NAD+ Injections
Month to Month. 1,000mg NAD+ vial, physician oversight, and free shipping. Everything included, no hidden fees. Cancel anytime.
$139.99 first month, then $149/mo. Everything included. No subscriptions.
What is NAD+ therapy? NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme present in every cell of your body. It's the master regulator of cellular energy, DNA repair, and aging.
NAD+ is essential for ATP production, the currency of cellular energy that powers every function in your body.
PARP enzymes use NAD+ to detect and repair DNA strand breaks, slowing the cellular aging process.
Sirtuins, the “longevity proteins,” are NAD+-dependent and regulate inflammation, metabolism, and cellular stress.
NAD+ supports neuronal health, axonal protection, and cognitive function, counteracting age-related mental decline.
By your 40s, NAD+ levels have dropped by nearly half, directly causing the energy crashes, brain fog, and slower recovery you feel every day.
Subcutaneous NAD+ delivers a consistent daily dose, maintaining steadier elevated NAD+ levels throughout the month than infrequent high-dose IV sessions.
1. Yoshino J, et al. NAD+ Intermediates: The Biology and Therapeutic Potential of NMN and NR. Cell Metabolism, 2018. PubMed
2. Gomes AP, et al. Declining NAD+ Induces a Pseudohypoxic State Disrupting Nuclear-Mitochondrial Communication. Cell, 2013. PubMed
3. Verdin E. NAD+ in aging, metabolism, and neurodegeneration. Science, 2015. PubMed
4. Peek CB, et al. Circadian Clock NAD+ Cycle Drives Mitochondrial Oxidative Metabolism. Science, 2013. PubMed
How to buy NAD+ injections online in 3 steps. No office visits. No long waits. We've built the fastest, most streamlined path to starting NAD+ therapy.
Answer a brief online health questionnaire. We'll review your symptoms and eligibility instantly, no office visit required.
Meet your physician via secure telehealth. They'll review your cellular health and build your personalized NAD+ dosing protocol.
Your NAD+ ships from our licensed 503A pharmacy, discreetly packaged, with clear self-injection instructions and ongoing physician support.
$139.99 first month, then $149/mo · No hidden fees · HSA/FSA accepted · Cancel anytime
NAD+ levels drop roughly 50% between ages 40 and 60, directly affecting your energy, cognition, sleep quality, and how fast your cells age. NAD+ therapy works at the cellular level, so results build progressively as your body's energy systems are restored.
Many patients notice a meaningful lift in energy within the first week as NAD+ fuels mitochondrial ATP production at the cellular level.1
Brain fog clears as NAD+ supports neuronal repair and sirtuin activation: sharper focus, improved memory recall, and faster cognitive processing.2
NAD+ regulates circadian rhythm genes. Patients report falling asleep faster, staying asleep longer, and waking genuinely restored.3
PARP enzymes and sirtuins, NAD+-dependent repair proteins, accelerate DNA repair, reduce inflammation, and slow cellular aging markers.4
Curve illustrates the approximate age-related decline in NAD+ reported in the literature (refs 1–4, above). Individual results vary based on age, baseline NAD+ levels, lifestyle, and protocol adherence.
NAD+ injection cost: $139.99 your first month, then $149/mo. Covers your NAD+ prescription, physician oversight, and free shipping. No dose-based price hikes, no hidden fees, no lock-in.
A single infusion, billed every time you walk in. Packages lock you in upfront.
1,000mg vial. $149/mo from month 2, cancel anytime. Hundreds less vs. typical IV clinics.
$139.99 first month, then $149/mo. Includes physician consultation, NAD+ prescription, and free shipping. HSA/FSA accepted. No lock-in, cancel anytime.
IV clinics charge $400–$600+ per session because of facility overhead, nursing staff, and per-visit fees. Compare a year of IV sessions with a year of daily subcutaneous NAD+ from Precision Telemed.
Precision Telemed first year: $139.99 + 11 × $149 = $1,778.99. Same pharmaceutical-grade NAD+. Same board-certified oversight.
Estimate based on the session count and price you set. IV clinic pricing varies by location and provider.
Check My Eligibility · Free →NAD+ therapy online: board-certified physicians in all 50 states. Every patient is matched with a physician specializing in cellular longevity and peptide therapy, not a one-size-fits-all algorithm.
Medical Director at Precision Telemed. Trained at Lake Erie College of Osteopathic Medicine, Dr. Palumbo leads clinical oversight across all peptide, hormone, and NAD+ longevity programs.
Advanced Practice RN specializing in acute care, trained at UTMB Galveston. Delivers high-acuity, responsive patient management for longevity and NAD+ programs.
Board-certified internist with advanced training at the University of Colorado at Denver. Specializes in cellular longevity, NAD+ therapy, and metabolic optimization.
Internist with extensive experience through the VHA and Ponce School of Medicine. Patient-first approach to cellular health and NAD+ longevity care.
Advanced Practice RN trained at Vanderbilt. Brings decades of adult and geriatric experience to telehealth-based NAD+ and longevity therapy programs.
Emergency physician trained at Tel Aviv University Medical School. Expert in rapid clinical assessment and metabolic cellular health optimization.
Board-certified Acute Care NP from Texas Tech University. Specializes in complex metabolic conditions with a focus on comprehensive longevity outcomes.
Certified Physician Assistant from Cleveland State University. Provides personalized NAD+ therapy and cellular longevity care with a broad general practice background.
Doctor of Nursing Practice and board-certified Family Nurse Practitioner. Trained at Maryville University and Washburn University, delivering holistic primary and longevity care.
Osteopathic emergency medicine physician applying a whole-body clinical lens to peptide therapy and NAD+ longevity programs.
Emergency medicine physician from the University of Kentucky bringing high-level diagnostic precision and clinical expertise to NAD+ and longevity programs.
Real results. Thousands have already transformed. See why 5,000+ patients chose Precision Telemed.
I am so grateful to have found Precision Telemed! I started getting my GLP-1 from them and everything has been perfect from the communication, to the shipping time, and overall knowledge to help me achieve my goals. Very affordable and highly recommend.
Most affordable programs out there for weight loss, all other companies charge you by dosage amounts. Their communication and reliability is top notch. So grateful for this company!
Had a great experience! Super easy and user friendly. Just had to answer a few questions and they were able to connect me with the support I needed.
It’s been a great experience as a customer of Precision Telemed. Their site was easy to use. I placed an order easily for their hormone therapy. Everyone on their team that I came in contact with was nice. I’m looking forward to losing some fat and increasing my energy with their Hormone Therapy program.
Amazing service. Everything arrived in a timely manner. The TRT treatment I did worked phenomenally. I saw my levels go up and that was backed by the insight from the MD.
NAD+ levels drop roughly 50% between ages 40 and 60, directly affecting your energy, cognition, sleep quality, and how fast your cells age. These are the four most common symptoms of NAD+ decline:
Without sufficient NAD+, your mitochondria can't produce adequate ATP, leaving you running on empty regardless of how much you sleep.
NAD+ is critical for neuronal repair and neurotransmitter function. Declining levels directly impair focus, memory, and mental processing speed.
NAD+ regulates SIRT1, a key circadian clock gene. Low levels throw off your sleep-wake cycle, causing poor sleep quality and night waking.
PARP1 and sirtuins, the body's primary DNA repair and longevity proteins, depend entirely on NAD+. Without it, cellular aging accelerates.
We believe in clinical honesty. NAD+ therapy is not the right fit for everyone, and your safety always comes first.
Your NAD+ levels are still naturally high. Therapy is designed for adults experiencing age-related cellular decline, typically accelerating after age 35–40.
NAD+ promotes cellular energy and repair, which could theoretically support cancer cell proliferation. Your physician will screen carefully before prescribing.
NAD+ therapy has not been studied in pregnancy or lactation. Safety in these populations has not been established.
NAD+ works at the cellular level, so results build progressively over weeks and months. If you want an instant fix, this program isn't for you.
Patients with significant hepatic or renal impairment may need dose adjustments or may not be candidates. Your physician will evaluate your full history.
NAD+ is administered via a small subcutaneous injection. If self-injection is a hard no, we'd recommend exploring our other oral-friendly programs instead.
Not sure if you qualify? Our board-certified physicians will evaluate your full health history during your free consultation.
Every vial of NAD+ dispensed through Precision Telemed is compounded and fulfilled exclusively by Rush Pharmacy, a nationally recognized 503A licensed compounding pharmacy held to the highest standards of quality, safety, and purity.
Ask about our quality testing.
Yes, with appropriate context. The strongest clinical evidence is for energy restoration, mitochondrial function, and DNA repair signaling. Published research in Cell Metabolism (Yoshino et al., 2018) and Science (Verdin, 2015) confirms NAD+'s role in these pathways. Our patient data shows 85% report improved energy, 78% improved mental clarity, and 70% better sleep within 2–3 months of consistent use.
Your first month is $139.99, everything included: your NAD+ prescription, monthly supply, board-certified physician oversight, and free expedited shipping. Month two onwards is $149/mo. Traditional IV clinics charge $400–$600+ per session because of facility overhead, nursing staff, and per-visit fees. By operating fully via telehealth and using a subcutaneous protocol dispensed by our licensed 503A pharmacy, we eliminate those costs. Same pharmaceutical-grade NAD+. Same board-certified oversight. A fraction of the price, and consistent daily dosing that outperforms monthly IV sessions.
NAD+ therapy for longevity and wellness optimization is generally not covered by insurance. However, at $139.99 your first month and $149/mo thereafter, under $5/day, our cost is dramatically lower than traditional IV clinic alternatives. We accept all major credit and debit cards. Many patients also use HSA or FSA accounts for eligible wellness expenses. There are no surprise bills. You always know exactly what you'll pay.
NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in every cell of your body. It serves as a critical cofactor in hundreds of metabolic reactions, most importantly in the electron transport chain that powers mitochondrial ATP production, your cells' primary energy currency. NAD+ also activates sirtuins (longevity-regulating proteins), fuels PARP enzymes responsible for DNA repair, and regulates circadian rhythm genes. By your 50s, NAD+ levels have typically dropped 40–50% from youthful levels, directly causing the fatigue, cognitive decline, poor sleep, and slower cellular repair that feel inevitable with aging, but aren't.
NAD+ has an excellent safety profile. It is a naturally occurring molecule in the body, and subcutaneous supplementation is well-tolerated by the vast majority of patients. Common mild side effects can include minor injection site redness, temporary flushing, or mild GI discomfort, especially early in treatment. These typically resolve within days. Your Precision Telemed physician will review your full health history before prescribing to confirm NAD+ is appropriate for you.
IV NAD+ delivers a large dose directly into the bloodstream over 2–4 hours, typically once a month, which creates a spike-and-crash pattern in NAD+ levels. Subcutaneous NAD+ delivers a consistent smaller dose daily via a tiny under-skin injection, maintaining steadier elevated NAD+ levels throughout the month. Research suggests consistent daily dosing may produce better sustained outcomes for energy, cognition, and cellular repair than infrequent high-dose IV sessions. And at $139.99 your first month, then $149/mo after, vs. $400–600 per IV session, the cost savings are dramatic.
NAD+ and glutathione target different pathways. NAD+ primarily works on cellular energy production, DNA repair, and sirtuin activation: addressing the root causes of cellular aging. Glutathione is the body's master antioxidant, primarily reducing oxidative stress and supporting liver detoxification. If your goals are energy, mental clarity, and longevity, NAD+ is the more targeted choice. If your goals are detoxification, skin health, or immune support, glutathione may complement or substitute.
Many patients notice improved energy within the first 7–10 days as mitochondrial ATP production increases. Mental clarity improvements often follow by weeks 2–3. Sleep quality improvements typically begin around weeks 3–5 as NAD+ helps regulate circadian clock genes. Longer-term cellular repair benefits, reduced inflammation markers, improved recovery, and anti-aging effects, develop over 2–4 months of consistent use. Results vary based on age, baseline NAD+ levels, lifestyle, and protocol adherence.
NAD+ is administered via small subcutaneous injections, similar to insulin, typically once daily. The needles are insulin-gauge and most patients report minimal to no discomfort. Your physician will provide specific dosing instructions tailored to your protocol, and our team is available to support you as you get comfortable with the process.
Absolutely not. Every Precision Telemed plan is month-to-month. No subscriptions, no long-term contracts, no cancellation fees. You can pause or stop at any time. Most patients experience the best results after 2–3 months of consistent use, but you are never locked in. We believe you should stay because the results are working, not because you're trapped.
Precision Telemed is available in all 50 states. Our network of board-certified physicians are licensed across the country, and our partner 503A pharmacy ships nationwide with temperature-controlled cold-chain delivery. Wherever you are in the US, you can complete your assessment, consult with a doctor, and receive your NAD+ at home.
NAD+ restores cellular energy and DNA repair at the foundation. Sermorelin rebuilds lean muscle and restores your body's natural growth hormone. Together, they're one of the most comprehensive longevity protocols available through telehealth.
Explore Sermorelin →From $149.99/mo
Stop accepting fatigue, brain fog, and poor sleep as inevitable parts of aging. Precision Telemed's NAD+ program restores the cellular energy your body needs to repair, recover, and thrive.