What is NAD+?
NAD+ is a coenzyme cells use in redox reactions that sit at the center of energy metabolism. That is a biochemistry fact, not an anti-aging claim. Compounded NAD+ is not FDA-approved. A licensed clinician reviews your history and can say no.
See also What is peptide therapy? and What is a compounding pharmacy?. PinwellRx lists NAD+ injection at $199, NAD+ nasal spray at $229, and Cellular Recharge, a liposomal NAD+ tablet, at $229. Related on the longevity shelf: Metabolism Boost B12 + MIC is listed at $145. The NIH Office of Dietary Supplements is the authority on vitamin B12; PinwellRx does not claim that B12 + MIC melts fat. Nationwide telehealth. Houston is HQ. Ships to all 50 states. Full refund if you are not prescribed.
Does NAD+ reverse aging?
No. PinwellRx does not claim that NAD+ reverses aging or restores youth. Covarrubias 2021 is a review of NAD+ as a coenzyme in cellular metabolism, not a human anti-aging trial for compounded NAD+.
Human trials of NAD+ precursors and NAD+ itself measure different things (often blood NAD+ levels or short safety windows). They are not a license to sell youth. Compounded NAD+ remains prescription only and is not FDA-approved.
What NAD+ options does PinwellRx list?
NAD+ injection $199. NAD+ nasal spray $229. Cellular Recharge liposomal NAD+ tablet $229. Metabolism Boost B12 + MIC $145. All of these are prescription products when compounded. A licensed clinician determines appropriateness and may decline.
Route (injection, nasal, tablet) is a clinical choice, not a ranking. None of these compounded products have been reviewed by the FDA the way an approved drug is.