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Healthy Aging & Longevity

NAD+

A foundational coenzyme in cellular energy metabolism, administered to raise availability directly.

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Format
1000mg vial — 100mg/mL, 10mL injectable
Price
$250 per vial
Route
Injectable / Infusion
Evidence level
Limited
Regulatory status
Compounded
Testing
Provider Determines Testing

Pricing reflects the compounded preparation and doctor review. Final therapy and dosing are determined only after your intake is reviewed.

Overview

Understanding NAD+

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.

Format & administration

Prescribed as subcutaneous injection on a schedule set by your doctor. Slower administration is generally advised, as rapid dosing is frequently uncomfortable.

Testing posture

Your doctor 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.

How it works

How NAD+ works

  1. 01NAD+ 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.
Show illustration: NAD+
NAD+: proposed mechanism, physiology, and reported clinical effects. Educational illustration — not a treatment guarantee.

What has been studied

Potential applications and evidence

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

Doctor-guided

A personalized approach

Your doctor 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.

Medication review

Your doctor reviews all prescriptions, supplements, and over-the-counter medications during intake before anything is prescribed.

Format & dosing

Prescribed as subcutaneous injection on a schedule set by your doctor. Slower administration is generally advised, as rapid dosing is frequently uncomfortable.

Safety

What patients should know

  • Compounded, not FDA-approved. Flushing, warmth, or transient nausea during administration are commonly reported and dose-rate related.

Who may not be a candidate

  • Pregnancy or nursing
  • Active malignancy without oncology clearance
  • Known hypersensitivity to the preparation

Regulatory status: Compounded. Evidence level: Limited. Eligibility, dosing, laboratory requirements, and follow-up care are determined exclusively by a licensed doctor after review of your history.

Common questions

Frequently asked questions

Ready when you are

Find out what your body is actually asking for.

Fill out a short intake form and our care team will build a plan grounded in your labs — not a guess from a supplement aisle.