← Back to Library

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