Healthy Aging & Longevity
NAD+
A foundational coenzyme in cellular energy metabolism, administered to raise availability directly.
- Physician reviewed
- 503A pharmacy compounded
- Patient-specific prescription
Formats & pricing
- 500mg vial — reconstituted injectable$300
Pricing reflects the compounded preparation and physician review. Final therapy and dosing are determined only after your intake is reviewed.
Overview
What is NAD+?
Nicotinamide adenine dinucleotide is a coenzyme present in every living cell and central to energy metabolism and DNA repair signaling. Tissue levels decline with age, which is the basis of interest in supplementation.
Mechanism
How it works
NAD+ participates in redox reactions across mitochondrial energy production and serves as a substrate for sirtuins and PARP enzymes involved in cellular repair and stress response.
Wellness support
Potential wellness support areas
These areas are commonly discussed within wellness-focused protocols. They are educational statements, not medical claims or guarantees of outcome.
- Explored for energy and mental clarity
- Discussed within longevity and cellular repair protocols
- Potential support for metabolic function
- Commonly paired with GH secretagogue protocols
Administration
Format & dosing
Prescribed as subcutaneous injection on a schedule set by your physician. Slower administration is generally advised, as rapid dosing is frequently uncomfortable.
Labs & monitoring
Labs, testing & monitoring
Your physician determines the final testing requirements for NAD+ after reviewing your intake. The panels below are what is commonly reviewed for this therapy — they are educational guidance, not a fixed requirement.
Bloodwork status
Provider Determines Testing
Commonly reviewed at baseline
- Comprehensive metabolic panel (CMP)
- CBC
- Liver function
Follow-up & monitoring
Tolerance and energy response guide follow-up. Liver and renal values may be rechecked in longer courses.
Who may not be a candidate
- Pregnancy or nursing
- Active malignancy without oncology clearance
- Known hypersensitivity to the preparation
Medication interactions
Your physician reviews all prescriptions, supplements, and over-the-counter medications during intake before anything is prescribed.
Safety
Safety & considerations
Compounded, not FDA-approved. Flushing, warmth, or transient nausea during administration are commonly reported and dose-rate related.
Regulatory status: Compounded. Evidence level: Limited. Eligibility, dosing, laboratory requirements, and follow-up care are determined exclusively by a licensed physician after review of your history.
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Physician reviewed
Every protocol is approved by a licensed physician.
503A compounded
Prepared by licensed US compounding pharmacies.
Patient-specific Rx
Prescriptions are issued in your name only.
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