NAD+ Injection
The Cellular Energy Coenzyme
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Get StartedNAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in every cell of your body. It powers energy production, DNA repair, and the sirtuin enzymes that regulate aging. NAD+ levels drop roughly 50% by middle age, contributing to fatigue, slower recovery, and accelerated aging.
NAD+ supplementation may support restored cellular energy production, improved cognitive clarity and focus, enhanced mitochondrial function, activated longevity pathways, and reduced age-related fatigue. All benefits are based on published research and individual results may vary.
NAD+ is administered as a simple subcutaneous injection. Typical dosing includes one injection per day on a provider-determined schedule. PeRx ships it fully reconstituted and ready to use. No mixing required. Insulin syringes and a step-by-step guide are included.
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The statements on this page have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
*The FDA does not review or approve any compounded medications for safety or effectiveness. Off-label use must be prescribed and supervised by a licensed provider.
Your cells are running on half power. NAD+ changes that.
NAD+ is a coenzyme found in every cell of your body. It powers over 500 enzymatic reactions including energy production, DNA repair, and the sirtuin pathways that regulate how you age.
By your 40s, NAD+ levels have dropped roughly 50%. That decline shows up as persistent fatigue, brain fog, slower recovery, and skin that doesn't bounce back. Restoring NAD+ re-enables the cellular repair machinery your body already has. Subcutaneous injection gets it there directly, bypassing the gut losses that limit oral supplements.
Why do people explore NAD+ therapy?
May reduce age-related fatigue by restoring the cellular energy production that declines with NAD+ loss.
May enhance exercise recovery and physical performance by fueling mitochondrial function in muscle cells.
May improve cognitive clarity and focus by supporting brain cell energy metabolism and neuronal repair.
May activate sirtuin longevity pathways and support DNA repair across roughly 10,000 damage events per day.
May support immune cell function and cardiovascular health by restoring NAD+ levels across every tissue type.
The coenzyme behind 500+ cellular reactions. Why levels drop and what the research says about restoring them. Read the guide →
What the research shows about NAD+
Lab tested medications
for quality & potency
Our medication is compounded at FDA-registered, state-licensed 503A pharmacies and delivered right to your door when you need it.
Lab tested for quality & potency
Our pharmacies perform third-party testing through FDA and DEA registered labs to run quality control checks for every compounded lot. They test four key characteristics associated with quality and safety.
Potency Test
PASSEDPerformed on every batch to confirm the active ingredient is present at the labeled concentration. Your vial contains exactly what it should.
Sterility Test
PASSEDTests for the presence of bacteria, fungi, and other microorganisms. Every batch is tested and must meet the requirements of USP 797.1.
Endotoxin Test
PASSEDScreens for bacterial endotoxins that can cause fever or adverse reactions. Every batch is tested and must not exceed the threshold limits defined in USP 85.
pH Test
PASSEDAssesses the acid/base balance to ensure minimal irritation upon injection and confirm the solution is within the correct range for subcutaneous administration.
Quality you can trust
Get started in 3 simple steps
No appointments. No waiting rooms. Everything happens online.
Complete your health screening online
Step
1
Answer a quick clinical questionnaire 100% online. A licensed provider reviews your profile to determine if a personalized treatment plan is right for you.
Get your medication delivered to your door
Step
2
Once approved, your prescription ships directly to you via FedEx Overnight in cold-chain packaging. Fully reconstituted and ready to use from day one.
Ongoing care and provider support
Step
3
Your prescribing provider is available anytime for questions. Plus, regular check-ins help track your progress and adjust your protocol as needed.
NAD+ Injection vs. Oral Supplements
Two ways to raise NAD+ levels. Here's how they compare.
NAD+ Injection
Direct cellular delivery
| NAD+ Injection | Oral NMN / NR | |
|---|---|---|
| Bioavailability | High, bypasses digestion entirely | Low, significant digestive losses |
| How It Works | Subcutaneous injection, sustained absorption | Must survive stomach acid and liver processing |
| Convenience | Self-inject at home, takes minutes | Daily pill, easy but lower absorption |
| Cost | $299/month (pharmaceutical-grade) | $50-150/month (supplement-grade) |
| Can Combine? | Yes, pairs well with Epitalon, MOTS-C | Yes, but absorption limits stacking benefit |
The Longevity Stack: NAD+ + Epitalon
NAD+ restores the cellular fuel your repair enzymes need. Epitalon supports telomere maintenance and pineal gland function. Together they address aging at two different levels.
View EpitalonOral NMN / NR
Oral Supplements
Gut-limited absorption
What to Expect: Your NAD+ Timeline
Every body is different, but here's the typical progression.
What you may notice:
Subtle improvement in morning energy levels. The fog starts to lift. Sleep quality may improve. Some people notice better focus during the workday.
What's happening:
NAD+ levels are rising in your cells. Mitochondria are starting to produce energy more efficiently.
What you may notice:
Sharper thinking. Easier to stay focused for long stretches. Physical recovery from workouts improves. Fatigue after lunch starts to fade.
What's happening:
Sirtuin and PARP enzymes are ramping up with more fuel available. DNA repair and gene expression are normalizing.
What you may notice:
Consistent energy throughout the day. Exercise performance improves. Skin may start to look healthier. Sleep becomes more restorative.
What's happening:
NAD+ restoration is reaching tissues throughout the body. Mitochondrial biogenesis is increasing.
What you may notice:
Full-body improvements become the new normal. You feel like you did years ago. Recovery, cognition, and energy are all elevated.
What's happening:
Cellular repair machinery is running at restored capacity. Most people maintain their protocol or adjust with their provider.
More from our patients
Real experiences. Individual results may vary.
The brain fog is finally gone
“I spent two years trying every supplement on the market for energy. Nothing worked. Three weeks on NAD+ and I feel like I did in my 30s. Clear-headed, focused, and I actually want to work out again.”
David R.
NAD+
Better than IV drips at a fraction of the cost
“I was spending $1,000 a month on NAD+ IV drips at a clinic. Switched to PeRx subcutaneous injections and the results are the same. I do it at home in two minutes.”
Jennifer M.
NAD+
Recovery like I am 25 again
“At 52, I was taking three days to recover from a hard workout. After six weeks on NAD+, I am back in the gym the next day. The difference is undeniable.”
Robert K.
NAD+
Sleep and skin both improved
“Started NAD+ for energy but the surprise was my sleep. I fall asleep faster and wake up actually refreshed. My skin looks noticeably better too.”
Patricia L.
NAD+
The real deal for anti-aging
“I researched NAD+ for months before starting. The science is solid and the results matched what the studies predicted. PeRx made the whole process simple and legitimate.”
Thomas W.
NAD+
Individual results may vary. Testimonials reflect personal experiences and do not guarantee outcomes.
Learn more about
NAD+ Injection
NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in every cell of your body. It is essential for energy production, DNA repair, and the regulation of aging-related pathways. NAD+ levels decline roughly 50% by middle age, contributing to fatigue, cognitive decline, and accelerated aging.
The most commonly reported side effects are mild: redness or tenderness at the injection site and occasional light flushing or warmth shortly after injection. Both resolve quickly. NAD+ has a strong safety profile as a naturally occurring molecule.
NAD+ is not recommended if you are pregnant or breastfeeding, take blood thinners, or have active cancer. Always disclose your full medical history during screening.
Most patients notice initial improvements in energy and focus within 1-2 weeks. Cognitive clarity and physical recovery typically improve by weeks 2-4, with systemic benefits building through weeks 4-8. Full optimization protocols usually run 8-12 weeks.
PeRx ships NAD+ fully reconstituted and ready to use. Store refrigerated at 36-46 degrees F (2-8 degrees C). Do not freeze. Keep the vial upright and away from direct light.
NAD+ is not FDA-approved for any specific condition. It is available as a compounded medication prescribed by licensed providers and prepared at FDA-registered 503A pharmacies.
No. The entire process is done online. Complete a health screening, a licensed provider reviews your profile remotely, and your medication ships directly to your door via FedEx Overnight.
Every order includes a provider evaluation and prescription, pharmacy-grade NAD+ from an FDA-registered 503A pharmacy, insulin syringes, alcohol swabs, a step-by-step injection guide, and FedEx Overnight shipping.
Oral precursors like NMN and NR must survive stomach acid, intestinal absorption, and liver processing before anything reaches your cells. Subcutaneous NAD+ injection bypasses the gut entirely, absorbing directly into the bloodstream. Clinical data shows significantly higher bioavailability with injectable delivery.
Yes. NAD+ pairs well with Epitalon (longevity and telomere support), MOTS-C (metabolic optimization), and Glutathione (antioxidant protection). Your provider can advise on combinations based on your health profile.
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Your guide to health and wellness starts here.
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NAD+ Injection
Supporting Research
- Trends in Cell Biology, 2014: NAD+ Decline: Central Driver of Cellular Aging
- Cell Metabolism, 2018: NAD+ Boosting: The In Vivo Evidence
- Plastic and Reconstructive Surgery, 2022: NAD+ in Regenerative Medicine
Only available if prescribed after an online consultation with a licensed healthcare provider. Benefits outlined are based on published third-party studies. Individual results may vary.
The FDA does not review or approve any compounded medications for safety or effectiveness. Compounded medications are prepared by state-licensed 503A pharmacies based on a valid prescription. If you notice any side effects, contact your healthcare provider immediately.
NAD+
$229/mo