NAD+ · Prescription only · Clinician decides

Curious about NAD+? Start with a clinician.

NAD+ is a coenzyme found in every cell, where it takes part in normal energy metabolism. Here it comes as a small injection under the skin or as a nasal spray. A licensed clinician decides whether it is right for you, which form, and at what dose.

From $170/moNasal spray $170 a month or $450 every 3 months. Injection $179.98 a month or $459.98 every 3 months.

  • $0 unless prescribed
  • Free shipping in a plain box
See the Direct Wellness Promise

Who it may be for

  • Adults who want a clinician to look at low energy or brain fog alongside the rest of their health.
  • People who would rather use a nasal spray than an injection, or the other way around.
  • People already using NAD+ who want a clinician to review their form and dose.

People often ask about it for low energy and brain fog. These are reasons people ask, not promises of results.

How it works here

01 · Tell us what is going on

A short secure intake covers your health history, medications, and goals. Nothing is prescribed from the form alone.

02 · A licensed clinician reviews

Your clinician decides whether this is safe and appropriate for you, orders labs when they are needed, and may ask for a video visit.

03 · Ships to your door if prescribed

A licensed pharmacy prepares it and ships it to you. You see the full price, including any visit or lab fee, before you pay.

What to know first

  • Evidence for NAD+ as a treatment in healthy adults is limited. We do not promise more energy, sharper focus, or any other result.
  • The injection goes under the skin 3 to 5 times a week, starting at a small dose that rises slowly. It can cause redness, soreness, or itching where you inject, and some people feel flushing, nausea, cramping, or a headache.
  • The nasal spray is one or two sprays in each nostril daily. It can irritate the nose or cause a headache.
  • It is not for use in pregnancy or while breastfeeding. The intake asks about cancer, heart, liver, and kidney history, and about every medicine you take.

Compounded drug disclosure

Compounded NAD+ is not FDA approved. FDA does not verify the safety, effectiveness, or quality of compounded drugs before they are marketed.

A clinician prescribes a compounded medication only for a patient specific need and should discuss risks and alternatives with you. Compounding does not make a product equivalent to an FDA approved medicine. Review safety information.

Common questions

What does NAD+ do in the body?

NAD+ takes part in normal cellular processes, including energy metabolism. Its role in the body does not prove that a compounded treatment will produce a specific health outcome.

Will NAD+ improve my energy or focus?

We do not promise those results. Evidence depends on the form, dose, and the people studied. Ask your clinician what the evidence says for your situation.

Injection or nasal spray?

Both are prescribed by your clinician and shipped from a licensed pharmacy. Some people prefer a spray to avoid needles, and others prefer the injection. Your clinician helps you choose and sets the dose.

What if the clinician decides it is not right for me?

Then you will not be charged for medication. See our refund policy for the full terms.

Other options a clinician may consider

See all treatments →

Your clinician decides what is safe for you. You see the full price before you pay anything.

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