Cellular energy metabolism
NAD+ is a coenzyme your mitochondria depend on, central to how cells produce energy.

50–200 mg/mL · 6 mL nasal spray
A coenzyme central to cellular energy metabolism, and one whose levels decline with age. Titrated to tolerance and reviewed by a licensed provider. Here is what it is reasonable to expect.
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Included with every plan
$85/mo on the 6-month plan. Save $85 against the $99 monthly rate.
Get started →You're not charged until a US-licensed provider reviews your intake and approves treatment. Free shipping included.
No miracle promises, just a protocol built around what the evidence actually shows.
NAD+ is a coenzyme your mitochondria depend on, central to how cells produce energy.
Steadier energy and mental clarity are the most common reports. Reports are not evidence, and we are not going to present them as such.
The biochemistry of NAD+ in cellular energy production is not in dispute.
Dosed up slowly. Pushed too fast it is genuinely uncomfortable, so we do not.
Tolerance sets the pace here. Pushed too fast it is uncomfortable, so your provider titrates slowly.
Weeks 1–2
Started low and increased slowly, because going faster does not work better.
Weeks 2–6
The window in which people most often report steadier energy and sharper focus.
Weeks 6–12
Whatever you notice tends to settle into a steady baseline rather than a noticeable lift.
Month 3+
Your provider reviews how you are responding and adjusts the protocol and dose.
Individual response varies and your provider sets expectations for your specific protocol. Some people respond faster or slower than this sequence.
/ baseline vs the alternative
Every batch tested, every clinician licensed, every dose titrated to your labs instead of a default.
Get started →The biochemistry is well established. Beyond that, the honest answer is that most of what is claimed for NAD+ rests on self-report rather than trial data. It is titrated to tolerance, and your provider will set expectations for your protocol.
Response varies from person to person, and your provider will set expectations based on your specific protocol. Because dosing is titrated low and slow, most protocols need a full quarter before there is anything meaningful to judge.
Compounded medications are prepared specifically for you by a licensed pharmacy. They are not FDA-approved in the same way as commercially manufactured drugs, and the FDA does not verify their safety, effectiveness or quality. Your provider will walk you through what that means for your specific treatment.
At a registered 503A compounding pharmacy in the US, not an overseas or gray-market source. Every lot is third-party tested and comes with a certificate you can read by lot number.
Not to begin your intake. Your provider will tell you during review whether a panel is needed for your protocol, and you can order one through us at any point. A follow-up panel at around three months is recommended so your protocol is adjusted on evidence. Lab work is billed separately and is not included in plan pricing.
The monthly plan is month to month and you can cancel any time. The 3, 6 and 12-month plans run for their term so your protocol has time to work, then continue month to month. Your provider can adjust your dose at any point on any plan.
Dosed low and slow, matched to your labs and adjusted as you go. No miracle promises, just a protocol built around what the evidence actually shows.
Compounded injectable · titrated to tolerance
Monthly equivalents shown. No charge until a licensed provider approves treatment.