Nicotinamide Adenine Dinucleotide, or NAD+, is a coenzyme found in every cell of the human body that plays a central role in energy production, DNA repair, and metabolic function. NAD+ therapy replenishes those levels—which naturally decline with age—to support energy, mental clarity, and overall cellular health.
As a board-certified plastic surgeon who has expanded my practice to include medical wellness, I now offer NAD+ injection therapy for patients who want to address how they feel from the inside out.
If you’ve been experiencing persistent fatigue, difficulty concentrating, or slower physical recovery and can’t point to an obvious cause, the explanation may be happening at the cellular level. Here’s what you should know before considering NAD+ therapy.
What Is NAD+?
NAD+ is a coenzyme present in every cell of the human body. It plays a central role in several critical biological processes, including cellular energy production, DNA repair, brain function, and metabolic regulation.
Think of NAD+ as a key that helps your cells convert nutrients into usable energy. Without adequate levels, those processes can become less efficient, and the effects can show up as fatigue, mental fog, and reduced resilience.
Why Do NAD+ Levels Decline?
NAD+ levels naturally decrease with age. What’s worth noting, however, is that many of the symptoms people commonly attribute to simply getting older—low energy, slower metabolism, reduced cognitive sharpness, and longer recovery times after physical exertion—may actually be connected to declining NAD+ levels rather than age itself.
Factors like chronic stress, poor sleep, alcohol consumption, and certain metabolic conditions can accelerate that decline. Replenishing NAD+ levels through therapy is one way to support the body’s natural repair and energy systems as those levels drop.
What Are NAD+ Injections Used For?
NAD+ injection therapy is used to support a range of wellness goals. Research in this area is ongoing, and individual results vary, but patients commonly pursue NAD+ therapy for the following reasons.
Energy and Fatigue
NAD+ plays a direct role in how efficiently your cells produce energy. Patients who report persistent tiredness despite adequate sleep and nutrition may benefit from replenishing NAD+ levels as part of a broader wellness approach.
Mental Clarity and Focus
Brain function depends heavily on cellular energy. NAD+ supports neurological processes involved in concentration, memory, and cognitive performance. Patients experiencing brain fog or difficulty staying focused are among those who frequently seek this therapy.
Cellular Repair and Healthy Aging
NAD+ is involved in activating proteins called sirtuins, which play a role in DNA repair and cellular longevity. Supporting NAD+ levels is associated with healthier aging at the cellular level, though it is not a treatment for any specific age-related disease.
Metabolic Function
NAD+ influences how the body processes glucose and regulates insulin sensitivity. For patients focused on metabolic health or weight management, this can be a meaningful piece of the overall picture.
Athletic Recovery
Physically active patients may find that NAD+ therapy supports faster recovery after training or exertion. This is tied to its role in reducing cellular stress and supporting repair processes after physical demands on the body.
Whether your primary concern is energy, cognition, recovery, or metabolic health, NAD+ therapy may offer meaningful support as part of a broader wellness approach tailored to your goals.
How Is NAD+ Therapy Administered at My Practice?
At my practice, NAD+ therapy is delivered via injection twice weekly. This approach allows for efficient absorption without the time commitment of IV infusion protocols. Most patients find it easy to incorporate into their routine.
Current pricing is $275 per month for twice-weekly NAD+ injections.
Can NAD+ Be Combined With Other Treatments?
Many patients find that NAD+ fits naturally into a larger wellness plan rather than standing alone. Depending on your goals, it may complement other treatments you’re already pursuing or considering.
NAD+ and GLP-1 Therapy
NAD+ pairs particularly well with GLP-1 receptor agonist therapy for patients who are managing weight loss as part of their wellness goals. GLP-1 medications support weight management, while NAD+ supports energy and metabolic function, helping patients feel their best throughout the process. The two therapies work through different but complementary mechanisms.
I offer a combined NAD+ and GLP-1 bundle at $650 per month, compared to $775 when priced separately. Patients already enrolled in my GLP-1 program can add NAD+ for $250 per month.
NAD+ and Aesthetic Treatments
Because NAD+ supports overall cellular health and recovery, some patients incorporate it alongside other aesthetic treatments as part of a more comprehensive approach to looking and feeling well. This is worth discussing during your consultation based on your individual goals.
NAD+ is versatile enough to work alongside several different treatment paths, which makes it a useful addition for patients with more than one wellness goal in mind.
Is NAD+ Therapy Right for You?
NAD+ therapy isn’t appropriate for everyone, and a consultation is the right way to determine whether it fits your health history and goals. It is not a replacement for addressing underlying medical conditions, and results vary between patients. My team and I take a thorough, individualized approach to recommending any wellness treatment.
Patients who tend to be good candidates generally share one or more of the following characteristics:
- Experiencing age-related declines in energy or mental focus
- Already engaged in a broader wellness or weight management program
- Looking to support recovery and cellular health as part of an active lifestyle
If any of those describe you, a consultation is the best next step to see whether NAD+ therapy fits your overall wellness plan.
Frequently Asked Questions
What does NAD+ therapy feel like?
NAD+ injections are administered quickly and are generally well tolerated. Most patients do not report significant discomfort. Your provider can walk you through what to expect at your first appointment.
How long does it take to notice results from NAD+ injections?
Some patients report noticing changes in energy or mental clarity within the first few weeks of consistent treatment. Because NAD+ works at the cellular level, results tend to build over time rather than appearing immediately. Individual timelines vary.
Are there any side effects associated with NAD+ injections?
NAD+ is a naturally occurring compound in the body, and injections are generally well tolerated. As with any medical treatment, side effects are possible and worth discussing with your provider during your consultation.
Does insurance cover NAD+ therapy?
NAD+ therapy is typically considered a wellness treatment and is not covered by standard health insurance plans. My team can provide current pricing and bundle options during your consultation.
How is NAD+ injection therapy different from NAD+ IV therapy?
IV NAD+ therapy delivers the compound intravenously over a longer session, sometimes several hours. Injections are a more efficient format that achieves replenishment without the extended time commitment. Both approaches aim to raise NAD+ levels, but the administration experience differs significantly.
Ready To Get Started?
Feeling like yourself—energized, focused, and recovered—is not something you should have to settle for losing as you get older. NAD+ therapy offers a straightforward, science-backed way to support your body’s natural systems at the cellular level. If you’ve been curious about whether it might help you, the next step is simply a conversation.
Request a consultation to speak with my team about your wellness goals and find out whether NAD+ therapy is a good fit for you. You can also reach us by calling (713) 571-0600.
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