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NAD+

Also known as: Nicotinamide Adenine Dinucleotide, NAD+ IV, NAD Plus

Evidence: ModerateRisk: Low
Administration:💉 SubQ💉 IM💊 Oral

Overview

NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in all living cells, not technically a peptide. It plays a crucial role in cellular energy production, DNA repair, and numerous metabolic processes. NAD+ levels naturally decline with age.

Benefits

  • ✓cellular energy optimization
  • ✓anti-aging support
  • ✓metabolic health
  • ✓cognitive function
  • ✓DNA repair support
  • ✓mitochondrial function

Potential Side Effects

  • •flushing or warmth
  • •nausea (especially IV/IM)
  • •cramping or discomfort during IV infusion
  • •headache
  • •fatigue (transient)
  • •injection site reactions

Who Should Avoid

  • ⚠pregnancy or breastfeeding
  • ⚠active malignancy without oncology clearance
  • ⚠severe kidney or liver disease
  • ⚠known hypersensitivity to niacin or NAD+ compounds

Interactions & Precautions

May interact with medications affecting liver metabolism. Can interact with blood pressure medications. May affect glucose metabolism - caution with diabetes medications. Discuss all supplements and medications with clinician.

Dosing Information from Literature

Oral NAD+ precursors (NMN, NR) typically use 250-1000 mg daily. Injectable NAD+ protocols vary widely from 25-100 mg subcutaneous to 250-1000 mg IV infusions. IV infusions are typically administered slowly over 2-4 hours to minimize side effects.

This is descriptive information only. Always consult a licensed healthcare provider for dosing guidance.

Storage

Store unreconstituted NAD+ powder refrigerated at 2-8°C, protected from light. After reconstitution with sterile saline or sterile water, use immediately or store refrigerated for up to 24 hours. IV formulations may have different requirements.

Last reviewed: 11/3/2025