Filled by a licensed US pharmacy we chose. See which one
Compounded NAD+, injected under the skin
NAD+ is a molecule your cells use to make energy and repair DNA. Prescribed by a Seattle provider and filled by a licensed US pharmacy we chose.
Billed monthly.
You only pay if a provider prescribes.
Injection supplies come with every order.
Every prescription gives 50 meals a month to those in need.
NAD+, short for nicotinamide adenine dinucleotide, is a molecule every cell in your body makes and uses.
Your cells use NAD+ in the chain of reactions that turns the food you eat into energy they can use.
Enzymes called PARPs use up NAD+ each time they repair damaged DNA, so cells keep making more.
Rather skip the needle? See NAD+ nasal spray
NAD+ injection comes as a liquid in a vial and goes just under the skin with a small needle. How much you take and how often is set by your provider, and your pharmacy label shows the exact amount.
Injecting under the skin, from Cleveland Clinic
Your provider sets how much NAD+ you take and how often, and your pharmacy label shows the exact amount to draw. If your provider changes either one, your new label shows it.
Wash your hands, clean the spot with an alcohol swab and let it dry. Pinch a fold of skin, put the needle in at a 90 degree angle, press the plunger slowly, then pull the needle straight out and drop the syringe in a sharps container.
Your stomach at least 2 inches from your belly button, the front of your thigh or the back of your upper arm. Use a different spot each time, which lowers the chance of bruising and discomfort.
Message your provider in your patient portal, or book a video visit at no extra cost.
Injection steps and sites from Cleveland Clinic's guide to giving yourself an injection under the skin. Your provider's directions and your pharmacy label come first.
NAD+ injections haven't been tested in large randomized clinical trials for wellness or anti-aging use. The studies below are small, and none of them tested compounded NAD+ injection.
NAD+ levels in the blood did not change for the first two hours.
Eight men received 750 mg of NAD+ by IV over six hours and three received saline. NAD+ and related molecules rose in the blood after two hours and in urine by six hours. The researchers saw no adverse events during the infusions.
Grant et al., Frontiers in Aging Neuroscience, 2019.A review of records from one wellness clinic. Clients given 500 mg of NAD+ by IV reported cramping, nausea, a faster heartbeat and chest pressure during the infusion, and the symptoms stopped when it ended. An IV puts the whole amount straight into the blood, which an injection under the skin does not.
Reyna et al., Frontiers in Aging, 2026.Older donors had less NAD+ in their skin.
Researchers measured NAD+ in skin samples from newborns to people aged 77 and found lower levels with age in both men and women. The study measured levels and did not test a treatment.
Massudi et al., PLoS One, 2012.NAD+ in blood cells rose about 60% compared with placebo.
In a randomized, placebo-controlled crossover trial, 30 adults aged 55 to 79 took 500 mg of nicotinamide riboside twice a day for six weeks. Nicotinamide riboside is a building block the body turns into NAD+, taken by mouth.
Martens et al., Nature Communications, 2018.None of these studies tested compounded NAD+ injection. Compounded medications are not FDA approved, and the FDA does not review them for safety, effectiveness or quality. Individual results vary.
The first weeks are about learning the routine. Here's what happens, in order.
Your pharmacy ships your vial with injection supplies. Store it the way your pharmacy label says, and check the beyond-use date on the label before each dose.
Draw the amount on your label with a new syringe. The injection goes just under the skin of your stomach, thigh or the back of your upper arm. Pick a spot and switch each time.
Soreness, redness or a small bruise where you inject can happen with any injection. Switching spots each time lowers the chance of bruising and discomfort.
If anything bothers you or doesn't settle, message your provider in your patient portal.
Questions about your amount, your schedule or how it is going go to your provider in your patient portal. You can also book a video visit at no extra cost.
Your pharmacy label is the source for your amount, your schedule, storage and the beyond-use date. If your provider changes your plan, your next label shows it.
If your vial or delivery looks off, email hello@jointhebrightside.com before you use it.
For trouble breathing, swelling of your face, lips or throat, chest pain or a racing heartbeat, or an injection spot that turns hot, red, painful or spreads.
Injection steps from Cleveland Clinic. There is no FDA prescribing information for NAD+ injection. Your provider's directions and your pharmacy label come first.
We grade the pharmacies we work with in five categories. More than eighty compounding pharmacies have been through our grading so far.
A physician-led medical group. A licensed provider reviews every visit and every dose change.
The same providers, after you start
A licensed provider from Arora Health in Seattle reviews every visit and every dose change. Questions about your dose, side effects or what comes next go to them in your patient portal.
No. NAD+ injection is a compounded medication, made by a state-licensed pharmacy for one patient from a prescription. There is no FDA-approved NAD+ injection, and the FDA does not review compounded drugs for safety, effectiveness or quality.
Your provider sets your amount and schedule with you, and your pharmacy label shows the exact amount to draw. If it changes, your new label shows it.
Both are compounded NAD+. The injection goes under the skin, and the spray is used in your nose each day with no needles. Your provider can help you choose. See NAD+ nasal spray
No. Nicotinamide riboside is a building block your body turns into NAD+, and it is taken by mouth. NAD+ injection is NAD+ itself. The studies on each are separate.
Tell your provider about every medication and supplement you take, so they can review the full picture before prescribing.
A licensed US pharmacy we chose. Our pharmacy network page names each pharmacy that fills orders today and its licenses.
Your pharmacy packs your vial and injection supplies and ships them to your door. Store your vial the way the label says. If anything about your delivery looks off, email hello@jointhebrightside.com before you use it.
No. Insurance isn't needed, and your visit, online or on video, is included in the treatment price.
You're not charged. Your card is only charged if a licensed provider prescribes your treatment.
Billed monthly.
You only pay if a provider prescribes.
NAD+ injection is a compounded medication. Compounded medications are not FDA approved, and the FDA does not review them for safety, effectiveness or quality. There is no FDA-approved NAD+ injection, and NAD+ injections have not been tested in large randomized clinical trials.
In a small study of NAD+ given by IV, every client reported symptoms during the infusion, including abdominal cramping, nausea, a faster heartbeat and chest pressure. Soreness, redness or bruising can happen where you inject. Tell your provider about every medication and supplement you take, any heart, liver or kidney condition, any past reaction to an injection, and if you are pregnant, breastfeeding or planning to become pregnant.
Get medical help right away for trouble breathing, swelling of your face, lips or throat, or chest pain. Use a new sterile needle and syringe each time and put used needles in a sharps container.
