✓You are likely a fit if
NAD+ subq is best suited to healthy adults wanting cellular and recovery support.
- Adult 30+ with declining recovery, energy, or cognitive sharpness.
- Trains regularly and wants better recovery between sessions.
- Looking for a daily/weekly subq alternative to expensive IV NAD+.
- Stable medical history and able to inject at home.
- Tolerated NAD precursors (NMN, NR) without significant flushing or histamine reaction.
×Hard contraindications, we will not prescribe
- Active malignancy, NAD+ supports cellular metabolism broadly, including tumor cells. Oncology clearance required for any history.
- Pregnancy or breastfeeding.
- Severe histamine intolerance or mast cell activation syndrome with reactions to similar therapies.
- Hypersensitivity to NAD or its excipients.
- Active infection or immunosuppression requiring inpatient care.
!Conditions that require extra care
- History of cancer in remission, oncology clearance required.
- Mild histamine reactions to other peptides, we'll start with a low dose.
- Anxiety, panic disorder, some patients report flush/heart-rate sensations early on.
- Cardiovascular disease, subq tolerated well but we'll review baseline.
- Hypertension, transient pressure changes possible early; start low.
Pre-start labs we require
A general health baseline; no NAD-specific marker is clinically validated yet.
| Lab | Why |
|---|
| CMP | Liver and kidney baseline. |
| CBC | General health screen. |
| HbA1c, fasting glucose | Metabolic baseline. |
| Lipid panel | Cardiometabolic baseline. |
| TSH | Thyroid baseline. |
If you have labs from the past 6 months, you can upload them, no need to redraw for NAD+ alone.
What to disclose at intake
- Any cancer history, including non-melanoma skin cancers.
- Any prior reactions to peptides, NMN, NR, or methylated B vitamins.
- History of mast cell disorders or significant allergies.
- Pregnancy plans.
- All current medications, including over-the-counter histamine modulators.