NAD+ is the coenzyme your mitochondria need to produce cellular energy, repair DNA, and maintain the signaling pathways that keep every system in your body functioning. By age 50, your NAD+ levels have declined by more than 50%. Supplements can't fix that. Your cells need the actual molecule.
Check Your Eligibility →Nicotinamide adenine dinucleotide (NAD+) is a coenzyme present in every living cell. It is essential for mitochondrial energy production, DNA repair, and the cellular signaling pathways that regulate aging. NAD+ levels decline naturally with age, and oral precursors like NMN and NR have limited bioavailability. Subcutaneous NAD+ delivers the actual molecule directly into your system.
NAD+ is a critical coenzyme in the mitochondrial electron transport chain. Without adequate NAD+, your cells cannot efficiently convert nutrients into ATP — the energy currency your body runs on. Declining NAD+ levels are directly correlated with the fatigue, brain fog, and reduced physical capacity associated with aging.
NAD+ activates sirtuins and PARP enzymes — the molecular machinery responsible for detecting and repairing DNA damage. Every day, your cells sustain thousands of DNA lesions from oxidative stress, UV exposure, and normal metabolic activity. Without sufficient NAD+, this repair process slows, accelerating cellular aging. Many patients pair NAD+ with Sermorelin therapy to address both cellular repair and hormonal optimization simultaneously.
NAD+ regulates key signaling pathways including sirtuins, CD38, and PARPs that control inflammation, circadian rhythm, immune function, and metabolic homeostasis. When NAD+ levels drop, these pathways become dysregulated — contributing to chronic inflammation, disrupted sleep, and impaired immune response.
Every NAD+ protocol at ElevateMD follows a structured clinical framework — loading phase, maintenance, re-evaluation. Your physician designs your protocol based on your health history, monitors your progress, and adjusts dosing as needed.
Complete medical intake reviewed by a board-certified physician. Health history, current medications, goals, and contraindication screening.
Higher initial dosing to rapidly restore depleted NAD+ levels. Your physician may recommend diagnostic lab panels to establish baseline biomarkers.
Ongoing monthly protocol to sustain elevated NAD+ levels. One vial per month, delivered automatically.
Physician check-in to assess progress, review any reported changes, and adjust protocol if needed. Optional follow-up labs.
Continuous physician monitoring. Protocol adjustments as needed. Automatic refills. No reorder required.
Every price includes physician oversight, pharmacy compounding, and delivery. Optimize members save 25% on everything.
1 vial (1,000mg) per month. Physician oversight. Automatic refills. The standard maintenance protocol for most patients.
Get Started →3 vials (3,000mg) per quarter. Save vs. monthly pricing. Same physician oversight and automatic shipments.
Get Started →Single vial (1,000mg). No subscription. Includes physician evaluation and pharmacy compounding. Ideal for a trial month.
Get Started →Additional 1,000mg vial for existing patients during loading phase or for those who want to increase their monthly dosage.
Get Started →An IV NAD+ clinic charges $750–$1,500 per session for the same molecule. Over 3 months, that's $2,250–$4,500. ElevateMD's NAD+ Monthly protocol costs $897 for the same period — or $672 for Optimize members. Same pharmaceutical-grade NAD+, licensed pharmacy, physician oversight. No clinic visits required.
Want to save 25% on everything? Learn about Optimize membership.
You get 7–8 hours but still wake up drained. The fatigue isn't from poor sleep — it's cellular. Your mitochondria don't have the NAD+ they need to produce energy efficiently. No amount of coffee fixes a coenzyme deficiency.
You train hard, eat well, and take care of yourself — but you've hit a plateau. NAD+ supports mitochondrial function, recovery, and the cellular machinery that underpins physical and cognitive performance. For comprehensive optimization, the Longevity Stack combines NAD+ with Sermorelin to target both cellular energy and growth hormone output.
You understand that aging is a biological process driven by measurable cellular decline. NAD+ is one of the most well-studied molecules in longevity science. You'd rather address the biology now than manage symptoms later.
You've considered IV NAD+ but can't justify 2–4 hours in a clinic multiple times per month. Subcutaneous NAD+ takes 60 seconds, self-administered at home, and costs a fraction of what IV clinics charge.
NAD+ is administered as a subcutaneous injection — a small needle inserted just under the skin, typically in the abdomen or thigh. It takes about 60 seconds. We provide detailed injection guides, video tutorials, and your physician is available for questions. Most patients are comfortable self-injecting within the first week.
Many patients report improved energy and mental clarity within the first 1–2 weeks of the loading phase. Full cellular adaptation typically occurs over 4–8 weeks. Results vary based on your baseline NAD+ levels, age, lifestyle, and overall health. Your physician monitors your progress and adjusts your protocol as needed.
Yes. Our NAD+ is pharmaceutical-grade nicotinamide adenine dinucleotide, compounded by a licensed 503A pharmacy under physician prescription — the same molecule used in IV clinics. The difference is the delivery method: subcutaneous injection is self-administered at home in 60 seconds, versus a 2–4 hour IV drip at a clinic costing $750–$1,500 per session.
Oral NMN and NR are precursors that must be converted to NAD+ through multiple enzymatic steps in the body. Bioavailability is limited and variable. Our prescription NAD+ is the actual molecule, delivered via subcutaneous injection, bypassing the GI tract entirely. It is pharmaceutical-grade, physician-prescribed, and compounded by a licensed 503A pharmacy.
NAD+ is generally well-tolerated and has no known major drug interactions. However, your ElevateMD physician will review your complete medication list, medical history, and health goals during your clinical evaluation to ensure NAD+ therapy is appropriate for you. Always disclose all medications and supplements during your intake.
If our physicians determine that NAD+ therapy is not appropriate for you based on your medical history or clinical evaluation, we will tell you directly. There is no charge for the eligibility screening, and you are under no obligation. We do not prescribe to patients who are not medically appropriate candidates.
No. ElevateMD is a cash-pay practice with transparent pricing. We do not accept insurance, and our therapies are not typically covered by insurance plans. This allows us to keep pricing straightforward and eliminate the administrative overhead that drives up costs at traditional clinics.
NAD+ addresses cellular energy. These protocols target complementary mechanisms — hormonal optimization, integrated longevity, and diagnostic baselines — all managed by the same physician.
Growth hormone-releasing hormone analog. Stimulates natural GH production during sleep. Supports recovery, body composition, and sleep quality.
NAD+ and Sermorelin in one integrated protocol. Cellular energy during the day, hormonal optimization during sleep. Save $79/mo vs. purchasing separately.
Comprehensive biomarker panel designed for longevity patients. Establish your baseline before starting a protocol. Quest Diagnostics draw centers or at-home collection.
Free screening. No payment required. If you're approved, your NAD+ protocol ships from a licensed 503A compound pharmacy directly to your Florida address.
Check Your Eligibility →