What is NAD+?
NAD+ — nicotinamide adenine dinucleotide — is a coenzyme present in every cell in your body. It takes part in the reactions that convert food into cellular energy and acts as a required substrate for several repair and signalling enzymes. Levels are understood to decline with age, which is why it comes up so often in discussions of cellular health and longevity.
Is NAD+ FDA-approved?
No. NAD+ here is a compounded preparation, not an FDA-approved medication, and it has not been shown to treat, cure or prevent any disease. Compounded drugs are not reviewed by the FDA for safety or effectiveness. It is dispensed only on the order of a licensed provider who has reviewed your health history, and individual results are not guaranteed.
Injection or nasal spray — which will I get?
That is part of the prescription, not a menu choice. You can tell us which form you would prefer during your visit, and the provider reviewing you decides what is appropriate. The injectable is compounded as a 1,000mg or 2,000mg vial; the nasal spray is a needle-free alternative.
How much do I take, and how often?
Your prescriber sets that. We deliberately do not publish a dosing schedule on this page, because how much of a vial you use and how often is a clinical decision about you rather than a product specification. Follow the directions on your label, not a protocol you have read elsewhere.
What are the possible side effects?
Reported effects are most often related to the injection itself or to administering it too quickly, and can include soreness or redness at the injection site, flushing, nausea, headache, and chest tightness or cramping if given too fast. Tell your provider about every condition and medication before starting, including if you are pregnant or breastfeeding. Seek care immediately for signs of an allergic reaction.
How is it prescribed and shipped?
You answer a few medical questions and are then connected to a provider licensed in your state on a live video call, usually within seconds. If they determine NAD+ is appropriate for you, they write the prescription, and a licensed U.S. 503A pharmacy compounds it and ships it in plain, unmarked packaging to all 50 states with your name on the vial. Approval is never guaranteed.
Do I have to book an appointment?
No. After the questionnaire you are connected to an available provider on a video call, usually within seconds — there is no scheduling step and no waiting room.
Why can I only order one peptide at a time?
Every peptide requires its own provider consultation, so each one is its own visit. Complete this visit and you can return to the peptide shop to start another.
