Prescription only · clinician reviewed
NAD+ Injectable
Injectable NAD+ as a 200 mg/ml 10 ml vial (2,000 mg), about 13 weeks, with clinician oversight.
Member pricing via Chiro Peptides NY
This is a treatment plan: clinician consult, medication at your prescribed dose, and shipping are included. The price does not change if your dose changes.
- Billed every 28 days
- Clinician review and care-team messaging included
- Medication at the dose your clinician prescribes — same plan price
- We'll bill this supply again when it's due. Complete the portal follow-up so the next fill can ship. You may still have medication on hand.
- Cancel anytime in your patient portal
Free eligibility check · $0 today · You are charged only if a clinician prescribes
Choosing a plan starts an intake, not an order. A licensed clinician reviews it and decides whether to prescribe — they may decline, and you are not charged unless they approve.
NAD+ Injectable
Injectable NAD+ as a 200 mg/ml 10 ml vial (2,000 mg), about 13 weeks, with clinician oversight.
- Energy
- Mental clarity
- Skips digestion
Why people ask about it
What this is for
Bypasses digestion
Injection avoids the absorption losses that make oral NAD+ dosing unpredictable.
Energy and mental clarity are what people report
The most commonly described changes. Individual experience varies widely and some people notice nothing.
A foundational coenzyme
NAD+ sits upstream of energy production and DNA repair, which is why it draws interest. Upstream importance does not by itself prove clinical benefit.
Reported experience, not established outcomes. Nothing here is a promise of a result or of a prescription.
Before you start
What to know about NAD+ Injectable
NAD+ is a coenzyme every cell uses to turn food into usable energy, and levels decline with age. This program uses the pharmacy’s 10 ml vial (200 mg/ml, 2,000 mg) — about 13 weeks — for adults interested in energy and general cellular support, under clinician review.
- 01
NAD+ is a coenzyme every cell uses for energy metabolism and DNA repair. It is not a drug the body is unfamiliar with.
- 02
Tissue NAD+ declines with age, and that observation is what drives the interest — but declining with age does not by itself mean restoring it produces benefits.
- 03
Most human trial data concerns oral precursors such as NR and NMN, not injected NAD+. Those trials reliably raise blood NAD+ and have been much less consistent on clinical outcomes.
- 04
Prescription only, and supplied as a compounded medication, which means it is not FDA-approved.
Who this tends to fit
- You are interested in energy and cellular support
- You would rather not rely on oral absorption
- You are comfortable with a treatment whose evidence base is still early
- You want clinician oversight rather than sourcing it yourself
Fitting the description does not mean you will be prescribed this. A clinician decides after reviewing your intake.
Supplied as a compounded medication, so it is not FDA-approved and has not been reviewed by the FDA for safety or effectiveness. Human evidence that raising NAD+ produces specific clinical benefits is early and limited. Treat the benefits below as reported experience, not established outcomes.
The science
The science of NAD+ Injectable
Tap a card for what the literature actually examines. Most of it is preclinical, and none of it is a reason to expect a result.
How care works
What clinician oversight means here
Telehealth varies a lot in how much of this is real. Here is exactly what is and is not true of ours.
A licensed clinician decides
Your intake is reviewed by a clinician licensed in your state. They choose the treatment and the dose, and they can decline. Insert MD does not make that call.
Dispensed by a licensed pharmacy
Nothing ships without a prescription. Your order is prepared and sent by a licensed pharmacy, not packed by us.
Reviewed again at follow-up
Continuing is a decision, not a default. Your clinician reassesses whether the treatment still fits before you carry on.
Compounded is not FDA-approved
Several treatments here are compounded. The FDA does not review compounded medications for safety, effectiveness, or quality, and we say so on every page where it applies.
How it works
Three steps, no charge to find out
Check eligibility
A quick questionnaire — takes about 2 minutes. No charge to see if you qualify.
Provider review
A licensed clinician reviews your intake and approves an appropriate plan.
Delivered to you
Your treatment ships discreetly, directly to your door, with care-team support.
Precise, consistent dosing
Your prescription is prepared by a licensed pharmacy and reviewed by a clinician licensed in your state. Nothing ships until they approve.
- Compounded by a licensed pharmacy
- Identity, potency, and purity tested
- Dose set by a licensed clinician
- Ships ready to use — no home mixing
Good to know
NAD+ is a coenzyme central to how your mitochondria produce energy, and it is also required by repair enzymes that maintain DNA. Levels fall as you get older. Supplying NAD+ by injection bypasses digestion, which is the argument for this route over oral supplements.
Supplied as a compounded medication, so it is not FDA-approved and has not been reviewed by the FDA for safety or effectiveness. Human evidence that raising NAD+ produces specific clinical benefits is early and limited. Treat the benefits below as reported experience, not established outcomes.
- Known allergy or hypersensitivity to NAD+ components
- Active or previous cancer
- MTHFR mutation (route to prescribing provider)
- Pregnancy
- Low blood pressure
- Arrhythmias / heart conditions
- Anxiety disorders
Tell your clinician if this applies.
- Naturally occurring molecule with minimal side effects reported in many clinical contexts
Tell your clinician if this applies.
- Mild nausea
- Flushing
Your dose, schedule, and how long you stay on treatment are set by the prescribing clinician after reviewing your intake, and may differ from any general description here. General information, not medical advice.
The pharmacy fills one strength: 200 mg/ml in a 10 ml vial (2,000 mg), which is about 13 weeks. How much you inject and how often is set by your clinician after intake.
NAD+ can cause flushing, a warm sensation, or chest tightness if given too quickly, which is why administration pace matters. Follow your clinician's directions and report anything that concerns you.
Injection avoids digestive absorption losses, so delivery is more predictable. Whether that translates into a meaningfully different outcome has not been well established.
References
Scientific sources
Primary papers for readers who want them. Most of this literature is preclinical — it is not a sales argument, and it is not a reason to expect a result.
- 1.Cantó C, Menzies KJ, Auwerx J. NAD+ metabolism and the control of energy homeostasis: a balancing act between mitochondria and the nucleus. Cell Metab. 2015;22(1):31-53.
- 2.Covarrubias AJ, Perrone R, Grozio A, Verdin E. NAD+ metabolism and its roles in cellular processes during ageing. Nat Rev Mol Cell Biol. 2021;22(2):119-41.
- 3.Imai S, Guarente L. NAD+ and sirtuins in aging and disease. Trends Cell Biol. 2014;24(8):464-71.
- 4.Bai P, Cantó C. The role of PARP-1 and PARP-2 enzymes in metabolic regulation and disease. Cell Metab. 2012;16(3):290-5.
- 5.Massudi H, Grant R, Braidy N, Guest J, Farnsworth B, Guillemin GJ. Age-associated changes in oxidative stress and NAD+ metabolism in human tissue. PLoS One. 2012;7(7):e42357.
- 6.Yoshino J, Baur JA, Imai SI. NAD+ intermediates: the biology and therapeutic potential of NMN and NR. Cell Metab. 2018;27(3):513-28.
- 7.Martens CR, Denman BA, Mazzo MR, et al. Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults. Nat Commun. 2018;9(1):1286.
- 8.Elhassan YS, Kluckova K, Fletcher RS, et al. Nicotinamide riboside augments the aged human skeletal muscle NAD+ metabolome and induces transcriptomic and anti-inflammatory signatures. Cell Rep. 2019;28(7):1717-28.e6.
- 9.Bogan KL, Brenner C. Nicotinic acid, nicotinamide, and nicotinamide riboside: a molecular evaluation of NAD+ precursor vitamins in human nutrition. Annu Rev Nutr. 2008;28:115-30.
Plain language
Terms you might hear
- Coenzyme
- A helper molecule an enzyme needs in order to do its job.
- Mitochondria
- Structures inside cells that turn nutrients and oxygen into usable energy.
- Redox balance
- The balance between oxidising and reducing reactions in a cell. Cells need it kept within a range, not pushed to one extreme.
- Oxidative stress
- What happens when reactive molecules outpace the systems that neutralise them, damaging cell components over time.
- Antioxidant
- A molecule that neutralises reactive species before they damage cell structures.
- Bioavailability
- How much of a dose actually reaches your bloodstream. It is the main reason route of administration matters.
- Compounded
- Prepared for an individual patient by a licensed pharmacy. Compounded medications are not FDA-approved.
Ready when you are
See if NAD+ Injectable is right for you
A licensed clinician reviews your intake and decides. You are not charged unless they approve.
NAD+ Injectable
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