NAD+ Therapy
$299
/month
- May support daytime energy and mental clarity
- May support cellular repair and metabolic resilience
- Self-administered at home, with no clinic visits and no IV chair time
Cellular energy
HIPAA-aware platform503A U.S. pharmacyBoard-certified physiciansSecure checkout
Physician-titrated NAD+ — the cellular cofactor behind energy and repair.
NAD+ is a coenzyme your cells use to make energy and repair DNA, and it declines with age. ElevateMD physicians prescribe subcutaneous NAD+ you administer at home, titrated to how you feel, not a one-size dose.
Take the NAD+ quiz
$299 /month
Cancel anytime · No contracts · If you're not approved, you're not charged for medication.
HIPAA-aware platform503A U.S. pharmacyBoard-certified physiciansSecure checkout
The science, briefly
Why NAD+ matters, and why delivery is everything
NAD+ (nicotinamide adenine dinucleotide) powers the enzymes that turn food into cellular energy and repair damaged DNA. Levels decline steadily through adulthood, and for many people they are already well below their peak by their 30s. Lower NAD+ is associated with the fatigue, slow recovery, and mental fog people often write off as "just getting older."
Oral NAD+ precursors are largely broken down before they reach your cells. Subcutaneous NAD+ bypasses digestion, which is why physician-supervised injectable protocols are the serious approach, and why an IV chair isn't the only option.
Titrated to you
Most patients start around 75 mg and adjust with their physician based on how they respond, with no rigid protocol.
At-home, no IV chair
Self-administered subcutaneously at home, with an injection guide and care-team support.
A physician behind it
Every prescription is written and monitored by a board-certified, U.S.-licensed physician.
Is this you?
Who NAD+ tends to fit
Tired in a way sleep doesn't fix
You get seven or eight hours and still wake up drained. The fatigue feels cellular, not behavioral, and more coffee never touches it.
Optimizing, but plateaued
You train, eat well, and track your biology, and you've hit a ceiling you can't out-discipline. You want to work upstream at the cellular level.
Proactive about how you age
You'd rather support the biology now than manage symptoms later, and you want NAD+ done as real medicine, not a wellness-shop add-on.
Curious about IVs, allergic to the chair
You've looked at NAD+ IV drips but can't justify hours in a clinic at a premium per session. You want the molecule without the appointment.
How it works at ElevateMD
Physician-directed, start to finish
Take the quiz
A 60-second eligibility check confirms your goals and your state.
Complete intake
A secure medical questionnaire, plus labs when your physician orders them.
Physician review
Your ElevateMD physician reviews everything and builds your protocol.
Shipped & supported
Your medication arrives with guidance, and your care team checks in.
Protocol: Subcutaneous NAD+, three times weekly, in a physician-directed 50 to 100 mg range (target around 75 mg). Your physician starts you low and titrates up to your target over the first few weeks as tolerated. There is no high-dose loading; you ease in and build to effect.
What to expect
A realistic timeline
How many patients describe the first few months. This describes a typical process, not a promised outcome; individual results vary.
Before you start
Your physician reviews your intake, confirms eligibility, and sets a conservative starting dose. Not everyone is approved, and that's the point of physician review.
Weeks 1–2
You learn the at-home injection routine and ease in. Any mild injection-site effects are most likely here and typically settle quickly. Individual experiences vary.
Weeks 3–6
You titrate toward your target dose as tolerated. Your physician may suggest baseline labs to track relevant markers. Responses differ from person to person.
Ongoing
You settle into a steady maintenance rhythm with monthly monitoring, and your physician adjusts your protocol as your goals and numbers evolve.
Transparent pricing
$299/month, everything included
Your physician evaluation, prescription, compounded NAD+, and ongoing monitoring, all for one transparent monthly price. Cancel anytime.
A single NAD+ IV at a clinic can run several hundred dollars and a half-day of your time. See the full comparison →
Physician review before you are ever prescribed · Cancel anytime, no contracts · If you are not approved, you are not charged for medication.
What's included
- A documented evaluation by a board-certified, U.S.-licensed physician before anything is prescribed
- Compounded subcutaneous NAD+, prepared by a licensed U.S. pharmacy
- All injection supplies: syringes, alcohol swabs, and a sharps container
- A step-by-step injection guide and video walkthrough for confident at-home self-administration
- Ongoing physician monitoring with dose titration as you respond
- Secure messaging with the ElevateMD Care Team for day-to-day questions
- Automatic monthly refills shipped to your door, with no reorder required
Certain medications referenced are compounded and prescribed by a licensed physician when clinically appropriate. Compounded medications are not FDA-approved.
After you order
What happens next
01
Physician review
A board-certified physician reviews your intake, typically within 24–48 hours. No prescription is written without it.
02
Approved & prescribed
If a protocol is appropriate, your physician writes it and sends it to a licensed U.S. pharmacy.
03
Shipped to your door
Your compounded medication arrives with a step-by-step injection guide.
04
Ongoing care
Your care team checks in, and your physician adjusts your protocol over time.
Transparent about what to expect
Safety, said plainly
Common & typically mild
- Mild redness or soreness at the injection site, typically resolving within hours
- A brief flushing or warmth shortly after injecting
- Mild, transient nausea, more likely when injecting too quickly
- Occasional, short-lived lightheadedness, usually tied to injection speed
How we keep it safe
- A board-certified physician reviews your full history and screens for contraindications before prescribing
- You ease in at a conservative dose and titrate up only as tolerated, with no high-dose start
- Compounded by a licensed U.S. pharmacy, not sourced from gray-market suppliers
- Ongoing physician oversight throughout your protocol, with dose adjustments as needed
- Direct care-team access through your secure patient portal if anything feels off
This is general information, not a complete list of risks. Your physician reviews the side effects and contraindications specific to you. Statements on this site have not been evaluated by the FDA. These products and services are not intended to diagnose, treat, cure, or prevent any disease. Individual results vary.
Questions
Common NAD+ questions
How is NAD+ administered?
As a small subcutaneous injection you give yourself at home, typically three times per week. Your kit ships with a step-by-step injection guide, and your care team is available for questions.
What dose will I be on?
Your physician sets your dose. Most patients ease in over the first few weeks, starting low and building to a target around 75 mg within a physician-directed 50 to 100 mg range, three times weekly. There is no high-dose loading; you titrate up to effect.
Is NAD+ FDA-approved?
The NAD+ we prescribe is a compounded medication prepared by a licensed U.S. pharmacy and prescribed by a physician when clinically appropriate. Compounded medications are not FDA-approved. Your physician will review whether it is right for you.
How is this different from an IV drip?
IV NAD+ requires repeated clinic visits at a high per-session cost. Physician-supervised subcutaneous NAD+ delivers a steady at-home protocol for $299/month, with no chair time and a physician monitoring your progress.
Who is eligible?
Adults who reside in a state where ElevateMD physicians are licensed (FL, TX, AL, OH, MI, MD, DC, PA, NJ, DE) and who are cleared on physician review. Start with the quiz to check your fit.
Is there a contract, or am I locked in?
No contracts and no lock-in. NAD+ is a month-to-month subscription you can pause or cancel anytime through your portal or by messaging the Care Team. No cancellation fees.
What if my physician decides NAD+ isn't right for me?
Then it isn't prescribed, and you're not charged for a medication you can't safely use. A real physician evaluation means some people aren't candidates, which is exactly how it should work. Your physician will explain why and discuss alternatives where appropriate.
How is this different from a med spa or IV lounge?
A med spa or IV lounge is typically a per-session visit with limited ongoing oversight. ElevateMD is a physician-directed telehealth practice: one physician evaluates you, sets and titrates your dose, and monitors you month over month, all without clinic visits.
Is my health information kept private?
Your medical information is handled on a HIPAA-aware platform, and clinical questions are answered by the human Care Team. Some routine, non-clinical reminders may be automated, but your records are not sold or shared for marketing.
Can I use an HSA or FSA?
Many patients use HSA or FSA funds for physician-directed care like this. Eligibility depends on your specific plan and administrator, so confirm with them. We provide itemized receipts on request.
Clinical references
- Covarrubias et al., Nature Reviews Molecular Cell Biology (2020) — NAD+ metabolism and its roles in cellular processes during ageing
- McReynolds et al., Experimental Gerontology (2020) — Age-related NAD+ decline
- Johnson & Imai, F1000Research (2018) — NAD+ biosynthesis, aging, and disease
References are provided for scientific background on mechanism. They do not imply a specific outcome; individual results vary.
Ready when you are
See your NAD+ optimization score in 60 seconds.
Take the 60-second eligibility quiz. No card required.
Take the QuizEducational, not medical advice. Individual results vary.