NAD+ Injection

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme naturally present in cells throughout the body. It takes part in redox reactions involved in energy metabolism and is used by enzymes involved in cellular signaling and maintenance.

Research in humans and experimental models has observed that NAD+ metabolism can change with age. That makes NAD+-related pathways an active research area. It does not establish that raising NAD+ slows or changes aging.

A compounded prescription preparation of NAD+ supplied as a solution for injection, prescribed by a licensed provider after an intake and prepared by a licensed compounding pharmacy. You administer it at home as prescribed.

NAD+ has established roles in the body's own energy metabolism and cellular maintenance. Those roles are why people are interested in it. They are not the same as demonstrated treatment outcomes: clinical evidence for compounded injectable NAD+ is limited, and Vivo does not claim that it improves energy, focus, recovery or longevity.

NAD+ is essential to how cells produce energy, but that biology doesn't establish that adding NAD+ by injection changes how energetic you feel. That hasn't been shown for compounded injectable NAD+. Fatigue has many causes, and your provider can help look at them.

There isn't evidence that compounded injectable NAD+ improves focus or clears brain fog. If you're having trouble concentrating, tell your provider; it can have causes that deserve their own evaluation.

Both use a needle, but the experience differs: the injection is self-administered at home as prescribed, while IV NAD+ is generally given in a clinic over a longer infusion session. Different routes should not be assumed to have equivalent absorption, bioavailability or effects.

Vivo doesn't claim either is. They're different ways to administer NAD+ and separate prescriptions, not interchangeable options. Your provider decides which, if either, is appropriate. Neither is presented as more effective or better absorbed than the other.

There isn't a clinically established timeframe in which compounded injectable NAD+ should be expected to produce a particular effect. Individual experiences vary.

Your provider and the dispensing pharmacy give you instructions for your specific prescription: how to prepare the dose, how to inject it, how to rotate sites and how to dispose of used sharps. Follow them exactly, and don't change your dose or frequency without talking to your provider.

No. Compounded medications are not FDA-approved, and FDA does not review them for safety, effectiveness or quality before they are marketed.

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

No prescription is issued, and you are not charged for medication. Entering payment information at checkout authorizes your payment method — it does not capture a charge. A charge is captured only after a provider approves the prescription.

Vivo works with the following independent, state-licensed 503A compounding pharmacy:

VialsRX — 6220 Westpark Drive, Suite 111, Houston, TX 77057 — vials.ai

Services are available across all 50 U.S. states through affiliated providers and our pharmacy partner operating in accordance with applicable state licensure requirements.

Please note that medication availability, formulations, and fulfillment options may vary depending on state-specific pharmacy regulations and dispensing restrictions.

You can cancel a subscription at any time from your account dashboard, or by emailing care@vivoclinic.org. Cancellation takes effect at the end of your current billing period, provided we receive it before that period's order is transmitted to the pharmacy. Once an order has been transmitted to the pharmacy, or compounding has begun, it can't be canceled or refunded — it's being prepared specifically for you. Full details are in our Refund Policy.

Under 5 minutes, online, whenever suits you. There's no appointment and nothing to schedule.

Vivo Clinic serves patients across all 50 U.S. states through our affiliated medical provider, Arora Health & Aesthetics, LLC. Treatment and medication availability may vary depending on provider licensure, state telehealth requirements, and pharmacy dispensing restrictions.