Prescription required. Treatment is available only if a licensed clinician determines it is medically appropriate. No prescription is guaranteed. Not everyone qualifies.

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Injection · Prescription only

NAD+ Injection

Clinician-prescribed NAD+ injections you take at home.

  • HIPAA-compliantEncrypted intake and records
  • Board-certified cliniciansLicensed in all 50 states & D.C.
  • Licensed U.S. pharmaciesCold-chain, tracked shipping
NAD+ Injection

NAD+ Injection

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell of the body, where it helps turn food into energy and supports DNA repair processes. Many adults ask about NAD+ as part of a healthy-aging routine, especially as natural levels decline with age. Start with an online consultation; if a licensed clinician decides it's right for you, a licensed pharmacy prepares your NAD+ and you self-inject at home on a schedule your provider sets.

Form
Injection
Strengths
500 mg1000 mg
Dispensing
Prescription only, compounded

Every prescription starts with a licensed clinician.

  • Decided by a clinician

    Every prescription is a U.S.-licensed clinician's decision, never automatic.

  • Filled by a licensed pharmacy

    Treatments are prepared by state-licensed U.S. pharmacies.

  • Risks listed up front

    Every treatment page lists its warnings and possible side effects.

In plain language

Who provides your care

Care is delivered by an independent, affiliated medical group. StarMeds provides the software and administration, and does not practice medicine or influence clinical decisions.

You are only matched with a clinician licensed in the state you are physically in.

Clinicians are paid for their time, not for writing prescriptions. Writing more does not pay them more.

How our clinicians work · How telehealth works

About

NAD+ Injection, explained

What is NAD+?

Nicotinamide adenine dinucleotide, or NAD+, is a naturally occurring coenzyme found in every living cell. Your body uses it in hundreds of enzyme reactions, including the ones that turn food into usable energy and help repair DNA. It is made from forms of vitamin B3, and studies have found that levels tend to fall with age in several tissues.

Why people ask about it

Because NAD+ sits at the center of cellular energy and repair, its decline with age has drawn wide interest from researchers and the public. People often ask about NAD+ injections as part of a broader healthy-aging routine, alongside sleep, nutrition and exercise. What NAD+ supplementation does in people is still being studied, and your clinician can talk through whether it fits your goals.

How it's taken

NAD+ injection is a subcutaneous shot: a small needle places it in the fatty layer just under the skin, usually in the abdomen, thigh or upper arm. You give it yourself at home, rotating sites, on a schedule your provider sets. Providers often start with a lower dose and adjust over time based on how you tolerate it.

Before you start

Your clinician reviews your health history, medications and supplements before deciding whether NAD+ is appropriate for you. Low energy can have many causes, from sleep and stress to blood sugar and other medical conditions, so they may suggest lab work or an in-person visit first.

What's included

  • An online health questionnaire
  • Review by a U.S.-licensed clinician
  • A prescription, only if your clinician decides it is appropriate
  • A state-licensed pharmacy fills your prescription
  • Ongoing access to your care team for questions

The process

Four steps, one clinical standard

Every StarMeds patient is evaluated by a licensed clinician before any medication is prescribed. There is no way to skip that step.

  1. Medical intake

    A confidential health history covering your symptoms, conditions, medications, and allergies.

  2. Clinician review

    A clinician licensed in your state reviews your file, may request more information or laboratory testing, and may require a live audio-video visit before making any decision.

  3. Plan & pharmacy

    If treatment is appropriate, your prescription is sent to a licensed U.S. pharmacy of record and shipped to you in temperature-controlled packaging.

  4. Ongoing care

    Check-ins, dose adjustment, side-effect management, and secure messaging with your care team.

What this is not. Completing the intake does not create a prescription, and StarMeds does not sell prescription medication directly. A clinician may determine that NAD+ Injection is not appropriate for you, may recommend a different treatment, or may decline to prescribe. If no prescription is issued, you are not charged for medication.

Questions

Good to know

Can't find your answer? Contact us.

What is NAD+?

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell of the body. It helps convert food into energy and takes part in DNA repair and many other enzyme reactions.

Will I need a live visit?

Which type of visit is used is not your choice alone. Some states require a live audio-video visit before a prescription can be issued, and your clinician may require one regardless of the state minimum. You will be told which applies to you before you are charged.

Why do people consider NAD+ injections?

People often ask about NAD+ as part of a healthy-aging or wellness routine, because natural NAD+ levels decline with age. Research into what NAD+ supplementation does in people is ongoing, and experiences vary. Your clinician can talk through your goals and whether NAD+ is a reasonable option for you.

How is an injection different from an NAD+ supplement?

Over-the-counter supplements usually contain NAD+ precursors, such as nicotinamide riboside or nicotinamide mononucleotide, which the body converts to NAD+. An NAD+ injection is a prescription preparation of NAD+ itself, given under the skin instead of swallowed. Your clinician can explain which form, if any, suits you.

How often will I take it?

Your provider sets your dose and schedule. Many plans start with a lower dose and adjust gradually based on how you tolerate it. Follow your prescription label, and check with your care team before changing your schedule.

Is compounded NAD+ FDA-approved?

No. Compounded medications are prepared by a licensed compounding pharmacy for an individual prescription and are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are dispensed. A provider decides whether a compounded option is appropriate for you.

Do I need to go to a doctor's office to get started?

Most steps happen online; your provider may require a video visit or lab work. A licensed provider reviews your responses and decides whether treatment is appropriate.

What side effects might I notice?

Some people notice nausea, headaches, lightheadedness, muscle cramps, or redness or irritation where they inject. Responses vary with the dose, how often it is taken, and individual sensitivity. Your provider can explain what to expect and when symptoms warrant a follow-up.

Who should not use NAD+ injections?

NAD+ is not for anyone who is pregnant, trying to conceive or breastfeeding, is under 18, or has had a serious allergic reaction to NAD+ or an ingredient in the preparation. People with active cancer need clearance from their treating oncologist first. Tell your clinician about every medication, supplement and diagnosed condition.

How should I store it?

Follow the storage instructions on your pharmacy label. Injectable NAD+ is usually kept in the refrigerator, protected from light and out of reach of children and pets. Use a sharps container for used needles.

Important safety information

NAD+ Injection

Who should not use it

  • Pregnancy, trying to conceive, or breastfeeding
  • A serious allergic reaction to NAD+ or any ingredient in the preparation
  • Active cancer, unless your treating oncologist has cleared it
  • Being under 18 years of age

Warnings

  • Compounded NAD+ is not FDA-approved.
  • Fatigue and low energy can come from sleep loss, chronic stress, blood sugar problems, and other medical conditions. Severe or sudden changes in energy, unexplained weakness, significant mood changes, or new undiagnosed symptoms should be evaluated before starting.
  • Tell your provider about all medications, supplements, and diagnosed conditions before starting.
  • Ask your provider what to do if you feel unwell after a dose, and report symptoms that concern you.

Possible side effects

  • Nausea
  • Headaches
  • Lightheadedness or dizziness
  • Skin irritation
  • Muscle cramps

Compounded medication

Compounded medications are prepared by a state-licensed pharmacy for an individual patient. They are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness or quality.

Ready to get started?

Answer a few health questions online. A U.S.-licensed clinician reviews every request.

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