NAD+ (nicotinamide adenine dinucleotide) is an essential coenzyme present in all living cells that facilitates crucial biological processes by transferring electrons in redox reactions. It plays a central role in cellular energy production by aiding in the conversion of nutrients into ATP through cellular respiration, particularly in the electron transport chain. Additionally, NAD+ is involved in DNA repair and maintenance, supporting the activity of enzymes responsible for repairing damaged DNA and responding to cellular stress. It also activates sirtuins, a group of proteins that regulate aging, metabolism, and cellular stress responses. Furthermore, NAD+ influences various metabolic pathways and contributes to the regulation of circadian rhythms, immune function, and neuroprotection, highlighting its importance in maintaining overall cellular health and longevity.