Physician Formulated Ophthalmic Complex

INTESSA™

NMN Eye Health Formula

Developed by Dr. Anthony Curreri, MD — a board-certified ophthalmologist — for patients who deserve every evidence-supported tool available for their eyes.

500mgNMN per capsule
5Active mechanisms
3Active clinical trials
30Day supply
Physician Formulated
500mg NMN
Lutein and zeaxanthin
GMP Certified
FDA Registered Facility
100% Vegan
Intessa Ophthalmic Complex — physician formulated NMN eye health supplement, 30 capsules

The Formula

Five mechanisms.
One daily capsule.

Intessa was formulated to address every major pathway implicated in age-related ocular disease — in a single, bioavailable capsule you take once a day.

NMN (Nicotinamide Mononucleotide)500mg
Lutein (from Marigold)10mg
Zeaxanthin (from Marigold)2mg
Vitamin B6 (P5P) + B12 (Methylcobalamin)10mg + 1,000mcg
Black Pepper Extract (95% Piperine)10mg
Buy Now Learn More About the Formula

Why Intessa

Targeting the mechanisms
that matter most

01

NAD+ Replenishment

NAD+ declines 40–50% by age 60. Retinal ganglion cells and photoreceptors have the highest NAD+ demand of any tissue. 500mg NMN bypasses the rate-limiting NAMPT enzyme to restore NAD+ directly.

02

Macular Protection

Lutein 10mg and Zeaxanthin 2mg — the exact doses from the landmark AREDS2 trial — concentrate in the macula to filter blue light and neutralise reactive oxygen species in the photoreceptors.

03

Optic Nerve Support

Pyridoxal-5-Phosphate and Methylcobalamin in their bioactive forms support one-carbon metabolism and optic nerve axon integrity — validated by the Karolinska Institute's 2025 glaucoma research.

04

Activated Absorption

95% Piperine extract inhibits intestinal enzymes and P-glycoprotein efflux, increasing absorption of every co-ingredient by up to 30–60%. Every dose delivers its full clinical value.

05

Physician Formulated

Designed by Dr. Anthony Curreri, MD — a board-certified ophthalmologist. Not a general wellness supplement. Formulated specifically for the metabolic vulnerabilities that drive ocular ageing.

06

One Daily Capsule

Five mechanisms. One capsule. Patients buying equivalent coverage separately would need three or more products. Intessa delivers everything together, once a day.

The Physician Behind the Formula

Dr. Anthony
Curreri, MD

Board-Certified Ophthalmologist · New York City

Board-Certified Ophthalmologist
Specialising in glaucoma and retinal disease
161 East 32nd Street, New York, NY 10016

Dr. Curreri has spent his career studying the metabolic vulnerabilities that make the ageing eye susceptible to glaucoma and macular degeneration. What he found in the published literature — and what he saw in his own patients — led him to formulate Intessa.

"The research is clear. Your eyes need NAD+. I formulated Intessa to deliver it."

The Research

The science behind
the formula

Intessa draws on three bodies of published research: NAD+ and the metabolism of the ageing retina and optic nerve, the National Eye Institute's AREDS studies on macular carotenoids, and B-vitamin metabolism in the optic nerve. Each study below is summarised in plain language, with exactly what was tested and in whom.

NAD+ and the ageing retina

The retina is one of the most energy-hungry tissues in the body. These studies examine what happens to it when NAD+ runs low.

Lab study, mice2016

Cell Reports

NAD+ production is essential for vision in mice

Knocking out NAMPT, the enzyme that drives the main NAD+ recycling pathway, in rods or cones caused retinal degeneration. NMN restored vision in both models. Low retinal NAD+ also appeared early in mouse models of light damage, diabetic retinopathy and age-related decline.

Tested: NMN in genetically modified mice

Lin et al., Washington UniversityView study

Lab study, mice2017

Science

Vitamin B3 protected ageing mice from glaucoma

Retinal NAD+ fell with age in glaucoma-prone mice, leaving retinal ganglion cells vulnerable to pressure-related stress. Oral nicotinamide was protective, and at the highest dose 93% of treated eyes did not develop glaucoma. This paper established glaucoma as a metabolic, NAD+-sensitive disease.

Tested: Nicotinamide (vitamin B3) in drinking water, DBA/2J mice

Williams et al., The Jackson LaboratoryView study

Harvard Medical School

David Sinclair and the biology of ageing

Dr. David Sinclair's lab at Harvard's Paul F. Glenn Center for Biology of Aging Research has spent two decades studying why cells lose function with age. Two threads of that work reach the eye: NAD+ decline, and loss of epigenetic information. His lab has used the eye as a model for testing whether ageing can be reversed.

Dr. Sinclair is not affiliated with Intessa Health and has not reviewed or endorsed this product. His research is cited here for its scientific relevance only.

2013

Cell

Falling NAD+ disrupts mitochondrial communication with age

In ageing mice, declining NAD+ broke down signalling between the nucleus and mitochondria. One week of NMN restored markers of mitochondrial function in the muscle of old mice. Gomes et al. View study

2020

Aging

NMN protects photoreceptors in retinal detachment

Co-authored with Massachusetts Eye and Ear. NMN raised retinal NAD+ and reduced photoreceptor loss in mice. Chen et al. View study

2020

Nature

Restoring youthful epigenetic information restored vision in mice

Using gene therapy to switch on three genes (OSK) in retinal ganglion cells, the lab regenerated damaged optic nerves and reversed vision loss in a mouse glaucoma model and in old mice. This is gene therapy, not a nutrient, and is a separate mechanism from NAD+. Lu et al. View study

2026

First-in-human trial

ER-100 enters human testing for glaucoma and NAION

Life Biosciences, which Dr. Sinclair co-founded, dosed its first patient in June 2026 with ER-100, a therapy built on the 2020 Nature work. The Phase 1 trial is assessing safety in open-angle glaucoma and NAION. NCT07290244

NAD+ precursors in people with glaucoma

Small, short-term randomised trials. Both used high-dose nicotinamide rather than NMN, alongside patients' usual pressure-lowering treatment.

Human RCT2020

Clinical & Experimental Ophthalmology

Nicotinamide improved inner retinal function in glaucoma

In a crossover trial of patients with open-angle glaucoma, nicotinamide produced a small but statistically significant improvement in inner retinal function measured by electroretinography. Researchers noted that roughly a quarter of participants showed a substantial improvement.

Tested: Nicotinamide 1.5 g then 3 g daily vs placebo, 12-week periods

Hui et al., Centre for Eye Research AustraliaView study

Human RCT, Phase 22022

JAMA Ophthalmology

Nicotinamide and pyruvate improved short-term visual field results

In 32 patients with treated open-angle glaucoma, more visual field test locations improved in the treatment group than on placebo over a median of about two months. The combination was well tolerated.

Tested: Nicotinamide plus pyruvate vs placebo, alongside usual therapy

De Moraes et al., Columbia UniversityView study

Clinical guidance2025

Ophthalmology Glaucoma

AGS and AAO joint statement on nicotinamide

The American Glaucoma Society and American Academy of Ophthalmology called nicotinamide promising but not approved for glaucoma. They recommend doses of 3 g a day or more only within monitored trials because of rare liver injury, and advise liver testing for lower doses.

Why it matters: Intessa contains no nicotinamide; it uses 500 mg NMN

Shukla et al., AGS / AAOView statement

The AREDS legacy

Three decades of National Eye Institute research that made nutrition part of standard macular care.

2001

AREDS

3,640 participants followed for about six years. In people at high risk, high-dose vitamins C and E, beta-carotene, zinc and copper lowered the risk of advanced AMD by about 25% and of related vision loss by about 19%. It was the first treatment shown to slow AMD.

AREDS Research Group, Archives of Ophthalmology · View study

2013

AREDS2

4,203 participants tested lutein 10 mg and zeaxanthin 2 mg. Adding them did not improve on the original formula in the main analysis, but in secondary analyses replacing beta-carotene with lutein and zeaxanthin was associated with lower progression, without beta-carotene's lung cancer risk in smokers. The NEI revised its formula accordingly.

AREDS2 Research Group, JAMA · View study

2022

AREDS2 10-year follow-up

Following 3,883 participants for a decade, lutein and zeaxanthin were associated with about 20% lower progression to late AMD compared with beta-carotene, which nearly doubled lung cancer risk in people who had ever smoked.

Chew et al., JAMA Ophthalmology · View study

What Intessa shares with AREDS2

Intessa contains lutein 10 mg and zeaxanthin 2 mg, the same amounts studied in AREDS2, sourced from marigold.

What it does not replace

Intessa does not contain the full AREDS2 formula (vitamins C and E, zinc and copper). If your eye doctor has recommended an AREDS2 supplement, keep taking it and ask them about adding Intessa.

B vitamins and the optic nerve

Vitamins B6 and B12 are cofactors in one-carbon metabolism, the pathway that clears homocysteine.

Human RCT2009

Archives of Internal Medicine

B-vitamin combination linked to lower AMD risk in women

In 5,205 women at high cardiovascular risk followed for about seven years, a daily combination of folic acid, B6 and B12 was associated with a 34% lower risk of developing AMD compared with placebo.

Tested: Folic acid 2.5 mg, B6 50 mg, B12 1 mg daily (Intessa contains B6 and B12, not folic acid)

Christen et al., Harvard / Brigham and Women'sView study

Lab study, rodents2025

Cell Reports Medicine

One-carbon metabolism is disrupted early in glaucoma

Genes governing B6, B12, folate and choline use were dysregulated in the retina and optic nerve before nerve cells were lost, including in stem-cell-derived nerve cells from glaucoma patients. A vitamin cocktail protected retinal ganglion cells and visual function in rodent models, independent of eye pressure.

Tested: Combined B6, B9 (folate), B12 and choline in mice and rats

Tribble, Williams et al., Karolinska InstitutetView study

NMN in people: absorption and safety

Randomised trials in healthy adults. These measured safety and blood NAD+, not eye health.

Human safety RCT2022

Scientific Reports

1,250 mg NMN daily was well tolerated for four weeks

In 31 healthy adults aged 20–65, a daily dose of 1,250 mg produced no changes beyond normal variation in blood, urine or body measures, and no serious adverse events.

Tested: NMN 1,250 mg daily vs placebo, 4 weeks

Fukamizu et al.View study

Human RCT2023

GeroScience

Oral NMN raised blood NAD+ in a dose-dependent way

In 80 healthy middle-aged adults over 60 days, NMN at 300, 600 and 900 mg raised blood NAD+ levels in proportion to dose and was well tolerated at every dose.

Tested: NMN 300, 600 or 900 mg daily vs placebo, 60 days

Yi et al.View study

Trials in progress

Larger, longer human studies now under way. Results from several are expected between 2026 and 2028. ER-100 is listed in the Sinclair section above.

RegistryTrialWhat it testsDesign
NCT05405868NAMinGUCL / Moorfields, United KingdomNicotinamide 3 g daily vs placebo in newly diagnosed open-angle glaucomaPhase 3
NCT05275738The Glaucoma Nicotinamide TrialUmeå University, Sweden, with CERA, AustraliaNicotinamide vs placebo in open-angle glaucomaRandomised, placebo-controlled
NCT05695027Nicotinamide and Pyruvate for OAGColumbia University, New YorkLarger follow-up to the 2022 JAMA Ophthalmology trialRandomised; enrolment closed
NCT06731582TAMINGSingapore Eye Research InstituteTwo-year nicotinamide vs placebo in glaucomaRandomised, placebo-controlled
NCT06991712NAD Precursors for NeuroenhancementHong KongCompares four NAD+ precursors, including NMN 350 mg, over two weeks in primary open-angle glaucomaRandomised, placebo-controlled
Full reference list
  1. Lin JB, et al. NAMPT-mediated NAD+ biosynthesis is essential for vision in mice. Cell Rep. 2016;17(1):69–85.
  2. Williams PA, et al. Vitamin B3 modulates mitochondrial vulnerability and prevents glaucoma in aged mice. Science. 2017;355(6326):756–760.
  3. Chen X, et al. Neuroprotective effects and mechanisms of action of nicotinamide mononucleotide (NMN) in a photoreceptor degenerative model of retinal detachment. Aging. 2020;12(24):24504–24521.
  4. Gomes AP, et al. Declining NAD+ induces a pseudohypoxic state disrupting nuclear-mitochondrial communication during aging. Cell. 2013;155(7):1624–1638.
  5. Lu Y, et al. Reprogramming to recover youthful epigenetic information and restore vision. Nature. 2020;588(7836):124–129.
  6. Hui F, et al. Improvement in inner retinal function in glaucoma with nicotinamide (vitamin B3) supplementation: a crossover randomized clinical trial. Clin Exp Ophthalmol. 2020;48(7):903–914.
  7. De Moraes CG, et al. Nicotinamide and pyruvate for neuroenhancement in open-angle glaucoma: a phase 2 randomized clinical trial. JAMA Ophthalmol. 2022;140(1):11–18.
  8. Shukla AG, et al. American Glaucoma Society–American Academy of Ophthalmology position statement on nicotinamide use for glaucoma neuroprotection. Ophthalmol Glaucoma. 2025;8(2):112–116.
  9. Age-Related Eye Disease Study Research Group. AREDS Report No. 8. Arch Ophthalmol. 2001;119(10):1417–1436.
  10. Age-Related Eye Disease Study 2 Research Group. Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration: the AREDS2 randomized clinical trial. JAMA. 2013;309(19):2005–2015.
  11. Chew EY, et al. Long-term outcomes of adding lutein/zeaxanthin and ω-3 fatty acids to the AREDS supplements on age-related macular degeneration progression: AREDS2 Report 28. JAMA Ophthalmol. 2022;140(7):692–698.
  12. Christen WG, et al. Folic acid, pyridoxine, and cyanocobalamin combination treatment and age-related macular degeneration in women. Arch Intern Med. 2009;169(4):335–341.
  13. Tribble JR, et al. Dysfunctional one-carbon metabolism identifies vitamins B6, B9, B12, and choline as neuroprotective in glaucoma. Cell Rep Med. 2025;6:102127.
  14. Fukamizu Y, et al. Safety evaluation of β-nicotinamide mononucleotide oral administration in healthy adult men and women. Sci Rep. 2022;12:14442.
  15. Yi L, et al. The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults. GeroScience. 2023;45(1):29–43.

*These statements have not been evaluated by the Food and Drug Administration. Intessa is not intended to diagnose, treat, cure, or prevent any disease. Research summaries describe published studies and are not claims about Intessa's effects. Speak with your eye care professional before starting any supplement, especially if you are being treated for glaucoma or macular degeneration.

Where to Buy

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every advantage.

Contact the Intessa Health team to learn more.

Email contact@intessahealth.com