A start-low, build-up NAD+ injection with clinician oversight. The human evidence is still early.
$62.50/weekBilled $250 every 4 weeks
Medication is charged only if your clinician prescribes it.
28-day supply
$62.50/week
Start with a $20 clinician review
19 trials
Meta-analysis: NAD+ precursors lowered total cholesterol and triglycerides, with no clear effect on other outcomes
Source: Oliveira-Cruz A, et al. Horm Metab Res 2024;56(11):818-26 (meta-analysis of randomized trials)412 adults
In 9 randomized trials pooled, NMN modestly improved gait speed, ALT and insulin resistance in older adults
Source: Wang JP, et al. Curr Pharm Biotechnol 2025;26(13):2141-52 (meta-analysis of randomized trials)No muscle gain
NMN and NR did not improve muscle mass or strength in adults over 60, in a 2025 meta-analysis of randomized trials
Source: Prokopidis K, et al. J Cachexia Sarcopenia Muscle 2025;16(3):e13799 (meta-analysis of randomized trials)These are trials of oral NAD+ precursors (NMN and NR), not NAD+ injections. We found no published randomized trial of subcutaneous NAD+, so the evidence for the injection itself is still early. Ours is compounded and not FDA approved. Individual results vary.
Support your cells' NAD+ pathway with a dose that starts low and steps up only as far as you need, guided by a clinician who is straight about the evidence.
Licensed clinician review
A US-licensed clinician reviews your health history, medicines and goals, and prescribes only if NAD+ fits.
Compounded NAD+, 200 mg/mL
A 10 mL vial from a licensed US pharmacy. One fill is a 28-day supply.
A built-in step-up schedule
Start at 25 units (50 mg) and build by 25 units every 2 weeks as tolerated, up to the lowest dose that works for you.
Free, discreet shipping
2 to 5 business days after your clinician approves a prescription.
Care-team messaging
Message your care team about flushing, nausea or dose. Your clinician adjusts the schedule as you go.
Free lab panel at month 3
Biological Age Reveal, as a progress check.
“What if it hits me too hard?”
Slow-build dosing
The directions start low and add dose only every 2 weeks, so you find your level without jumping in.
“Is this proven?”
The evidence, stated plainly
Your clinician and this page tell you what is and is not proven, before you start.
Biological Age Reveal
NAD+ is a coenzyme in every cell. Mitochondria use it to turn food into energy, and repair enzymes use it to fix DNA. In human tissue studies, NAD+ levels fall with age as oxidative damage rises.
What we do not know is whether injecting it helps. Most human trials use oral precursors such as NMN or NR, and results are mixed. We found no published randomized trial of subcutaneous NAD+, so your clinician starts low, steps up slowly and checks how you respond.
A small injection at home, a few times a week. You start on a low dose and build up every two weeks, only as far as you are comfortable.
Tell us about your health, your medicines and what you want from NAD+. It takes a few minutes online.
They prescribe only if NAD+ fits, and they tell you plainly what the evidence does and does not show. Reviewed within 24 hours.
If prescribed, your compounded NAD+ ships free in discreet packaging in 2 to 5 business days.
You start at 25 units twice a week and your clinician builds the dose every 2 weeks, only as far as you need.
You start at 25 units (50 mg) twice a week. Injecting slowly helps limit flushing.
Your clinician can raise the dose by 25 units as tolerated, to the lowest dose that works for you.
Commonly reported, short-lived and usually mild. Tell your care team if chest tightness or nausea does not settle.
No published randomized trial tests NAD+ injections, and trials of oral precursors are mixed. Responses vary widely.
This supports cellular energy. It does not treat a diagnosed condition.
Three things you can do alongside your treatment.
Exercise is one of the lifestyle factors that shape how well your mitochondria work. Regular training and walking are the base everything else sits on.
Sleep, stress and exposure to pollutants all affect how your cells make energy. Steady sleep and stress habits do more for fatigue than any single supplement.
A Mediterranean-style, plant-rich diet with fish, magnesium-rich foods and B vitamins supports mitochondrial function. We check B12 and methylmalonic acid because a shortfall in B12 can mimic low energy.
| Feature | Our NAD+ injection | Oral NMN or NR | IV NAD+ at a clinic |
|---|---|---|---|
| How it works | NAD+ itself, injected under the skin | Raw materials your body converts into NAD+ | NAD+ itself, infused into a vein |
| Human evidence | No published randomized trial that we could find | Randomized trials show NAD+ metabolites rise; effects on muscle and metabolism are mixed | Not established for energy or aging |
| Format | A few small injections a week at home | A capsule or powder every day | Scheduled sessions at a clinic |
| Dosing | Starts at 25 units and steps up every 2 weeks as tolerated | Fixed supplement doses | Set by the infusion clinic |
| Regulatory status | Compounded, not FDA approved; prescribed only if appropriate | Sold as supplements | Compounded or supplement-grade; not FDA approved for energy or aging |
No head-to-head trial compares these routes. Your clinician helps you choose.
Inject 25 units (50 mg) subcutaneously once or twice weekly for 2 weeks, then increase by 25 units every 2 weeks to the minimum effective dose as tolerated (absolute maximum 100 units per dose), up to 3 times a week for maintenance. Discard any remaining medication 28 days after the first puncture.
There is no FDA approved NAD product for injection or infusion, so there is no FDA reviewed safety label for it and no established side effect rate. It has not been approved for energy, focus, recovery or aging.
Tell your care team straight away if you get chest tightness, shortness of breath, flushing with a pounding heartbeat after an injection, nausea you cannot settle, or a rash or swelling.
This is not a complete list of side effects. Message your care team about any symptom that worries you. What we dispense is a compounded preparation made by a licensed US pharmacy. Compounded medications are not approved by the FDA for safety, efficacy or quality.
NAD+ is a coenzyme in every cell. Your mitochondria use it to turn food into energy and repair enzymes use it to fix DNA. In human tissue studies, NAD+ levels fall with age, which is why it appears in healthy-aging protocols.
Not yet. We found no published randomized trial of subcutaneous NAD+. Meta-analyses of oral precursors such as NMN and NR show mixed results, with small gains in some measures and none in others. We offer it as clinician-guided wellness support, and we say so plainly.
Pills supply raw materials your body must convert, while the injection supplies NAD+ itself. No head-to-head trial shows one route works better, so the reason to choose injection is preference and clinician guidance, not proven superiority.
The directions start at 25 units (50 mg) once or twice a week for 2 weeks. Your clinician then raises it by 25 units every 2 weeks to the lowest dose that works for you, up to 100 units a dose and up to 3 times a week.
Warmth or flushing around dosing is commonly reported and short-lived, and injecting slowly helps. Any change in energy or focus varies from person to person. Tell your care team about chest tightness, nausea that will not settle, a rash or swelling.
Labs are not required to start. If you have them, useful markers are B12 and methylmalonic acid, hs-CRP, hemoglobin A1C, hemoglobin and iron. The optimal ranges our clinicians use include hs-CRP up to 3 mg/L, hemoglobin A1C of 4.6 to 5.3 percent and methylmalonic acid at or below 260 nmol/L.
A 10 mL vial of 200 mg/mL is a 28-day supply. The pharmacy label says to discard any remaining medication 28 days after the first puncture.
No NAD+ injection is FDA approved, so there is no FDA safety label and no established side effect rate. It has not been approved for energy, focus, recovery or aging. What we dispense is compounded by a licensed US pharmacy, and compounded medicines are not reviewed by the FDA for safety, efficacy or quality.
28-day supply · $62.50/week · Billed $250 every 4 weeks
