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Longevity · prescription telehealth

NAD+, without the guesswork.

compounded NAD+ · at-home injection · prescription only

For energy, recovery and healthy aging. Small injections you give yourself at home, on a schedule a licensed clinician sets and adjusts to your response — prepared for your prescription by a state-licensed U.S. compounding pharmacy. NAD+ is being studied for the cell processes behind all three, and we say plainly what that evidence shows and what it doesn't yet. 1

Start the intake See plans on this page

About eight minutes of real questions. A licensed clinician reads every answer — and can say no.

Evidence

what is known, what is being studied, what isn't shown — in plain words

Dosing

started by a clinician, adjusted to what you report

Terms

every renewal price on this page before you pay

About NAD+

What NAD+ is, what it might do, and what nobody has shown yet.

What it does

NAD+ is a coenzyme found in every cell. It carries electrons in the reactions that turn food into usable energy, and it feeds the enzymes that repair DNA. 1 Its levels appear to fall with age in some tissues — though how much, and where, is still being measured. 2

How it's taken

A small injection just under the skin, which you give yourself at home with a short, fine needle, on a schedule your clinician sets. Your clinician chooses the starting dose and adjusts it to how you respond. If you already take NAD+, the intake asks your current dose so care continues from there rather than starting over.

What to expect

The evidence is early. Some people report steadier energy and clearer thinking within weeks; others notice little. Controlled trials of injected NAD+ for energy or aging have not been published, so no one can honestly promise you will feel it. 1 Soreness where you inject, brief flushing or warmth, and mild nausea are the most commonly reported effects — usually early, usually passing. 8

Three levels of certainty about NAD+: what is known, what is being studied, and what has not been shown

Every numbered mark on this page links to a source in the list at the foot of the page.

How the dose moves

A starting dose, then a dose that fits you.

There is no standard NAD+ dose that suits everyone, so we don't pretend there is. Your clinician chooses where to start and moves from there on what you report.

01

Starting

Your clinician sets the first dose and schedule from your intake — lower if you are new to NAD+, continuing from your current dose if you already take it.

02

Settling in

The first weeks are for noticing: how the injection site feels, any flushing, your energy, your sleep. You tell the care team what you notice; nothing is assumed.

03

Adjusting

If you tolerate it well and want more effect, your clinician may step the dose up. If you don't, it holds or steps down. Either way you hear before anything changes.

04

Continuing, or stopping

There is no lock-in. If it isn't doing anything for you, say so — stopping is a normal outcome, and your clinician will tell you the same.

Whatever your clinician decides, you hear before your next billing, with the option to hold — and every renewal price is on this page before you pay.

The other routes

What people try first, and where it stalls.

Most people who arrive here have already tried something. Here is the honest comparison, without naming names.

What you have tried

Why it stalls

What prescribed, calibrated care does

What you have tried

NAD+ drips at a clinic

Why it stalls

An appointment of an hour or more per session, at a per-visit price that makes a regular schedule hard to keep — and the drip has to run slowly to stay comfortable. 8

What prescribed, calibrated care does

A small injection at home in minutes, on a schedule you can actually keep, at a monthly price published on this page.

What you have tried

Oral NMN or NR supplements

Why it stalls

The best human evidence for raising NAD-related markers is oral — but the effect on how you feel is mixed, the dose varies by brand, and no clinician is watching. 1

What prescribed, calibrated care does

A prescription product prepared for you, a clinician who sets and adjusts the dose, and a care team to tell when something is off.

What you have tried

"Research use" vials from peptide websites

Why it stalls

No prescription, no clinician, and no accountable pharmacy. The FDA has received reports of severe chills, shaking and vomiting after NAD+ injections, and a pharmacy recalled NAD+ in which an unopened vial tested high for endotoxins — which is why who prepares it, and from what, matters. 5 7

What prescribed, calibrated care does

Prepared for your prescription by a state-licensed U.S. compounding pharmacy, named on your label — and a licensed clinician decides first whether NAD+ is appropriate for you at all.

What you have tried

A one-size wellness script

Why it stalls

A fixed dose for everyone; a low first price that only applies if you pay months up front; a separate monthly fee before any medication is even priced; or a consult fee you don't get back when the answer is no.

What prescribed, calibrated care does

One price per plan with the renewal price beside it, no fee to be evaluated, and a dose that starts where your clinician thinks it should and moves on your response.

None of these is foolish. They are routes without a clinician in them — and NAD+ is exactly the case where the honest answer to "will this help me?" is "let's find out, carefully."

The honest word on NAD+ is "early." We would rather say it than sell around it.

A principle of the house

How care works

Medicine, measured.

Results are personal, so treatment shouldn't be one-size. Here is the whole process, plainly.

01

An intake worth reading

About eight minutes of real questions — health history, medicines, and whether you already take NAD+ and at what dose. It is the basis of every decision that follows.

02

A clinician decides

A licensed U.S. clinician reviews your answers and decides whether NAD+ is appropriate for you. Sometimes the answer is no — you'll hear it straight.

03

Prepared and delivered

If prescribed, your NAD+ is prepared for your prescription by a state-licensed U.S. compounding pharmacy — named on your label — and shipped in discreet, unmarked packaging with the pharmacy's directions.

04

Calibrated over time

Your care doesn't end at delivery. You report how it is going; your clinician adjusts the dose to your response, with notice before anything changes — and the option to hold.

The paperwork of care: an intake form and a pen beside a plain shipping box on a paper table

Plans & pricing

Straight terms, before you pay.

Two ways to pay for the same care: month to month, or three months at a time. Both include the clinician evaluation, shipping and ongoing support, and both show their renewal price right here.

Monthly supply First month

NAD+ Injections

$189 / first month

then $249/month from month 2 · cancel anytime

  • Compounded NAD+ for small at-home injections — no clinic, no drip appointment
  • Starting dose set by your clinician, adjusted to what you report
  • Already on NAD+? The intake continues from your current dose
  • Prepared for your prescription by a state-licensed U.S. compounding pharmacy
  • Shipped in discreet, unmarked packaging
  • Cancel anytime — every renewal price shown before you pay
3-month supply

NAD+ Injections

$669 / every 3 months

renews at $669 every 3 months · cancel anytime

  • Compounded NAD+ for small at-home injections — no clinic, no drip appointment
  • Starting dose set by your clinician, adjusted to what you report
  • Already on NAD+? The intake continues from your current dose
  • Prepared for your prescription by a state-licensed U.S. compounding pharmacy
  • Shipped in discreet, unmarked packaging
  • Cancel anytime — every renewal price shown before you pay

Your renewal price and cadence are on the plan you choose, and again above the card field at checkout. Dose changes are your clinician's decision: you hear before your next billing, with the option to hold where clinically appropriate. HSA/FSA payment accepted on eligible plans.

Eligibility

See if it's appropriate. That's the consult.

NAD+ is prescribed here only when a licensed clinician decides it fits your health and history. The intake asks about the things below because they change what is safe.

You may qualify if

  • You're an adult aged 18 or over
  • You want help with energy, recovery or healthy aging, and you understand the evidence is early
  • You're comfortable giving yourself a small injection at home, with directions
  • You already take NAD+ and want a clinician to continue, raise or lower your dose
  • A clinician confirms it fits your health profile

May not be suitable if

  • You are pregnant, planning a pregnancy, or breastfeeding
  • You have cancer or are under oncology care
  • You use methamphetamine, cocaine or heroin
  • You have significant uncontrolled heart, kidney, liver or thyroid disease — your clinician weighs these case by case

This is not an exhaustive list — your clinician reviews your full history before any prescribing decision.

Safety & honesty

What to expect, what to watch for, and what we won't claim.

NAD+ and its precursors have been through controlled trials in people, mostly by mouth, and were well tolerated. 4 The injectable form has far less controlled data. Here is what is known.

Common, usually early, usually easing

  • Injection-site soreness — redness, or a small bruise where the needle went in; rotating sites helps
  • Flushing or warmth — a brief rush of warmth in the face or chest shortly after a dose
  • Nausea — usually mild and short-lived — tell your clinician if it isn't
  • Headache or tiredness — reported by some people in the first weeks 8

Stop and tell your clinician

  • Severe chills, shaking, vomiting or fever after a dose — these have been reported to the FDA after NAD+ injections and can signal a contaminated or unsuitable product — stop and contact your care team 5 7
  • Chest tightness, a racing heart, or feeling faint — reported mainly with fast infusions; not expected from a small dose under the skin, but never something to ignore 8
  • Swelling of the face or lips, hives, or trouble breathing — treat as an emergency and call 911

Not prescribed if

  • You are pregnant, planning a pregnancy, or breastfeeding — NAD+ has not been studied in pregnancy 8
  • You have cancer or are under oncology care — NAD+ fuels cell metabolism, and its effect on an existing tumour is not established 8
  • You use methamphetamine, cocaine or heroin

Medicines that need care

List every medicine and supplement you take in the intake — including NAD+ from anywhere else, and NMN or NR supplements — so your clinician can set a starting dose that accounts for them.

Monitoring

No lab test is required to start. Your clinician follows your response through the check-ins you send; if something in your history warrants labs, they will say so.

What it is for

Compounded NAD+ is prescribed here for adults who want support with energy, recovery and healthy aging, when a clinician decides it is appropriate. It is not prescribed here to treat any disease, and it is not an anti-aging cure.

If you stop

Cancel your plan and stop taking it — there is nothing to taper. If the reason is that it isn't doing anything, tell your clinician; that is useful information, not a complaint.

Compounded NAD+ is not FDA-approved. Compounded medications are prepared for an individual prescription by a state-licensed pharmacy and are not reviewed by the FDA for safety or effectiveness. NAD+ is listed by the FDA among bulk substances nominated for compounding and currently under evaluation. 6

Results vary. No outcome is guaranteed — your clinician will discuss what is realistic for you, and "not much" is a possible honest answer.

What happens next

From intake to your first dose.

01

Intake

About eight minutes: health history, medicines, and whether you already take NAD+ and at what dose.

02

Decision

A licensed clinician reviews your answers and decides. If it's no, you hear why, and your card is not charged for medication that isn't prescribed.

03

Preparation

Your prescription goes to a state-licensed U.S. compounding pharmacy, which prepares your NAD+ and names itself on the label.

04

Delivery

Discreet, unmarked packaging to your door, with the pharmacy's label directions. Read them before your first dose, and message the care team with any question first.

05

Calibration

You report how it's going; your clinician adjusts the dose to your response, with notice before your next billing and the option to hold.

What arrives

The vial

Your NAD+ as prepared for your prescription, carrying the pharmacy's own label — its name, your name, and the directions.

The paperwork

Your prescription details and how to store it. Keep it with the vial.

The box

Plain and unmarked. Nothing on the outside says what is inside.

An opened, unmarked shipping box with tissue paper, a small vial with its label turned away, folded paperwork and a hand lifting the tissue
What the intake asks, and why: your history, your medicines, and your situation — read by a licensed clinician before anything is prescribed

Certified

LegitScript-certified healthcare merchant

Private

HIPAA-compliant platform · discreet, unmarked packaging

Clinician-led

licensed U.S. providers review every case

Your pharmacy

prepared by a state-licensed U.S. compounding pharmacy, named on your prescription label

Questions, answered plainly

Questions about nad+

Will I actually feel anything?

Some people report steadier energy, clearer thinking or better sleep within a few weeks; others notice little. Controlled trials of injected NAD+ for energy or aging have not been published, so we won't promise either way. 1 Your clinician will ask what you notice — and if the honest answer is "nothing," stopping is a normal outcome.

Is this the same as an NAD+ drip?

Same molecule, different route. A drip runs into a vein over an hour or more at a clinic; this is a small injection under the skin that you give yourself at home in minutes. No trial has shown that one route produces better results than another. 1 What changes is what you pay and how easily you can keep a schedule.

Do I have to inject myself? Does it hurt?

Yes — a short, fine needle just under the skin, the kind used for many self-injected medicines. Most people describe a brief sting and, sometimes, a little soreness or a small bruise afterwards. 8 Your delivery comes with the pharmacy's directions, and the care team will answer questions before your first dose.

I already take NAD+. Can you continue my dose?

Yes. The intake asks your current dose, lets you upload your existing prescription, and asks whether you want to hold, raise or lower it. Your clinician makes the final call from there — you don't start from zero.

What happens to my price if my dose changes?

Nothing changes without notice. Dose changes are your clinician's decision; before your next billing you hear what is changing, and you can hold where clinically appropriate. Every renewal price is on this page before you pay.

Who prepares my NAD+, and is it FDA-approved?

A state-licensed U.S. compounding pharmacy prepares it for your prescription and is named on your label. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety or effectiveness; NAD+ is on the FDA's list of substances nominated for compounding and under evaluation. 6 Ingredient grade and sterile preparation matter — the FDA has received reports of severe reactions after NAD+ injections, and a pharmacy recalled a lot for endotoxin contamination — which is why it is prepared by a licensed pharmacy, for your prescription. 5 7

Can I take it alongside a GLP-1 or my other prescriptions?

Often, but your clinician decides. List everything you take in the intake — prescriptions, supplements, and any NAD+ from elsewhere — and they will check each one before prescribing.

What if I want to stop?

Cancel your plan and stop taking it — there is nothing to taper. If the reason is that it isn't doing anything for you, tell your clinician; that is useful information, not a complaint.

How does the telemedicine process work?

You complete an online intake, a licensed provider reviews your case, and if appropriate your treatment plan is prescribed and delivered directly to your door.

Do I need to visit a doctor in person?

No. All consultations, prescriptions, and follow-ups are handled 100% online through our secure telehealth platform.

Are the doctors licensed?

Yes. Every provider in our network is licensed and experienced in evaluating patients through compliant telemedicine workflows.

Is my personal information secure?

Your information is protected through secure systems and privacy-first processes designed to support HIPAA-aligned care delivery.

How is my medication delivered?

Approved medications are shipped discreetly to your home, with updates and follow-up support handled online for convenience.

Sources

What this page is based on.

8 sources showhide

The evidence on NAD+ is real, early, and mostly from studies of the oral forms. Here is what this page rests on.

  1. Gallagher C, Emmanuel OO. NAD+ supplementation for anti-aging and wellness: a PRISMA-guided systematic review of preclinical and clinical evidence. Ageing Research Reviews. 2026;116:103057. Finds no eligible outcome trials of intravenous or intramuscular NAD+ for anti-aging or wellness. sciencedirect.com/science/article/pii/S1568163726000498
  2. Peluso A, Damgaard MV, Mori MAS, Treebak JT. Age-dependent decline of NAD+ — universal truth or confounded consensus? Nutrients. 2022;14(1):101. mdpi.com/2072-6643/14/1/101
  3. Grant R, Berg J, Mestayer R, et al. A pilot study investigating changes in the human plasma and urine NAD+ metabolome during a 6 hour intravenous infusion of NAD+. Frontiers in Aging Neuroscience. 2019;11:257. pmc.ncbi.nlm.nih.gov/articles/PMC6751327/
  4. Gindri IM, Ferrari G, Pinto LPS, et al. Evaluation of safety and effectiveness of NAD in different clinical conditions: a systematic review. American Journal of Physiology — Endocrinology and Metabolism. 2024;326(4):E417–E427. journals.physiology.org/doi/full/10.1152/ajpendo.00242.2023
  5. U.S. Food and Drug Administration. FDA reminds compounders to use ingredients suitable for sterile compounding. October 30, 2024. fda.gov/drugs/human-drug-compounding/fda-reminds-compounders-use-ingredients-suitable-sterile-compounding
  6. U.S. Food and Drug Administration. Bulk drug substances nominated for use in compounding under section 503A of the FD&C Act — 503A Category 1, bulk drug substances under evaluation. Updated May 14, 2026. fda.gov/media/94155/download
  7. U.S. Food and Drug Administration. Warning letter to GenoGenix LLC (MARCS-CMS 718739), January 20, 2026 — patients treated from one NAD+ vial developed low blood pressure, shaking and body aches; an unopened vial from the lot tested high for bacterial endotoxins; the firm recalled its sterile products in July 2025. fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/genogenix-llc-718739-01202026
  8. Testing.com. NAD+ injection side effects: what to expect. Clinically reviewed, July 2026. testing.com/treatments/nad-injection-side-effects/

The right level. The right dose. For you.

Start the intake — a licensed clinician will take it from there.

Eligibility screening and a prescription are required for prescription treatments. Individual results vary and no specific outcome is guaranteed. A licensed clinician determines whether treatment is appropriate — treatment is not guaranteed.

Compounded nad+ is prepared by a state-licensed U.S. compounding pharmacy, which is named on your prescription label. Compounded drugs are not FDA-approved.