Although NMN has shown postive effects in clinical trials to date, there may be potential drawbacks in particular contexts. NMN’s interactions in neurological health warrant further investigation. NAD+ is also a cofactor for the enzyme sterile alpha and Toll/interleukin-1 receptor motif-containing 1 (SARM1), an enzyme that instigates neuronal degeneration after injury.[1] In people with neurological disorders and reduced activity of a specifc enzyme that converts NMN to NAD+ (nicotinamide mononucleotide adenylyltransferase 2, or NMNAT2), NMN supplementation could theoretically enhance neuron degeneration by increasing SARM1 activity.[2] However, in the context of healthy NMNAT2 enzyme activity, NMN supplementation could potentially be neuroprotective[3] Although more research is needed, it is safe to assume that NMN supplementation could have potential drawbacks in certain contexts, which warrants further study.