Card is authorized after plan selection; you are not charged until a licensed provider approves your plan.
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NAD+ is essential for redox reactions in the mitochondria, where it cycles between NAD+ and NADH to drive ATP production. Beyond energy metabolism, NAD+ is a required substrate for sirtuins (involved in longevity and metabolic regulation), PARPs (involved in DNA repair), and CD38 (involved in immune function). NAD+ levels naturally decline with age, chronic stress, alcohol use, and metabolic disease.
Direct clinical data on IV NAD+ is limited. Most supporting evidence comes from studies of NAD+ precursors (nicotinamide riboside, nicotinamide mononucleotide) rather than NAD+ itself. Rapid IV infusion of NAD+ is associated with transient chest pressure, flushing, nausea, and muscle cramps, which are typically minimized by slower infusion rates.
Do not use NAD+ if you:
Tell your provider before starting NAD+ if you:
Common side effects may include: flushing, warmth, nausea, muscle cramps, chest pressure (usually with rapid infusion), fatigue, injection-site discomfort.
Serious but less common risks may include: severe allergic reactions, blood-pressure fluctuations, arrhythmia, worsening of underlying cancer (theoretical, insufficient data), and vasovagal reactions.
This is not a complete list of side effects or contraindications. Compounded NAD+ is not FDA-approved. Long-term safety and efficacy data are limited. Talk to a licensed healthcare provider before starting or continuing NAD+ therapy.
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Complete a short online wellness quiz so we can understand your goals, health history, and what’s right for you.
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A healthcare provider reviews your information to determine if you qualify for prescription medication. No waiting rooms, no hassle.
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If approved, your medication ships directly to your door in as little as 1–2 days; with ongoing support to keep you on track.
Every plan is reviewed by a licensed healthcare provider before medication is dispensed.
Medication arrives in discreet packaging on a consistent schedule; no pharmacy trips required.
Reach your care team with questions about dosing, side effects, or your progress; support is part of the program.
One flat rate covers your plan. No surprise fees, no insurance runaround.
NAD+ is a coenzyme found in every cell. It powers mitochondrial energy production, supports DNA repair, and activates sirtuins; enzymes linked to cellular aging. NAD+ levels decline with age, and supplementation is believed to support cellular energy, metabolic function, and recovery.
NAD+ is given as subcutaneous or intramuscular injection, or as an intravenous (IV) infusion for higher doses. Your provider will choose the route and dose based on your goals and tolerance. IV infusions are typically slower to minimize side effects such as flushing or muscle cramps.
Effects vary. Some people report improvements in energy, mental clarity, and recovery within weeks. NAD+ is not FDA-approved, and individual responses vary widely. Consistent therapy over 1 to 3 months is typical for assessing meaningful benefit.
No. Oral supplements such as NMN and NR are NAD+ precursors that your body converts. Injectable and IV NAD+ deliver the coenzyme more directly. Research is ongoing about which approach is most effective for different goals.
Complete our online health assessment, share relevant medical history, and connect with a licensed provider. If NAD+ is appropriate, your provider will develop a personalized protocol and ship your medication or schedule your infusion.