01What is NAD+?
A coenzyme in every living cell - the courier carrying energy from food to the machinery that runs you. It declines with age, by some measures half gone by fifty. Not a stimulant; a supply line.
30-second answers to the questions patients actually ask, organized by medication. For education only. Talk to your clinician before changing anything.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme every cell uses to turn food into energy, and levels decline with age. Compounded NAD+ injections are not FDA-approved, and FDA does not review compounded drugs for safety or effectiveness. A licensed clinician decides whether NAD+ support is appropriate for you.
The coenzyme that runs your cellular power grid, and why restoring it changes your afternoons - in 30 seconds.
Compounded NAD+ is not FDA approved. Individual results vary. Prescription only - a licensed clinician determines eligibility. For education, not medical advice.
A coenzyme in every living cell - the courier carrying energy from food to the machinery that runs you. It declines with age, by some measures half gone by fifty. Not a stimulant; a supply line.
Oral NAD+ meets the gut first and most never arrives intact (first-pass metabolism). IV delivers the most but takes clinic hours. Subcutaneous injection sits between: strong absorption, minutes at home.
Clinic IVs typically run several hundred dollars per session, and protocols call for several. At-home injections from a compounding pharmacy cost a fraction per month. Insurance covers neither.
Subcutaneously - belly (two inches from the navel) or front of thigh, rotating to a fresh spot each time. Honest note: NAD+ can sting; a slow push and room-temperature liquid help.
Day one is quiet - it isn't caffeine. Steadier afternoons within one to two weeks; sleep and recovery by week three or four. Some feel nothing - give it a month and measure something real.
Generally well tolerated - it's a molecule your body makes. Side effects are mostly speed-related: fast IVs cause flushing or nausea; slowing fixes it. Not an FDA-approved drug; long-term data is young.
No - it's sold as a supplement, and injectable NAD+ is compounded; compounded preparations are not FDA-approved. The source is everything: licensed pharmacy, real prescription, real clinician.
Two clocks: blood clears in minutes to hours as cells pull it in, but intracellular levels stay elevated for days. Hence rhythmic dosing - you're stocking the cellar, not the blood.
No mandated endpoint: some run continuous maintenance, others cycle a few months on with breaks between. Reassess honestly - if nothing measurable improved in two to three months, that's information too.
Steadier energy, sharper focus, faster recovery. Honest grading: the cellular biology is solid, human trials are small and early. It won't reverse aging - expect subtle and cumulative, and measure something real.
NMN and NR are precursors - smaller building blocks cells convert into NAD+, which survive the gut better. Direct NAD+ is the finished molecule, too large to absorb well orally - hence IV or injection.
Yes - telehealth: a licensed clinician evaluates you online and a compounding pharmacy ships prescribed vials cold-packed to your door. It still requires a real prescription, licensed pharmacy, and screening.
It depends on the comparison: not FDA-approved, early outcome evidence, no insurance. If sleep, training and diet aren't handled, fix those first - they're free. Then price the routine, not the promise.
Two forces: production slows each decade while repair enzymes consume more fixing accumulating damage. Falling supply, rising demand - by midlife, levels may be half what they were.
Frequency is set by the clinician who prescribes it, and protocols vary widely between people and goals. Never increase frequency on your own. Your prescription label states your schedule; questions about changing it go to your clinician, not a video.
There is no FDA-approved dosing schedule for compounded NAD+, because there is no FDA-approved NAD+ drug product for these uses. Your prescribing clinician sets the frequency and reassesses it. A schedule you read about online is someone else's prescription, not a benchmark for yours.
Every therapy we offer has its own film library, same format, same honesty.
A licensed clinician reviews every intake. You’ll see your price before you pay, and nothing ships unless a clinician prescribes it.