxy cell that is made to sort of do mundane tasks in the body so that the other cells can do their normal thing. But when you have dysfunctional cells that go through scinessence, then you end up with a problem. like rogue zombie cells that are actually causing more damage than anything else. And when NAD is depleted, you have something that's called SASP. Okay, the scinessence associated secrettory phenotype. Okay, this is basically a chronic inflammatory state that's caused by these zombie cells. When they restored NAD levels, the inflammatory gene expression dropped and inflammation went down. So, low NAD leads to more inflammation and faster tissue aging. Now, shifting slightly to DNA repair because there's nuance here. A review in molecular metabolism looked at how NAD regulates the DNA repair pathways. Okay, this is important for hair, skin, and anything really. There is a family of enzymes, okay? They're known as polymerases, P A RPS or poly ADP ribos, okay? Was called PARPS for short. So, PARPS require NAD to repair DNA damage, particularly damage caused by UV exposure and oxidative stress. What does that sound like? Skin, right? Oxidative stress and UV exposure. So, when NAD is low, DNA repair becomes very incomplete. So you have lot more damage building over time, especially relevant for skin because the skin is absorbing more DNA damage than pretty much any other tissue in the body. So the main thing here is that chronic inflammation consumes your NAD. And then not only is your NAD unavailable for skin and hair, but it's also unavailable for regular just cellular machinery. So even if you supplement NMN, it's going to be burned up faster in a high stress environment. So I'm a huge fan of supplementing NMN. think it's great, but you also need to change your lifestyle. Reducing the inflammation is going to slow down the NAD depletion. So, this means that sleep, diet, oxidative stress, all these things determine whether NAD repletion even works. Now, we zoom out even further because long-term hair and skin quality depends on stem cells, which gets a little more complicated, but stem cells determine whether tissues can renew themselves over decades or not. Stem cells are like the catalyst in hair follicles. Stem cells control cycling and pigmentation. In skin, we have what are called epidermal stem cells and these maintain thickness and barrier function. So these stem cells are very active in these like high turnover tissues and cells. There was a study in science that looked at whether restoring NAD levels in aged mice actually improve stem cell function. And they found that aging was associated once again with lower NAD impaired mitochondrial function and reduced stem cell activity. But when they restored NAD, mitochondrial function improved and they also saw that stem cell self-renewal increased and ultimately all these other like aging markers improved. But probably the most important thing for you, they saw that tissue maintenance improved across multiple organs. Now this makes sense because stem cells require energy. All of which depends on NAD. So when NAD goes down, stem cells burn out faster. So when NAD declines, This is going to lead to thinner hair. You're going to have slower regrowth. grayer hair. You're more fragile skin. So, at the end of the day, high inflammation, poor sleep, oxy stress are also exhausting stem cells faster. And this like none of this is super new, but we're just learning that NMN can help us with this. Stem cells also need rest periods. So, you got to have consistent sleep. You got to, you know, do all the things like excess stimulant utilization also kind of degrades how stem cells function. Under fueling matters. If people fast too much or overtrain too much, this is signaling scarcity. And scarcity is prioritizing survival over regeneration. Period. So if you fast too much, you train too hard, your body says, "Okay, we got to survive. " So long-term regeneration requires enough energy. And if that's being put in different places, then it's a problem. So the real takeaway from this is that hair and skin are not service level problems. They are metabolic problems and they are energy problems. Okay? They're driven by energy decline, mitochondrial decline, inflammation, DNA repair failure, exhausted stem cells, all as a result of low energy availability. And you don't just make more NAD. You either increase production or you reduce how fast you burn it. Most people are only focused on