Understanding the Ingredients in Basis
Elysium Health's Basis supplement combines two primary ingredients designed to boost cellular NAD+ levels: Nicotinamide Riboside (NR) and Pterostilbene (PT). Understanding the individual side effect profiles of these two compounds is key to assessing the overall safety of Basis. NR is a form of vitamin B3 and an efficient precursor to NAD+, while PT is a powerful polyphenol and antioxidant found in blueberries.
Mild and Common Side Effects
According to clinical studies and user reports, the side effects associated with Basis are typically mild and not widespread. The most common issues are usually gastrointestinal in nature. During one trial, the only non-serious adverse event linked to Basis was mild diarrhea, and this was only reported in participants taking a double dose. Mild digestive complaints such as nausea, bloating, and stomach discomfort are also occasionally reported by users of NAD+ precursors like NR. These symptoms often subside as the body adjusts to the supplement.
Potential Side Effects of Nicotinamide Riboside (NR)
- Gastrointestinal Issues: Mild digestive upset, including nausea, bloating, and stomach pain, is the most frequently cited side effect.
- Headaches and Fatigue: Some users have reported experiencing headaches or unusual fatigue, though these effects are usually temporary.
- Skin Reactions: Mild skin irritation, itching, or excessive sweating have been reported, although flushing is less common with NR than with other forms of vitamin B3.
Potential Side Effects of Pterostilbene (PT)
- Increased LDL Cholesterol: A human clinical trial on pterostilbene found it may increase LDL (“bad”) cholesterol levels, particularly at higher doses. This risk may be mitigated by taking it with a grape extract.
- Increased Appetite: Some participants in a study reported an increase in appetite when taking pterostilbene.
- Muscle Pain: Mild muscle pain was also noted in a clinical trial involving pterostilbene.
Important Drug Interactions
Both NR and PT can potentially interact with other medications, making it crucial to consult a healthcare provider before starting Basis, especially if you have pre-existing health conditions.
Interactions with Blood Pressure Medications
NR can affect how the body regulates blood pressure, and when combined with antihypertensive drugs, it could cause blood pressure to drop too low, resulting in dangerous hypotension. This is a particular risk for older adults or those already on blood pressure medication.
Cholesterol and Other Conditions
Since pterostilbene has been shown to potentially increase LDL cholesterol, those taking cholesterol-controlling medications should be monitored closely. Furthermore, individuals with pre-existing liver conditions, metabolic disorders, or a history of cancer should exercise caution with NAD+ boosters.
Comparison of Potential Side Effects: Basis Ingredients vs. Other Supplements
| Potential Side Effect | Basis (NR & PT) | Niacin (Vitamin B3) | Resveratrol | 
|---|---|---|---|
| Flushing | Very rare with NR. | Common and can be severe at doses over 50 mg. | Not common with standard doses. | 
| Gastrointestinal Distress | Mild nausea, bloating, or diarrhea possible. | High doses can cause nausea, vomiting, and diarrhea. | Mild upset stomach reported in some cases. | 
| Elevated Liver Enzymes | Reported in some NAD+ supplement users. | Can cause liver toxicity at high doses. | Some concerns at very high doses in animal studies. | 
| Increased LDL Cholesterol | Some risk from pterostilbene, potentially mitigated by grape extract. | Not typically associated with increased LDL. | No common reports of increased LDL. | 
| Blood Pressure Effects | NR may cause blood pressure to drop, especially with medication. | High doses can cause hypotension. | No known significant effects on blood pressure. | 
| Long-term Safety Data | Clinical trials are limited in duration, so long-term effects are still under investigation. | Long-term data exists, but high-dose safety is a concern. | Limited human data, mostly based on shorter studies. | 
What to Do If You Experience Side Effects
- Stop Use: If you experience any persistent or concerning symptoms, the first step is to discontinue the supplement.
- Contact Your Doctor: Mild, temporary symptoms may resolve on their own. However, if symptoms last for more than a few days, or if they are severe, consult your healthcare provider.
- Watch for Severe Symptoms: Seek immediate medical attention if you experience severe symptoms, such as significant changes in heart rate, swelling, difficulty breathing, or signs of liver problems like yellowing skin or dark urine.
- Consider Dosage: Starting with a lower dose and taking the supplement with food may help to minimize gastrointestinal discomfort.
Conclusion: A Balanced Perspective on Basis Safety
While Elysium Health’s Basis has been shown to be safe and effective at boosting NAD+ levels in human clinical trials, it is not without potential side effects. The side effect profile is primarily tied to its ingredients, Nicotinamide Riboside and Pterostilbene, with most adverse reactions being mild and gastrointestinal in nature. More serious risks, such as potential drug interactions and effects on cholesterol, warrant caution, especially for individuals with underlying health issues. Anyone considering Basis should consult a doctor, particularly if they are taking other medications or have a history of cancer, liver, or metabolic conditions. Monitoring your body's response and being aware of the red flags for more serious complications are crucial steps for safe supplementation.
Authoritative Source
For additional scientific context on the ingredients, the National Institutes of Health (NIH) provides extensive research databases on substances like nicotinamide riboside and pterostilbene. For Elysium's own clinical trial data, see their site.
https://www.elysiumhealth.com/pages/science-behind-basis
References
- Elysium Health. The Science Behind Basis. https://www.elysiumhealth.com/pages/science-behind-basis
- WebMD. Nicotinamide Riboside – Uses, Side Effects, and More. https://www.webmd.com/vitamins/ai/ingredientmono-1560/nicotinamide-riboside
- Goldman Laboratories. NAD Supplement Side Effects: Warning Signs You Shouldn't Ignore. https://goldmanlaboratories.com/blogs/blog/nad-supplement-side-effects
- National Institutes of Health (NIH). Analysis of Safety from a Human Clinical Trial with Pterostilbene. https://pmc.ncbi.nlm.nih.gov/articles/PMC3575612/
- Lifespan.io. Pterostilbene: Benefits, Side Effects, and Research. https://www.lifespan.io/topic/pterostilbene-benefits-side-effects/
- Vitality Pro. What is Pterostilbene? Benefits, Dosage, and Risks. https://vitality-pro.com/pterostilbene/benefits-dosage-side-effects-pte/
- Taylor & Francis Online. Full article: ALSUntangled 42: Elysium health’s “basis”. https://www.tandfonline.com/doi/full/10.1080/21678421.2017.1373978