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Compounded NAD+ — illustrative product photograph
Compounded — not FDA-approvedPrescription only

Compounded NAD+

Compounded — self-administered injection; nasal spray in HI, KS and MI

A coenzyme your cells use for energy metabolism, given by injection — or, in Hawaii, Kansas and Michigan, as a nasal spray — when a provider judges it appropriate.

$229 4-week supply $32 consultation included, not refunded · medication and shipping if prescribed

Important safety information

Choose your option

4-week supply

Price

$229 for a 4-week supply, if prescribed

Includes your $32 provider consultation (non-refundable). If your provider decides treatment isn’t appropriate, the medication portion is refunded automatically.

    Paying books a visit with a licensed provider, who decides whether to prescribe and which strength is appropriate. If nothing is prescribed, the medication portion is refunded automatically; a higher strength costs more only if you approve that charge.

    How it works

    NAD+ is not an FDA-approved drug. It appears on FDA's list of bulk substances under evaluation for compounding (Category 1), which allows licensed pharmacies to compound it while FDA completes its review. Human outcome data is limited.

    NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every living cell, central to converting food into cellular energy and to the enzymes involved in DNA repair. Measured NAD+ levels decline with age. Injectable supplementation delivers it directly rather than relying on oral precursors. In Hawaii, Kansas and Michigan the pharmacy that fills this prescription prepares a nasal spray instead, at a different dose: 120 mg a day, against 20 mg a day on weekdays by injection everywhere else. The honest framing: the biochemistry is textbook, the human outcome data is early, and anyone promising you a specific result from NAD+ is ahead of the evidence.

    The full mechanism

    Who it’s for

    A provider may consider it when

    • You're building a longevity protocol with a provider rather than buying hype
    • Fatigue and recovery are the things you're working on
    • You're comfortable with subcutaneous self-injection after instruction — or, in Hawaii, Kansas and Michigan, with a daily nasal spray

    Reasons it may not be prescribed

    • Anyone looking for a treatment for a specific disease — that's not what this is
    • Pregnancy or breastfeeding, without provider review
    • Active cancer treatment, without your oncologist involved

    These are the same checks your provider runs in the visit. If one applies, they will tell you plainly — and the medication portion of what you paid comes back automatically.

    What to expect

    1. Weeks 1–2

      With the injection, site tenderness is the common early experience, and some people report flushing or nausea if it goes in too fast. With the nasal spray, tell the care team about anything new.

    2. Ongoing

      Reviewed at check-ins like any prescription — dose, frequency and whether it's earning its place in your plan.

    Important safety information

    Injection-site redness or tenderness, flushing, nausea and headache are the reported ones, generally mild and transient. Long-term safety data for injectable NAD+ is limited, and the nasal spray dispensed in Hawaii, Kansas and Michigan is a different route again — your provider will say what is and is not known rather than pretend otherwise.

    • Covarrubias et al., Nature Reviews Molecular Cell Biology, 2021 — NAD+ metabolism and aging review

    Complete safety information is provided during your visit and with every prescription. This page is a summary, not a substitute for your provider's advice.

    Questions

    Will I definitely be prescribed this?

    No — a consultation does not guarantee a prescription. A licensed provider reviews your health history and prescribes only if it's appropriate for you. If it isn't, we'll tell you why and the medication portion of your payment is refunded; the consultation fee is not.

    Will this make me feel younger?

    We won't promise that, and you should distrust anyone who does. The coenzyme's role in metabolism is established science; what supplementing it does for how you feel varies, and the honest answer is that you and your provider will assess it together.

    Also for longevity

    $32 consultation included, not refunded · medication and shipping if prescribed

    $32 consultation included, not refunded

    See whether Compounded NAD+ is right for you.

    A licensed provider reviews your visit and decides. You receive medication only if prescribed, and that portion of your payment is refunded automatically if they say no.

    Choose your option