NAD+ Injectable
Compounded NAD+ subcutaneous injections — physician-prescribed to restore the coenzyme your cells depend on for energy metabolism, DNA repair, and longevity signaling at the molecular level.
Starting at
$249 / month
Billed as $747 every 90 days · 90-day supply shipped at enrollment
Physician consultation included · Renewed every 90 days
You must be evaluated by a physician to receive a prescription. Consult fee applies whether or not you are a candidate.
What is NAD+?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every living cell — it is the central currency of cellular energy. NAD+ is required for the conversion of food into ATP (your cells' fuel), and it activates sirtuins, a family of proteins intimately linked to aging, inflammation, and cellular stress response.
Between ages 40 and 60, cellular NAD+ levels fall by 50% or more. This decline is now widely recognized as a driver of many age-associated changes: decreased mitochondrial efficiency, impaired DNA repair, chronic low-grade inflammation, cognitive fog, and reduced physical recovery.
Subcutaneous NAD+ injection delivers this coenzyme directly into systemic circulation — bypassing the digestive absorption limits of oral supplements — to restore cellular NAD+ pools with far greater efficacy than capsule-based delivery.
Benefits of Restoring NAD+
NAD+ is involved in hundreds of enzymatic reactions. Restoring optimal levels produces measurable changes across energy, cognition, recovery, and longevity pathways.
Cellular Energy
NAD+ is the rate-limiting factor in mitochondrial ATP production. Restoring levels directly improves cellular energy output — patients consistently report reduced fatigue and improved physical stamina within the first 2–4 weeks.
Cognitive Clarity
The brain is among the most metabolically active organs and NAD+-dependent processes govern neuroprotection, neurogenesis, and synaptic function. Many patients report sharper focus, improved memory recall, and reduced mental fog.
DNA Repair
PARP enzymes — which detect and repair DNA strand breaks — require NAD+ as their substrate. Adequate NAD+ levels ensure your body's cellular repair mechanisms can operate efficiently, reducing genomic instability associated with aging.
Recovery & Inflammation
Sirtuin activation by NAD+ modulates inflammatory pathways. Patients undergoing athletic training or recovering from physical stress often notice improved recovery times and reduced post-exertion soreness.
Injectable vs. Oral Supplements
The delivery method determines how much NAD+ actually reaches your cells.
Oral Supplements (NR/NMN)
- Converted to NAD+ via multi-step pathway — significant energy loss
- First-pass hepatic metabolism degrades a large fraction
- No physician oversight or dose precision
- Variable quality, no compounding pharmacy oversight
Grace Longevity Injectable
- Direct systemic delivery — bypasses digestive degradation entirely
- Physician-prescribed dose tailored to your profile
- 503A compounding pharmacy — PCAB-accredited, pharmaceutical-grade purity
- Ongoing physician monitoring and dose optimization
Simple. Subcutaneous. At Home.
NAD+ injectable is administered as a small subcutaneous injection — the same technique as GLP-1 and sermorelin injections — into the fatty tissue of the abdomen or thigh. Most patients integrate it seamlessly into their morning or evening wellness routine.
- Typically 2–3 injections per week — per physician protocol
- 25–100 mg per injection, dose determined by physician
- Insulin syringe (29–31 gauge) — minimal discomfort
- Rotate injection sites to prevent tissue irritation
- Medication arrives as a sterile solution, ready to inject — no reconstitution required
- Store refrigerated at 36–46°F, stable for 30 days
Full administration instructions and storage guidance are included with every shipment. Your physician is available throughout your treatment for any questions.
Eligibility Criteria
NAD+ injectable is generally well-tolerated in healthy adults seeking longevity support and cellular optimization. Final eligibility is always determined by your physician after reviewing your health profile.
- Adults 30+ experiencing age-related decline in energy, cognition, or recovery
- Athletes and high performers seeking cellular-level optimization
- Individuals on GLP-1 or peptide therapy seeking complementary longevity support
- No active G6PD deficiency (a rare enzyme disorder)
- Not pregnant or breastfeeding
- No known hypersensitivity to NAD+ or related compounds
What You Pay. Nothing Hidden.
Private pay means no insurance games, no surprise bills. Your cost is determined by your physician-prescribed dose and frequency.
Starting Dose
$249/mo
25–50 mg, 2x weekly
- Physician review included
- Prescription + dispensing
- Discreet cold-chain shipping
Therapeutic Dose
$189–259/mo
50–100 mg, 3x weekly (per physician guidance)
- Everything in starting tier
- Higher dose / frequency vial
- Physician-guided dose escalation
Grace Care Plan
Included
Optional — opt out anytime with 30-day notice
- 90-day physician check-ins
- Automatic 90-day refill
- Ongoing dose adjustments
Consultation fee applies whether or not you are determined to be a candidate. Pricing is subject to physician-prescribed dose. No insurance accepted.
Takes under 10 minutes. No commitment required.
NAD+ Injectable FAQ
How much does NAD+ injectable cost at Grace Longevity?
NAD+ injectable therapy $249/mo, billed as $747 every 90 days for a 90-day supply. Physician consultation, prescription, and pharmacy dispensing are all included. Your physician reviews your progress and renews your prescription at every 90-day cycle. A consultation fee applies whether or not you are ultimately determined to be a candidate.
Why injectable instead of an oral NMN/NR supplement?
Oral NAD+ precursors (NR and NMN) must be converted to NAD+ through multiple enzymatic steps and are subject to significant first-pass hepatic metabolism. Injectable NAD+ delivers the coenzyme directly into systemic circulation, bypassing digestive degradation and producing measurably higher plasma NAD+ concentrations than oral supplementation at equivalent doses.
How quickly will I feel the effects?
Many patients report a noticeable improvement in energy and mental clarity within the first 1–2 weeks of consistent use. The underlying cellular benefits — improved mitochondrial efficiency, enhanced DNA repair — build over weeks to months of sustained therapy.
Can I combine NAD+ injectable with semaglutide, tirzepatide, or sermorelin?
Yes — NAD+ injectable is commonly stacked with other longevity therapies. It pairs particularly well with sermorelin (both target cellular energy and anti-aging pathways) and with GLP-1 therapy (supporting metabolic function and mitochondrial efficiency during weight loss). Your physician will review your full protocol.
How quickly will I receive my medication?
After physician approval, your prescription is sent directly to a licensed compounding pharmacy and shipped to your door. Most patients receive their medication within 3–5 business days of approval.
One Assessment Away from Starting
Our intake takes under 10 minutes. A physician will review your profile and determine if NAD+ injectable is right for you.
Begin My AssessmentConsultation fee applies regardless of candidacy outcome.