NAD+, with you in mind.
A little science. A clearer conversation. Explore what NAD+ is, why it's being studied, and the questions to ask before you start.
Prescription only. Compounded medications are not FDA-approved.
Meet the molecule
Small molecule.
Big scientific interest.
NAD+ is a coenzyme naturally present in your cells. Its full name is nicotinamide adenine dinucleotide. Here are three reasons researchers study it. [1]
Cellular energy
NAD+ participates in reactions that help cells convert nutrients into usable energy.
Biological role / research contextCellular maintenance
Enzymes involved in cellular signaling and DNA repair use NAD+ as a substrate.
Biological role / research contextAging research
Changes in NAD+ metabolism with age have made these pathways an active area of research.
Biological role / research contextThese describe NAD+ in the body. They do not establish the effects of a compounded NAD+ medication.
When you don't feel like yourself
Your day asks a lot.
So does feeling like you.
When something changes and you want answers, you deserve a conversation that takes it seriously.
Start with what you've noticed.
When did the change begin, and what else was happening around then?
Tell your provider how long it has been happening and how it affects your daily routine.
Write it down before the visit.
Small shifts are easier to describe when they are on paper.
Note the medications you take, your health history, and anything you want your provider to know.
Bring your list.
A clear list of questions makes the conversation easier.
Ask what a provider review involves, what may or may not be prescribed, and what to expect afterward.
Your health deserves attention.
Start with your questions.
Changes in how you feel have many possible causes and do not identify an NAD+ deficiency. [3] [4] Compounded NAD+ nasal spray and injection have not been established as treatments for fatigue, sleep problems, or menopause symptoms.
Explore NAD+ through Vivo
Two formats.
One personal conversation.
Nasal spray and injection are different compounded prescriptions. A provider determines whether either is appropriate for you.
NAD+ nasal spray
A compounded prescription preparation administered through the nose, at home as directed by your provider.
- Needle-free nasal administration
- Licensed provider review
- Free discreet 2-day shipping right to your door
150 mg/mL, 15 mL bottle
Monthly
$135first month
Then $159/month, billed monthly.
Quarterly
$359billed every 3 months
$119.67/month equivalent.
Other strengths have different pricing. Your provider determines which formulation, if any, is prescribed.
available at checkoutHSA/FSA eligibility depends on your plan. Klarna payment options are subject to approval at checkout.
NAD+ injection
A compounded prescription solution supplied in a vial for self-administration at home, as directed by your provider.
- Administered using a needle
- Injection supplies included
- Free discreet 2-day shipping right to your door
Compare billing plans
Monthly
$149first month
Then $199/month, billed monthly.
Quarterly
$399billed every 3 months
$133/month equivalent.
available at checkoutHSA/FSA eligibility depends on your plan. Klarna payment options are subject to approval at checkout.
Considering the injectable?
At-home administration involves a needle. Discuss dose, technique, supplies, storage, and sharps disposal with your provider and pharmacy. Use only as prescribed; an at-home injection should not be treated as equivalent to a clinic-based IV infusion.
Both formats require online intake and provider review, and are dispensed by VialsRX if prescribed. Your provider determines the formulation and strength. This guide does not establish that either format is more effective or better absorbed.
Compounded medications are prepared by a licensed pharmacy for an individual prescription and are not FDA-approved drug products. FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed. [2]
A clear path from question to care.
- 1
Share your history
Complete an online intake with your health history and medications.
- 2
A provider reviews
A licensed provider with Arora Health & Aesthetics, LLC makes the prescribing decision.
- 3
The pharmacy dispenses
If prescribed, VialsRX dispenses your medication with directions for use.
What is NAD+?
NAD+ stands for nicotinamide adenine dinucleotide, a coenzyme naturally present in the body's cells. It participates in energy metabolism and cellular signaling. Those biological roles do not establish a treatment outcome.
What are the potential benefits?
Researchers study NAD+-related pathways in aging and metabolism. Whether compounded NAD+ nasal spray or injection produces specific clinical benefits remains uncertain. Research on the body's own NAD+, animal models, or other NAD-related compounds does not establish that either formulation improves energy, focus, recovery, or longevity.
Is this a treatment specifically for women?
This guide is written for women exploring NAD+. It does not establish a benefit specific to women or present compounded NAD+ as a treatment for menopause, hormonal symptoms, or skin concerns. Your provider assesses your individual circumstances.
Is NAD+ nasal spray the same as an NR or NMN supplement?
No. NR and NMN are different compounds that the body can use to make NAD+. Findings about those compounds should not be treated as evidence for compounded NAD+ nasal spray.
How do I use injectable NAD+?
Follow the dose, route, schedule, storage instructions, and administration training provided by your prescribing provider and dispensing pharmacy. Ask your care team about injection technique, supplies, and sharps disposal before starting. This guide does not provide dosing or injection instructions.
Is an at-home NAD+ injection the same as an IV infusion?
No. Vivo's compounded injectable is supplied for use at home as prescribed. An IV infusion is a different administration experience, generally in a clinic. Different routes should not be assumed to have equivalent absorption, effects, or dosing.
Which format is better for me?
Your provider assesses whether either format is appropriate. This guide does not claim that one works better or is better absorbed. They are different prescriptions and should not be treated as interchangeable.
Is compounded NAD+ FDA-approved?
Compounded medications are prepared by a licensed pharmacy for an individual prescription and are not FDA-approved drug products. FDA does not review compounded drugs for safety, effectiveness, or quality before they are marketed.
What happens after I start a provider review?
You complete an intake for review by a licensed provider. The provider determines whether a prescription is appropriate, including the formulation and directions. An intake does not ensure a prescription. If prescribed, a licensed pharmacy dispenses the medication.
Sources & context
- Covarrubias AJ, Perrone R, Grozio A, Verdin E. NAD+ metabolism and its roles in cellular processes during ageing. Nature Reviews Molecular Cell Biology. 2021;22(2):119–141.
Research review of NAD+ biology; not a clinical trial of Vivo’s compounded nasal spray or injection.
- Understanding the Risks of Compounded Drugs
FDA information on compounded drugs and their regulatory status.
- Navigating the Road to Menopause
Women's health information on symptoms and clinical conversations; not evidence for NAD+ treatment.
- Insomnia
Women's health information on symptoms and clinical conversations; not evidence for NAD+ treatment.
Published by Vivo Health LLC, a technology and administrative company. Medical services are provided by Arora Health & Aesthetics, LLC; prescriptions are dispensed by VialsRX. This information is educational and is not medical advice.