NAD+ Therapy
A cellular coenzyme involved in energy metabolism and DNA repair, dosed at home on a titration built to limit flushing and anchored to your bloodwork and the available evidence.
Monthly total
$229
Care $109 + Medication $120*
Dosing
Set by your clinician and titrated against your labs. The price does not change with the dose.
*One monthly price; your clinician sets the dose and titration. Supplies and cold-chain shipping are included. NAD+ requires a written prescription from a licensed clinician; compounded NAD+ is not FDA-approved or evaluated for safety, effectiveness or quality. Evidence standards.
Start Your Assessment →What Is NAD+ Therapy?
NAD+ is a coenzyme every cell uses to turn food into usable energy, and it fuels enzymes involved in DNA repair. Levels fall with age.
The cell biology is well established. What is uncertain is how much supplementation changes clinical outcomes, so we anchor every plan to a baseline panel and interpret results carefully.
Good to Know
- Prescribed only after a clinician reviews your history.
- Dose and course are set by your clinician, not by you.
- Results vary, and we do not promise outcomes.
Who It Is For
Eligibility
Often a Good Fit If
- ✓Persistent fatigue not explained by sleep, thyroid or iron
- ✓Already on or starting a broader longevity panel
- ✓Willing to hold at a low dose while we titrate to avoid the flush
- ✓Interested in a plan anchored to repeat labs, not just how you feel
Not Prescribed If
- —Pregnancy or breastfeeding
- —Looking for a one-time energy boost rather than an ongoing plan
- —Unwilling to complete a baseline longevity panel first
- —Known hypersensitivity to NAD+ or its excipients
Read Before You Decide
Key Risks, Stated Plainly
The most common issue is a flush, with warmth, lightheadedness or a racing feeling, when a dose is increased too quickly. Gradual titration mostly prevents it. Some members notice mild injection-site irritation or a brief headache after an increase. Message your clinician rather than pushing through; dropping back a step usually resolves it. Human evidence for longer-term outcomes is limited.
Contact care the same day for
Chest tightness, difficulty breathing, significant swelling at an injection site, or any symptom that feels more serious than a routine flush.
What Is Measured
Monitoring requirement: Baseline longevity panel and repeat labs reviewed by your clinician.
ApoB
A baseline view of cardiovascular risk.
Fasting Insulin and HbA1c
Metabolic health markers reviewed at baseline and repeat.
hs-CRP
A general marker of inflammation.
IGF-1
Reviewed as part of the longevity panel.
Energy, Sleep and Tolerance
Your own reports, recorded at each check-in.
A Clearer Path Forward
How Clinicians Review Your Response
You and Your Clinician Look at the Same Data
Symptoms you report, laboratory results and, if you connect one, wearable trends are reviewed together before any change.
A Physician-Led Review Every 90 Days
Included in your monthly price. Your clinician decides whether to continue, adjust the dose, change course or stop.
Clinical Judgment Decides
Lab changes are interpreted carefully. A shift in a marker does not prove NAD+ caused it.
What Is Included in the Monthly Price
- ✓Named, physician-led care team
- ✓Supplies and cold-chain shipping included
- ✓Baseline laboratory panel included in your first care cycle
- ✓Physician-led review every 90 days
- ✓Dose adjusted by your clinician with no change in price
Your Care Sequence
01
Questionnaire
Share your goals and history in about ten minutes. No card required.
02
Baseline Panel
A longevity lab draw sets the starting point your plan is measured against.
03
Video Visit
Meet your clinician to review labs and set a titration schedule.
04
Ongoing Care
Repeat labs, dose adjustments and a physician-led review every 90 days, included.
Common Questions About NAD+ Therapy
Is NAD+ FDA-Approved?+
No single-ingredient NAD+ product is FDA-approved for this use. NAD/NADH appears on FDA's interim Category 1 compounding list, which is a compounding-policy classification, not an approval and not proof of efficacy.
Will I Feel the "NAD+ Flush"?+
Some people notice flushing, warmth or a racing feeling, especially with IV NAD+ or if a dose is increased too quickly. We titrate subcutaneous dosing gradually specifically to limit this.
How Is This Different From an NAD+ IV Lounge?+
We do not sell NAD+ as a standalone wellness drip. It is prescribed as part of a longevity plan anchored to a baseline lab panel, dosed at home, and reassessed against your bloodwork rather than how you feel on any given day.
How Strong Is the Human Evidence?+
Mixed and still developing. The cellular biology is well established; large human trials tying NAD+ supplementation to specific outcomes like longevity or cognitive performance are limited. We anchor claims to your labs rather than to the broader hype around the molecule.
Can I Combine NAD+ With a GLP-1 or Peptide Plan?+
Often, yes. It is commonly paired with a longevity panel or other metabolic protocols. Your clinician reviews your full plan and labs before adding anything.
Still unsure? Message the care team before you join. No account needed.
The Mechanism
The Biology Behind It
Mitochondrial Energy
NAD+ is a coenzyme every cell uses to convert food into usable energy. Levels measurably decline with age.
Sirtuin and PARP Activity
NAD+ fuels sirtuin and PARP enzymes involved in DNA repair and cellular stress response, a leading hypothesis for its role in aging biology.
Anchored to Your Labs
Rather than dosing on assumptions, every NAD+ plan starts with a panel so response is measured, not assumed.
For Readers Who Want More
Deeper Evidence
What We Can and Cannot Tell YouEvidence and regulatory status+
What the Evidence Supports
NAD+'s role in mitochondrial energy metabolism and DNA repair is well characterized cell biology, and levels decline with age. Restoring it is a rational target, but that is not the same as demonstrated clinical benefit.
What It Does Not (Yet)
Large human trials directly tying NAD+ supplementation to longevity or cognitive outcomes are limited. NAD/NADH sits on FDA's interim Category 1 compounding list, a policy classification, not an approval or an efficacy finding.
Badge definitions and FDA category sourcing are on the Science page.
Illustrative TitrationFinal dose set by your clinician+
Illustrative only, not a prescription. We start low and step up gradually because flushing, lightheadedness or warmth can occur when a dose is increased too quickly.
| Phase | Dosing | Duration | What We Watch |
|---|---|---|---|
| Start | Low subcutaneous dose | Week 1 – 2 | Flush, injection-site tolerance |
| Build | Stepped up gradually | Week 2 – 6 | Energy, sleep, side effects |
| Maintenance | Lowest effective, ongoing | Ongoing | Repeat labs, subjective response |
Selected Studies
There are no large, published randomized trials in people for this use, so we cite none as proof. What exists is mostly laboratory and animal research, and we describe it as that.
See Whether NAD+ Fits Your Plan
Ten minutes, no card, reviewed by a clinician.