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A NAD+ injection vial with a green cap and gold band on a warm wood surface

Longevity & Anti-Aging

NAD+

Support the energy your cells were built to make.

Choose your format

NAD+ delivered by subcutaneous injection, prescribed and guided by a licensed provider. Injections are studied for their ability to deliver NAD+ directly, and many patients choose this format for its consistent, once-set dosing rhythm at home.

Starting at $206.99/month

10% off your first month. Reflects the 1-month intro price.

Get Started

Available in all 50 states.

Free telehealth consultation. Pay only if a provider approves your treatment plan.

A licensed provider determines the right format and dose for you.

HSA and FSA accepted.

Compounded in a licensed pharmacy.

Why patients choose Medura.

Real providers, not AI

Every treatment plan is reviewed by a board-certified provider who has time to know your full medical history, not just your symptoms.

Transparent pricing, no surprises

See the exact price before you start. No hidden fees, no surprise charges at checkout, no auto-escalating "optimization" costs.

Made in FDA-registered U.S. facilities

Compounded and quality-tested domestically. Discreet packaging. We cover shipping on all plans.

Support that actually listens

Your care team stays with you long after the first shipment. Real check-ins, dose adjustments based on how you actually feel, and honest answers to real questions.

What this is

NAD+ is a coenzyme your cells use to turn food into usable energy and to carry out everyday repair. Levels naturally decline with age, and NAD+ therapy is studied for its role in supporting that underlying machinery.

At Medura, NAD+ is available in two formats, an injection and a nasal spray, so your plan can fit how you actually live. A licensed provider reviews your intake, recommends the right format and dose, and stays with you to adjust it over time.

What to expect

Your treatment timeline, so you know what's coming and when to expect real changes.

  1. 1

    Start with a consultation

    You complete a short intake and a licensed provider reviews your health history to decide whether NAD+ is right for you, and which format fits best.

  2. 2

    A simple at-home routine

    Once approved, your plan follows an easy schedule you can keep at home, whether you choose the injection or the nasal spray.

  3. 3

    What to expect

    NAD+ works gradually. Many patients focus on steady energy and recovery over the first weeks and months. Individual experiences vary.

How NAD+ supports your body

NAD+ sits at the center of how your cells produce energy and maintain themselves. Here is what it is studied for and how it may support the way you feel day to day.

  • Energy metabolism

    NAD+ helps your cells convert food into the energy that powers everything you do. Supporting healthy NAD+ levels is studied for its role in steady, usable energy.

  • Cellular repair

    Your cells rely on NAD+ to run their repair and maintenance processes. NAD+ therapy is studied for how it may support this ongoing upkeep as you age.

  • Healthy aging support

    Because NAD+ levels decline over time, replenishing them is an active area of longevity research. NAD+ may support the cellular resilience that helps you keep doing what you love.

A young athletic person stretching outdoors on a yoga mat at sunrise

Injection vs. Nasal Spray: which is right for you?

Both formats deliver NAD+ and both require a prescription. The difference comes down to how you prefer to take it and the rhythm that fits your life. Your provider will help determine the right format for you during your consultation.

How you take it

NAD+ Injection

A small subcutaneous injection you give yourself at home.

NAD+ Nasal Spray

A needle-free spray you use in each nostril.

Onset and absorption

NAD+ Injection

Delivered directly under the skin, which many patients choose for consistent, predictable dosing.

NAD+ Nasal Spray

Absorbed through the nasal lining, offering a gentle, convenient alternative to needles.

Dosing frequency

NAD+ Injection

Typically a set schedule your provider outlines, often a few times per week.

NAD+ Nasal Spray

Usually a simple daily routine, depending on the plan your provider recommends.

Who tends to prefer it

NAD+ Injection

Patients who are comfortable with injections and want a steady, once-set rhythm.

NAD+ Nasal Spray

Patients who prefer a needle-free option and the ease of a daily spray.

This comparison is for general education. Your provider determines the right format and dose during your consultation. It is not a self-select recommendation.

Safety and eligibility

This treatment is prescription-only. Your eligibility will be determined during your free consultation with a provider based on your full medical history, current medications, and health goals. Nothing on this page guarantees approval.

Generally appropriate for:

  • Adults seeking support for cellular energy, mental clarity, or healthy aging
  • Those experiencing fatigue, brain fog, or age-related decline in vitality
  • Patients interested in longevity-focused, provider-supervised care
  • Adults without contraindications to IV or subcutaneous infusion therapy

Generally not appropriate if:

  • Patients with active cancer or currently undergoing chemotherapy without oncologist clearance
  • Those with known hypersensitivity to NAD+ or niacinamide-related compounds
  • Pregnant or breastfeeding individuals without medical supervision
  • Patients with severe kidney or liver impairment without prior provider evaluation

Common side effects:

Flushing or warmth during infusion (common, typically brief)

Mild nausea or stomach discomfort during or shortly after infusion

Headache or lightheadedness

Injection or infusion site discomfort

Fatigue immediately following treatment (uncommon, resolves within hours)

Individual results vary. This is not a complete list of potential side effects. Your provider will review all risks during your consultation.

"I feel more like myself in the afternoons now. The consultation was quick and my provider walked me through the format that made sense for me."

Alexis P.

Steady energy through the day

Results vary. Individual outcomes depend on the user's starting point, adherence to the treatment plan, lifestyle factors, and overall health.

Questions, answered

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