Energy

Cellular energy production

  • NAD+ helps cells convert nutrients into usable energy, particularly through metabolic pathways that support mitochondrial function.
Repair

DNA repair and cellular maintenance

  • NAD+ is used by enzymes involved in responding to DNA damage and maintaining normal cellular function.
Signaling

Cell signaling and stress responses

  • NAD+ is a substrate for enzymes such as sirtuins and PARPs, which participate in cellular signaling, stress responses, and DNA repair.
Supported

What the evidence supports

  • Small studies show injected NAD+ can raise NAD+ levels in the blood.
  • NAD+ plays a central, well-understood role in cell energy and repair.
Less clear

What we don't know yet

  • Most of the exciting longevity data comes from animal studies.
  • Large human trials are still limited.
  • The best dose, schedule, and form for people are still being worked out in clinical practice.
Our position

What we tell people

  • NAD+ is something your body already uses, and levels drop as you age.
  • We don't promise outcomes. Responses vary, and some people notice no change.
  • The research is still developing. We'll update this page as it does.
  • NAD+ is essential to human biology, but that doesn't automatically mean NAD+ supplements or injections improve health or slow aging.

A provider will not prescribe if you have

  • Active cancer or current cancer treatment, unless your oncologist approves. NAD+ may support cancer cell metabolism in theory.
  • Pregnancy, trying to conceive, or breastfeeding. Safety hasn't been established.
  • A previous reaction to NAD+ or its ingredients.
  • Being under 18.

A provider will look carefully if you have

  • Blood pressure medication. NAD+ can cause flushing and a drop in blood pressure. Providers often start lower.
  • Immunosuppressants. NAD+ affects immune cell function.
  • A past history of cancer. Case by case.
  • Significant heart, liver, or kidney disease, or other complex medical conditions.

Not sure whether something applies to you? Start the consultation anyway. A licensed provider reviews every answer and will tell you plainly if NAD+ isn't a fit.

Urgent

Stop and get help right away

Trouble breathing or swallowing, or swelling of the face or throat
Possible allergic reaction. Call 911.
Chest pain or a racing or irregular heartbeat
Needs immediate evaluation.
Fainting
Needs immediate evaluation.
Common

Expected, no action needed unless it lasts

Redness or soreness where you inject
Common
Rotate sites. It usually settles.
Flushing or warmth
Common, during or soon after a dose
Usually passes quickly.
Mild nausea
Common, especially early
Often eases as your body adjusts.
Headache or lightheadedness
Less common
Stay hydrated. Mention it if it lasts.
Muscle cramps or tiredness after a dose
Less common
Usually short-lived.
Mention it

Tell your provider at your next check-in

Nausea or tiredness that doesn't ease
Your provider may adjust the dose or schedule.
Dizziness, especially on standing
Possible blood pressure drop, more likely if you take BP medication.
No noticeable change after a few months
Worth a conversation about whether to continue.
First doses

Getting used to it

Flushing and mild nausea are most likely now and usually ease.

Weeks 2 to 8

First check-in

Your provider may check in on how you're tolerating it.

Month 3

Check in

A sensible point to decide with your provider whether it's worth continuing.

Ongoing

Keep checking

Long-term use should be reviewed regularly.

Monitoring

Your provider decides whether you need labs and when. NAD+ generally needs less lab monitoring than hormone-related therapies, but your provider may want a baseline depending on your health history. If labs are needed, they'll tell you before you commit.

$199
per month (includes provider review, medication and shipping). Cash-pay, no insurance claims.
$0
charged if a provider doesn't prescribe. The hold is released.
48 hrs
Cancel at least 48 hours before your next billing date. Any charge after a successful cancellation is refunded.