Question 1

Is this legal?

Accepted Answer

Yes. Vivo therapies are prescribed by independent licensed physicians and compounded by licensed US 503A pharmacies. That's the standard, regulated path for compounded medicine — not a workaround.

Question 2

Who prescribes it?

Accepted Answer

An independent, licensed physician reviews your intake. If treatment is appropriate for you, they issue a prescription. If it isn't, they won't — that's what supervision means.

Question 3

Is this FDA approved?

Accepted Answer

Compounded medications are prepared by licensed pharmacies to fill an individual prescription; like all compounded medicine, they are not individually FDA-approved products. What makes this legitimate is the prescription, the licensed physician, and the licensed 503A pharmacy behind it.

Question 4

Is my health information private?

Accepted Answer

Your intake is handled with HIPAA-conscious data practices and is used for one purpose: your physician's clinical review. We don't sell health data. Details will be spelled out in our privacy policy, currently in attorney review.

Question 5

How is NAD+ different from NMN or NR supplements?

Accepted Answer

NMN and NR are precursors the body converts into NAD+. Oral versions sustain blood levels over weeks of daily use but have limited direct reach into brain tissue. Intranasal NAD+ takes a different route, close to the brain via the olfactory nerve, which is why Vivo pairs the two formats as complementary pathways.

Question 6

Why does the nasal spray work differently from the oral capsule?

Accepted Answer

Intracellular NAD+ has a short half-life (roughly 1 to 2 hours), so brain tissue benefits from more direct, frequent dosing than oral precursors alone can sustain. Oral capsules build NAD+ through the gut, liver, and bloodstream (whole-body, slow build). Intranasal NAD+ takes a different route via the olfactory nerve, delivering the molecule close to the brain. Different absorption pathways, same molecule, supported by preclinical research.

Question 7

Do I need a prescription? How does that work?

Accepted Answer

Yes, NAD+ is prescription-only. When you complete your intake, a licensed US physician in your state reviews your medical history and, if appropriate, writes the prescription. The compounded medication is then shipped directly to your door.

Question 8

How long does the visit take?

Accepted Answer

About 10–15 minutes, online, whenever suits you. There's no appointment and nothing to schedule.

Question 9

Do I need bloodwork?

Accepted Answer

Not to get started. Your physician may recommend labs where clinically indicated — your intake will tell you what applies to you.

Question 10

Will I need to get on a video call?

Accepted Answer

The review is asynchronous by default. A video visit happens only if the physician decides one is clinically indicated.

Question 11

What if the physician says no?

Accepted Answer

Then you won't be prescribed — declining inappropriate treatment is the point of physician review. If that happens, we'll tell you plainly rather than route you to something else.

Question 12

What's the dose?

Accepted Answer

Your prescription specifies an exact dose, set by your physician. That's the point: a known dose from a licensed pharmacy, every month.

Question 13

What are the side effects?

Accepted Answer

NAD+ is generally well-tolerated. Mild nausea and transient flushing are the most commonly reported effects, and intranasal delivery can cause brief nasal irritation. Your clinician reviews your medical history during intake to flag anything specific to your situation.

Question 14

What if it doesn't work for me?

Accepted Answer

If you're not seeing results after 60 days of consistent use, reach out. We'll adjust your protocol with your prescribing clinician or issue a refund for your most recent month. No forms, no hoops.

Question 15

Can I take NAD+ with my current medications?

Accepted Answer

NAD+ has very few known drug interactions, but your prescribing clinician reviews your medication list during intake. If anything in your history needs closer attention, they'll flag it before you start.

Question 16

How much does it cost?

Accepted Answer

Vivo NAD+ is $149 per month, including the physician visit, both the nasal spray and the oral capsules, and shipping.

Question 17

Where do you ship?

Accepted Answer

Directly from a licensed US 503A compounding pharmacy to your door. Shipping availability depends on the pharmacy's state licensure — your intake will confirm availability for your state.

Questions, answered plainly.

Legality & supervision

About NAD+

The process

The protocol

Ready to start?

Questions, answered plainly.

Legality & supervision

01Is this legal?

02Who prescribes it?

03Is this FDA approved?

04Is my health information private?

About NAD+

01How is NAD+ different from NMN or NR supplements?

02Why does the nasal spray work differently from the oral capsule?

The process

01Do I need a prescription? How does that work?

02How long does the visit take?

03Do I need bloodwork?

04Will I need to get on a video call?

05What if the physician says no?

The protocol

01What's the dose?

02What are the side effects?

03What if it doesn't work for me?

04Can I take NAD+ with my current medications?

05How much does it cost?

06Where do you ship?

Ready to start?