NAD+
NAD+ (Nicotinamide Adenine Dinucleotide) is an essential coenzyme found in every cell of your body, playing a critical role in energy production, metabolism, and cellular repair. As we age, our NAD+ levels naturally decline, leading to fatigue, cognitive decline, and a weakened immune system. Supplementing with NAD+ injection may help to restore youthful cellular function and delay the aging process, which can lead to increased athletic performance and improved weight loss when combined with diet and exercise.
The injection is given Subcutaneously
NAD+ comes in a vial containing 1000mg total. Unlike most of our other medications, it has an extra step in preparation. It comes in a lyophilized powder that must be mixed:
Step 1: Mix the Bacteriostatic water provided into the vial of NAD+ using a large “mixing syringe” with attached needle. This is done by using the mixing syringe to draw the appropriate amount of bacteriostatic water and dispensing it into the vial of NAD+. Usually the mixing syringe is between 3ML and 10ML in size (not to be confused with the much smaller syringes used to inject). For 1000mg vial of NAD+: using the mixing syringe, dilute (mix) 10ml of bacteriostatic water.
Step 2: Next, swirl the vial with a gentle rotary motion until contents are dissolved- DO NOT SHAKE
Step 3: Now you are ready to administer your NAD+. Please note that 100 units (or 1mL) on the syringe = 100mg of NAD+. So if your prescribed dose is 50mg this means you draw to the 50 unit mark on the syringe.
Storage: Store dry powder at 68°F to 77°F (20°C to 25°C) and away from heat, moisture and light. Once reconstituted keep this medicine in a refrigerator between 36°F to 46°F (2°C to 8°C). Keep all medicine out of the reach of children. Throw away any unused medicine after the beyond-use date.
★ Dosing Levels:
Low - 0.5 mL (50 units) injection twice weekly
Mid - 0.5mL (50 units) injection three times weekly
High - 1mL (100 units) injection up to three times weekly
We recommend starting at the low dosing level for most patients. You can titrate up or down based on your individual response.
All drugs may cause side effects. In clinical studies NAD has been generally well-tolerated. Rare reported side effects include headache, shortness of breath, constipation, increased plasma bilirubin, and decreased levels of gamma glutamyl transferase, lactate dehydrogenase, and aspartate aminotransferase. If you experience any uncomfortable side effects, please discuss with your provider. If you experience any severe side effects, please stop using the medication and seek medical attention right away.