← All MedicationsNicotinamide Adenine Dinucleotide

NAD+

Fuel Cellular Respiration, Activate Longevity Pathways, and Protect Genomic Stability.

$126/mo
starting price

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NAD+ is an essential coenzyme found in every cell of the human body. It acts as the primary driver of cellular energy production (converting nutrients into adenosine triphosphate, or ATP) and serves as an indispensable co-factor for critical longevity enzymes, including sirtuins and PARPs (poly-ADP-ribose polymerases).

As we age, natural NAD+ levels decline dramatically—dropping by up to 50% between young adulthood and middle age. This decline impairs mitochondrial function, slows cellular repair pathways, and contributes to biological fatigue. Targeted NAD+ therapy directly replenishes systemic pools, promoting cellular rejuvenation, sustained physical stamina, sharp cognitive clarity, and healthy metabolic function.

Benefits

Key Benefits for Longevity & Performance

Sirtuin & Longevity Activation: Serves as the required fuel for Sirtuins (SIRT1–SIRT7)—the key enzymes responsible for regulation of cellular aging, DNA repair, and epigenetic stability.

Mitochondrial Energy & ATP Production: Recharges the electron transport chain inside mitochondria to boost cellular energy output and reduce baseline biological fatigue.

DNA Repair & Genomic Protection: Powers PARP enzymes that detect and repair daily strand breaks in DNA caused by oxidative stress and environmental toxins.

Cognitive Clarity & Neuroprotection: Supports neuronal plasticity, reduces neuroinflammation, and enhances focus, executive function, and mental processing speed.

Enhanced Athletic Endurance & Recovery: Accelerates muscle recovery by promoting mitochondrial biogenesis and helping regulate post-exercise oxidative stress.

These statements have not been reviewed by the FDA.

Mechanism

How NAD+ Works: The Science

NAD+ exists in two forms: NAD+ (oxidized) and NADH (reduced). The ratio between these two forms drives cellular respiration. When NAD+ levels drop, the cell loses its ability to generate energy efficiently and execute vital maintenance tasks.

Direct systemic NAD+ delivery (via Subcutaneous injection, IV infusion, or specialized nasal formulations) bypasses enzymatic breakdown in the gut, elevating circulating levels to activate downstream longevity enzymes.

[ NAD+ Administration ]
           │
           ├───> [ Mitochondria ] ─────> Enhanced ATP Output & Metabolic Rate
           │
           ├───> [ Sirtuins (SIRT1-7) ] ─> Chromatin Regulation & Autophagy
           │
           └───> [ PARP Enzymes ] ─────> DNA Damage Repair & Genomic Integrity

Mitochondrial Respiration: NAD+ accepts electrons from metabolic pathways to feed the electron transport chain, driving efficient ATP synthesis.

Sirtuin Deacetylation: Sirtuins require NAD+ to remove acetyl groups from target proteins, initiating pathways that regulate inflammation, metabolic rate, and stress resilience.

DNA Surveillance: When DNA damage occurs, PARP enzymes consume NAD+ to rebuild damaged structural strands and maintain cellular integrity.

Metabolic Homeostasis: Restores the optimal NAD+/NADH ratio, signaling to the cell that energy is available for growth, tissue repair, and maintenance.

Research

Medical & Scientific References

Compounded Medication & FDA Status: NAD+ is available as a prescription medication and dietary supplement component. Compounded formulations of injectable or specialized NAD+ are prepared by state-licensed compounding pharmacies upon receipt of a valid prescription for an individual patient. Compounded medications and the statements made on this page have not been evaluated, approved, or reviewed by the U.S. Food and Drug Administration (FDA). The FDA does not verify the safety, effectiveness, or quality of compounded drugs.

Medical Advice Disclaimer: The information provided on this page is for educational and informational purposes only and does not constitute medical advice, diagnosis, or treatment. NAD+ therapy is not indicated to cure, prevent, or treat any specific disease or age-related condition by the FDA. Consult with a qualified healthcare provider to determine if NAD+ therapy aligns with your personal medical history and health optimization goals.

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