NAD+
A coenzyme central to cellular energy, repair, and metabolism — injectable or IV.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell, essential to energy production and DNA repair. Levels decline with age, and NAD+ therapy aims to restore them.
Prescription required. Final clinical decisions rest with the prescribing physician.
What is NAD+?
NAD+ is a coenzyme that powers cellular energy production and supports DNA repair and metabolic function. Because natural levels fall with age, replenishing NAD+ is a popular focus in longevity and energy protocols.
It’s offered as a subcutaneous injection or, at higher doses, IV. NAD+ is accessed through licensed compounding pharmacies under a physician’s prescription; it is not an FDA-approved finished product.
Potential benefits
Cellular energy
Central to the mitochondrial energy your cells run on.
Metabolic & repair support
Involved in DNA repair and metabolic regulation.
Longevity focus
Targets the age-related decline in NAD+ levels.
Injection or IV
Flexible delivery depending on dose and goals.
How it works
How it’s taken
A subcutaneous injection at home, or an IV for higher doses. The physician sets the dose and pace (NAD+ is dosed gradually to limit flushing).
Typical protocol
Often a loading period followed by maintenance; the physician sets the schedule.
How ordering works
Complete the intake
Share your goals, health history, and current medications — about 5 minutes.
Physician evaluation
An independent, board-certified physician reviews your intake and, if appropriate, prescribes NAD+ with a dosing protocol.
Compounded & shipped
The prescription is filled by a licensed compounding pharmacy and shipped to your door with instructions.
What to know before NAD+
NAD+ is a bioactive compound. The physician you’re connected with will review the relevant risks and contraindications for your situation before prescribing.
- •Rapid dosing can cause flushing, nausea, or chest tightness — which is why it’s given slowly.
- •Injection-site reactions can occur.
- •Disclose your full history and current medications.
- •Source matters: gray-market “research only” peptides skip physician oversight and quality testing. FirstCall connects you with a licensed physician and a compounding pharmacy that follows USP standards.
NAD+ FAQ
What is NAD+ used for?
NAD+ supports cellular energy, metabolism, and repair, and is used in longevity and energy protocols. It’s prescribed off-label under physician supervision.
Is NAD+ FDA-approved?
No. It is prepared by licensed compounding pharmacies and prescribed off-label.
Injection or IV?
Both are available; the physician recommends based on dose and your goals.
Why is it dosed slowly?
Fast administration can cause flushing or nausea, so NAD+ is given gradually for comfort.
How much does it cost?
NAD+ starts from $199/month. Final pricing is confirmed after your physician evaluation. The initial evaluation is free.
Ready to start NAD+?
Complete a short medical intake — a supervising physician reviews it and, if appropriate, writes your prescription, and a licensed pharmacy ships to your door.
Pricing & regulatory note: The $199/mo price is an indicative starting point confirmed by the compounding pharmacy after physician evaluation. NAD+ is not an FDA-approved finished drug product; it is prepared by licensed compounding pharmacies and prescribed off-label. FDA guidance on peptide compounding continues to evolve and availability can change. A prescription is required.