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Buy NAD+ Injections Online | Physician-Prescribed Therapy
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Compounded Semaglutide
Compounded Tirzepatide
NAD+
Sermorelin
PT-141 Peptide for Libido
Copper Peptide Face Cream
Testosterone
Hormone Replacement for Women
Glutathione Injections
Meet with a Provider
About Us
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NAD+ Injections
Buy NAD+ Injections Online: Physician-Prescribed NAD+ Therapy for Cellular Energy, Mental Clarity, and Longevity
Your program
$139.99
· first month, then $149/mo
Month to Month.
1,000mg NAD+ vial, physician oversight, and free shipping. Everything included, no hidden fees. Cancel anytime.
Check My Eligibility · Free
→
$139.99 first month, then $149/mo.
Everything included. No subscriptions.
✓
Board-certified physicians, same-day consults available
✓
503A licensed pharmacy, all 50 states, cancel anytime
Excellent
on Trustpilot
NAD+ Therapy
100
%
of youthful NAD+ at age
20
Age 20
30
40
50
Age 60
NAD+ declines ~50% by age 60
As featured in
Healthcare Business Today
Yahoo Finance
AP News
Digital Journal
Science Times
Digital Fitness World
One coenzyme
What is NAD+ therapy? NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme present in every cell of your body. It's the master regulator of cellular energy, DNA repair, and aging.
01 · Mitochondrial Energy
Fuels ATP. Powers every cell.
NAD+ is essential for ATP production, the currency of cellular energy that powers every function in your body.
02 · DNA Repair Activation
Detects damage. Repairs strands.
PARP enzymes use NAD+ to detect and repair DNA strand breaks, slowing the cellular aging process.
03 · Sirtuin Longevity Genes
Regulates inflammation. Metabolism. Stress.
Sirtuins, the “longevity proteins,” are NAD+-dependent and regulate inflammation, metabolism, and cellular stress.
04 · Neuroprotection
Protects neurons. Sharpens cognition.
NAD+ supports neuronal health, axonal protection, and cognitive function, counteracting age-related mental decline.
By your 40s, NAD+ levels have dropped by nearly half, directly causing the
energy crashes, brain fog, and slower recovery
you feel every day.
Subcutaneous NAD+ delivers a consistent daily dose, maintaining steadier elevated NAD+ levels throughout the month than infrequent high-dose IV sessions.
1. Yoshino J, et al.
NAD+ Intermediates: The Biology and Therapeutic Potential of NMN and NR.
Cell Metabolism, 2018.
PubMed
2. Gomes AP, et al.
Declining NAD+ Induces a Pseudohypoxic State Disrupting Nuclear-Mitochondrial Communication.
Cell, 2013.
PubMed
3. Verdin E.
NAD+ in aging, metabolism, and neurodegeneration.
Science, 2015.
PubMed
4. Peek CB, et al.
Circadian Clock NAD+ Cycle Drives Mitochondrial Oxidative Metabolism.
Science, 2013.
PubMed
How it works
How to buy NAD+ injections online in 3 steps. No office visits. No long waits. We've built the fastest, most streamlined path to starting NAD+ therapy.
Step 01 · Takes 5 min
Complete Your Assessment
Answer a brief online health questionnaire. We'll review your symptoms and eligibility instantly, no office visit required.
Step 02 · Often same day
Consult a Board-Certified Doctor
Meet your physician via secure telehealth. They'll review your cellular health and build your personalized NAD+ dosing protocol.
Step 03 · Ships in 72 hours
Receive & Begin Treatment
Your NAD+ ships from our licensed 503A pharmacy, discreetly packaged, with clear self-injection instructions and ongoing physician support.
Check My Eligibility · Free
→
$139.99 first month, then $149/mo · No hidden fees · HSA/FSA accepted · Cancel anytime
Half by sixty
NAD+ levels drop roughly 50% between ages 40 and 60, directly affecting your energy, cognition, sleep quality, and how fast your cells age. NAD+ therapy works at the cellular level, so results build progressively as your body's energy systems are restored.
Days 1–7
Energy Boost
Many patients notice a meaningful lift in energy within the first week as NAD+ fuels mitochondrial ATP production at the cellular level.
1
Weeks 2–3
Mental Clarity
Brain fog clears as NAD+ supports neuronal repair and sirtuin activation: sharper focus, improved memory recall, and faster cognitive processing.
2
Weeks 3–5
Deeper Sleep
NAD+ regulates circadian rhythm genes. Patients report falling asleep faster, staying asleep longer, and waking genuinely restored.
3
Months 2–3
Cellular Repair
PARP enzymes and sirtuins, NAD+-dependent repair proteins, accelerate DNA repair, reduce inflammation, and slow cellular aging markers.
4
Curve illustrates the approximate age-related decline in NAD+ reported in the literature (refs 1–4, above). Individual results vary based on age, baseline NAD+ levels, lifestyle, and protocol adherence.
One flat rate
NAD+ injection cost:
$139.99 your first month
, then $149/mo. Covers your NAD+ prescription, physician oversight, and free shipping. No dose-based price hikes, no hidden fees, no lock-in.
Typical IV Clinic / Wellness Center
IV Infusion · Per Session
$500
average per-session cost at IV infusion clinics
A single infusion, billed every time you walk in. Packages lock you in upfront.
✕
In-person clinic visits required
✕
Per-session pricing adds up fast
✕
No ongoing physician oversight
✕
Packages lock you in upfront
✕
No included wellness plan
Precision Telemed · Best Value
NAD+ Injections · Month to Month
$139.99
first month, then $149/month
1,000mg vial. $149/mo from month 2, cancel anytime. Hundreds less vs. typical IV clinics.
✓
NAD+ subcutaneous injections
✓
Everything Included, No Hidden Fees
✓
White Glove Pharmacy Service
✓
Board-certified physician oversight
✓
Ships in 72 Hours
✓
No subscription, cancel anytime
Check My Eligibility · Free
→
$139.99 first month, then $149/mo. Includes physician consultation, NAD+ prescription, and free shipping. HSA/FSA accepted. No lock-in, cancel anytime.
How much could you save?
IV clinics charge $400–$600+ per session because of facility overhead, nursing staff, and per-visit fees. Compare a year of IV sessions with a year of daily subcutaneous NAD+ from Precision Telemed.
Precision Telemed first year: $139.99 + 11 × $149 = $1,778.99. Same pharmaceutical-grade NAD+. Same board-certified oversight.
IV Sessions per Month
2
1 / mo
4 / mo
Price per IV Session
$500
$300
$700
Estimated First-Year Savings
$
10,221
IV clinic:
$12,000
/yr · Precision Telemed:
$1,778.99
/yr
Estimate based on the session count and price you set. IV clinic pricing varies by location and provider.
Check My Eligibility · Free
→
All 50 states
NAD+ therapy online: board-certified physicians in all 50 states. Every patient is matched with a physician specializing in cellular longevity and peptide therapy, not a one-size-fits-all algorithm.
Dr. Joseph Palumbo, DO
Medical Director · Osteopathic Medicine
Medical Director at Precision Telemed. Trained at Lake Erie College of Osteopathic Medicine, Dr. Palumbo leads clinical oversight across all peptide, hormone, and NAD+ longevity programs.
NPI 1043478878
Angela Kifer-Thomas, APRN, ACNPC-AG
Acute Care · University of Texas Medical Branch
Advanced Practice RN specializing in acute care, trained at UTMB Galveston. Delivers high-acuity, responsive patient management for longevity and NAD+ programs.
NPI 1578278487
Dr. Kartik Patel, MD, MBA
Internal Medicine · University of Colorado
Board-certified internist with advanced training at the University of Colorado at Denver. Specializes in cellular longevity, NAD+ therapy, and metabolic optimization.
NPI 1588786465
Angel L. Colón-Molero, MD, MBA, MPH
Internal Medicine · Veterans Health Administration
Internist with extensive experience through the VHA and Ponce School of Medicine. Patient-first approach to cellular health and NAD+ longevity care.
NPI 1063415727
Samuel Palmer, APRN
Adult & Geriatric Care · Vanderbilt University
Advanced Practice RN trained at Vanderbilt. Brings decades of adult and geriatric experience to telehealth-based NAD+ and longevity therapy programs.
NPI 1689014862
Dr. Gidon Akler, MD
Emergency Medicine · Mount Sinai Hospital NY
Emergency physician trained at Tel Aviv University Medical School. Expert in rapid clinical assessment and metabolic cellular health optimization.
NPI 1770978181
Brett Whaley, ACNP-BC
Critical Care · Texas Tech University School of Nursing
Board-certified Acute Care NP from Texas Tech University. Specializes in complex metabolic conditions with a focus on comprehensive longevity outcomes.
NPI 1164797643
Michael Gype, PA-C
General Practice · Cleveland State University
Certified Physician Assistant from Cleveland State University. Provides personalized NAD+ therapy and cellular longevity care with a broad general practice background.
NPI 1952760977
Brittany Umana, DNP, ARNP, FNP-C
Family NP · Maryville University (DNP)
Doctor of Nursing Practice and board-certified Family Nurse Practitioner. Trained at Maryville University and Washburn University, delivering holistic primary and longevity care.
NPI 1366175051
Dr. Robert Chandler, DO
Emergency Medicine · Lake Erie College of Osteopathic Medicine
Osteopathic emergency medicine physician applying a whole-body clinical lens to peptide therapy and NAD+ longevity programs.
NPI 1922244664
Dr. Azhar Ahmed, MD
Emergency Medicine · University of Kentucky
Emergency medicine physician from the University of Kentucky bringing high-level diagnostic precision and clinical expertise to NAD+ and longevity programs.
NPI 1164958351
←
→
4.8 / 5
Real results. Thousands have already transformed. See why 5,000+ patients chose Precision Telemed.
Excellent
on Trustpilot
★★★★★
Google
I am so grateful to have found Precision Telemed! I started getting my GLP-1 from them and everything has been perfect from the communication, to the shipping time, and overall knowledge to help me achieve my goals. Very affordable and highly recommend.
Marisa Spezza
Verified Google review
★★★★★
Google
Most affordable programs out there for weight loss, all other companies charge you by dosage amounts. Their communication and reliability is top notch. So grateful for this company!
Cara Otten
Verified Google review
★★★★★
Google
Had a great experience! Super easy and user friendly. Just had to answer a few questions and they were able to connect me with the support I needed.
Andrew Biggs
Verified Google review
★★★★★
Google
It’s been a great experience as a customer of Precision Telemed. Their site was easy to use. I placed an order easily for their hormone therapy. Everyone on their team that I came in contact with was nice. I’m looking forward to losing some fat and increasing my energy with their Hormone Therapy program.
Brock Laramee
Verified Google review
★★★★★
Google
Amazing service. Everything arrived in a timely manner. The TRT treatment I did worked phenomenally. I saw my levels go up and that was backed by the insight from the MD.
Miguel Mejia Osorio
Verified Google review
NAD+ decline affects
more than you think.
NAD+ levels drop roughly 50% between ages 40 and 60, directly affecting your energy, cognition, sleep quality, and how fast your cells age. These are the four most common symptoms of NAD+ decline:
01
Chronic Fatigue
Without sufficient NAD+, your mitochondria can't produce adequate ATP, leaving you running on empty regardless of how much you sleep.
02
Brain Fog & Memory
NAD+ is critical for neuronal repair and neurotransmitter function. Declining levels directly impair focus, memory, and mental processing speed.
03
Disrupted Sleep
NAD+ regulates SIRT1, a key circadian clock gene. Low levels throw off your sleep-wake cycle, causing poor sleep quality and night waking.
04
Accelerated Aging
PARP1 and sirtuins, the body's primary DNA repair and longevity proteins, depend entirely on NAD+. Without it, cellular aging accelerates.
Who NAD+ is
not
for
We believe in clinical honesty. NAD+ therapy is not the right fit for everyone, and your safety always comes first.
✕ · Under Age 30
Under Age 30
Your NAD+ levels are still naturally high. Therapy is designed for adults experiencing age-related cellular decline, typically accelerating after age 35–40.
✕ · Oncology
Active Cancer or Malignancy
NAD+ promotes cellular energy and repair, which could theoretically support cancer cell proliferation. Your physician will screen carefully before prescribing.
✕ · Pregnancy
Pregnancy or Breastfeeding
NAD+ therapy has not been studied in pregnancy or lactation. Safety in these populations has not been established.
✕ · Expectations
Looking for Overnight Results
NAD+ works at the cellular level, so results build progressively over weeks and months. If you want an instant fix, this program isn't for you.
✕ · Organ Function
Severe Kidney or Liver Disease
Patients with significant hepatic or renal impairment may need dose adjustments or may not be candidates. Your physician will evaluate your full history.
✕ · Administration
Unwilling to Self-Inject
NAD+ is administered via a small subcutaneous injection. If self-injection is a hard no, we'd recommend exploring our other oral-friendly programs instead.
Check My Eligibility · Free
→
Not sure if you qualify? Our board-certified physicians will evaluate your full health history during your free consultation.
Our pharmacy partner
Dispensed by
the best in the business.
503A Licensed
NABP Accredited
FDA Registered
HIPAA Compliant
Every vial of NAD+ dispensed through Precision Telemed is compounded and fulfilled exclusively by Rush Pharmacy, a nationally recognized 503A licensed compounding pharmacy held to the highest standards of quality, safety, and purity.
✓
503A Licensed Compounding Pharmacy.
Fully compliant with all state and federal regulations.
✓
Pharmaceutical-Grade NAD+ Only.
Never research-grade or unverified compounded sources.
✓
Rigorous Quality Testing.
Every batch tested for potency, sterility, and purity.
✓
Cold-Chain Shipping.
Temperature-controlled delivery to preserve NAD+ efficacy.
Ask about our quality testing.
Questions
Does NAD+ therapy really work?
+
Yes, with appropriate context. The strongest clinical evidence is for energy restoration, mitochondrial function, and DNA repair signaling. Published research in Cell Metabolism (Yoshino et al., 2018) and Science (Verdin, 2015) confirms NAD+'s role in these pathways. Our patient data shows 85% report improved energy, 78% improved mental clarity, and 70% better sleep within 2–3 months of consistent use.
How is NAD+ therapy priced?
+
Your first month is $139.99, everything included: your NAD+ prescription, monthly supply, board-certified physician oversight, and free expedited shipping. Month two onwards is $149/mo. Traditional IV clinics charge $400–$600+ per session because of facility overhead, nursing staff, and per-visit fees. By operating fully via telehealth and using a subcutaneous protocol dispensed by our licensed 503A pharmacy, we eliminate those costs. Same pharmaceutical-grade NAD+. Same board-certified oversight. A fraction of the price, and consistent daily dosing that outperforms monthly IV sessions.
Is NAD+ therapy covered by insurance?
+
NAD+ therapy for longevity and wellness optimization is generally not covered by insurance. However, at $139.99 your first month and $149/mo thereafter, under $5/day, our cost is dramatically lower than traditional IV clinic alternatives. We accept all major credit and debit cards. Many patients also use HSA or FSA accounts for eligible wellness expenses. There are no surprise bills. You always know exactly what you'll pay.
What is NAD+ and how does it work?
+
NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in every cell of your body. It serves as a critical cofactor in hundreds of metabolic reactions, most importantly in the electron transport chain that powers mitochondrial ATP production, your cells' primary energy currency. NAD+ also activates sirtuins (longevity-regulating proteins), fuels PARP enzymes responsible for DNA repair, and regulates circadian rhythm genes. By your 50s, NAD+ levels have typically dropped 40–50% from youthful levels, directly causing the fatigue, cognitive decline, poor sleep, and slower cellular repair that feel inevitable with aging, but aren't.
Is NAD+ therapy safe? What are the side effects?
+
NAD+ has an excellent safety profile. It is a naturally occurring molecule in the body, and subcutaneous supplementation is well-tolerated by the vast majority of patients. Common mild side effects can include minor injection site redness, temporary flushing, or mild GI discomfort, especially early in treatment. These typically resolve within days. Your Precision Telemed physician will review your full health history before prescribing to confirm NAD+ is appropriate for you.
How is subcutaneous NAD+ different from IV infusions?
+
IV NAD+ delivers a large dose directly into the bloodstream over 2–4 hours, typically once a month, which creates a spike-and-crash pattern in NAD+ levels. Subcutaneous NAD+ delivers a consistent smaller dose daily via a tiny under-skin injection, maintaining steadier elevated NAD+ levels throughout the month. Research suggests consistent daily dosing may produce better sustained outcomes for energy, cognition, and cellular repair than infrequent high-dose IV sessions. And at $139.99 your first month, then $149/mo after, vs. $400–600 per IV session, the cost savings are dramatic.
How does NAD+ therapy compare to glutathione IV therapy?
+
NAD+ and glutathione target different pathways. NAD+ primarily works on cellular energy production, DNA repair, and sirtuin activation: addressing the root causes of cellular aging. Glutathione is the body's master antioxidant, primarily reducing oxidative stress and supporting liver detoxification. If your goals are energy, mental clarity, and longevity, NAD+ is the more targeted choice. If your goals are detoxification, skin health, or immune support, glutathione may complement or substitute.
How quickly will I see results from NAD+ therapy?
+
Many patients notice improved energy within the first 7–10 days as mitochondrial ATP production increases. Mental clarity improvements often follow by weeks 2–3. Sleep quality improvements typically begin around weeks 3–5 as NAD+ helps regulate circadian clock genes. Longer-term cellular repair benefits, reduced inflammation markers, improved recovery, and anti-aging effects, develop over 2–4 months of consistent use. Results vary based on age, baseline NAD+ levels, lifestyle, and protocol adherence.
How is NAD+ administered?
+
NAD+ is administered via small subcutaneous injections, similar to insulin, typically once daily. The needles are insulin-gauge and most patients report minimal to no discomfort. Your physician will provide specific dosing instructions tailored to your protocol, and our team is available to support you as you get comfortable with the process.
Is there a subscription or long-term commitment?
+
Absolutely not. Every Precision Telemed plan is month-to-month. No subscriptions, no long-term contracts, no cancellation fees. You can pause or stop at any time. Most patients experience the best results after 2–3 months of consistent use, but you are never locked in. We believe you should stay because the results are working, not because you're trapped.
What states is NAD+ therapy available in?
+
Precision Telemed is available in all 50 states. Our network of board-certified physicians are licensed across the country, and our partner 503A pharmacy ships nationwide with temperature-controlled cold-chain delivery. Wherever you are in the US, you can complete your assessment, consult with a doctor, and receive your NAD+ at home.
Also want to optimize growth hormone?
Many patients stack NAD+ with our Sermorelin growth hormone therapy.
NAD+ restores cellular energy and DNA repair at the foundation. Sermorelin rebuilds lean muscle and restores your body's natural growth hormone. Together, they're one of the most comprehensive longevity protocols available through telehealth.
Explore Sermorelin
→
From
$149.99
/mo
Ready to begin?
Recharge your cells. Reclaim your life.
Start for just $139.99
Stop accepting fatigue, brain fog, and poor sleep as inevitable parts of aging. Precision Telemed's NAD+ program restores the cellular energy your body needs to repair, recover, and thrive.
Check My Eligibility · Free
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Disclaimer: Precision Telemed offers only compounded medications, which are made in State Board of Pharmacy licensed sterile compounding pharmacies, or FDA-licensed 503(b) Outsourcing Facilities. These facilities are strictly regulated. The products themselves are not FDA-approved due to the provider’s prescriptions being customized to the patient’s needs. There are many factors that make compounded medications different from FDA-approved products such as strength, dose, and route of administration. This difference makes comparing compounded products to FDA-approved products difficult. All compounded drugs prescribed are based on a licensed healthcare provider’s medical judgement from a telehealth encounter that includes medical history.
Precision Health Digital LLC is a patient management platform that works with Doctors Now PC, a group of independent physicians and practitioners. Precision Telemed does not provide medical services and payment does not guarantee the writing of a prescription. Doctors Now PC provides medical services using the Precision Health Digital platform. The information provided on this website is for informational purposes and not a substitute for professional medical advice, diagnosis, or treatment. If you have questions or concerns about your health, please talk to your doctor.
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