The tired you can’t sleep off has a biological explanation and a clinical answer. NAD+ is a coenzyme your body uses to turn food into energy, and levels naturally decline as you age. A weekly injection, prescribed and monitored by an Ivím clinician, helps support your body’s energy, focus, and recovery. Already an Ivím member? NAD+ is included with your membership.
Prescription products require an online consultation with a licensed Ivím provider who will determine if a prescription is appropriate.
NAD+ is a coenzyme that lives in every cell in your body. Its job is to help turn the food you eat into the energy you run on. The catch: your levels slowly drop as you get older, which is a big part of why your energy doesn’t bounce back like it used to. A weekly injection, prescribed and monitored by an Ivím clinician, helps top up what your body’s missing.
Think of NAD+ as fuel for your cells’ energy engines. Topping it back up supports your mitochondria — the part of your cells that actually makes energy — and supports the repair work your body does that naturally slows with age. Research shows that NAD+ precursor supplementation helps improve energy metabolism in adults whose levels have dropped.
This isn’t a supplement you grab off a shelf. It’s a clinically administered protocol — a weekly injection prepared by an FDA-registered compounding pharmacy. Your provider builds your plan around your health history and how your body responds, then adjusts it as you go.
Most side effects are mild and don’t stick around. You might notice:
Rarely, something more serious can come up. If you have an allergic reaction, a bad headache or dizziness, chest pain or a racing heart, vomiting that won’t quit, or signs of liver trouble — stop and get medical advice. Call 911 or get emergency care for any serious reaction.
NAD+ is a liquid you inject under the skin once a week. Your provider sets your dose based on your history and how you respond. Drink plenty of water, and tell your provider right away if you feel chest pain, shortness of breath, lightheadedness, or nausea. Keep it out of reach of children.
NAD+ is a compounded medication, prepared by an FDA-registered compounding pharmacy. Compounded medications aren’t FDA-approved and haven’t been reviewed by the FDA for safety, effectiveness, or quality. Always talk to a licensed provider before starting any compounded therapy.
Most patients tolerate NAD+ injections well. Some may experience mild, temporary effects including:
These typically resolve within minutes to hours. Your provider is available to address any concerns and adjust your protocol if needed.
NAD+ is a compounded medication prescribed by a licensed provider. It is not FDA-approved as a finished drug product. Do not use NAD+ without a prescription and clinical supervision.
This treatment is not intended to diagnose, treat, cure, or prevent any disease. Individual results vary. Always follow your provider’s dosing instructions and report any adverse reactions immediately.
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Multiple third-party studies have shown the health benefits of NAD+. While many of the studies used animal models and have not been proven in humans yet, clinical trials are ongoing.
During a private telehealth consult, your Ivím-affiliated provider reviews your history and goals and builds your plan — including whether clinician-prescribed NAD+ is appropriate, your protocol, and how it fits your routine.
“I made a same-day telehealth appointment and had an excellent experience. My provider actually connected a few minutes early. Communication was clear, professional, and thorough.”
“The care and kindness you give really is next level. I feel like I’m being cared for by the sister I’ve never had.”
“Laura was so pleasant, informative, motivating, and understanding. Her encouragement made me feel as if I can achieve anything.”
“Great follow up. Molly was professional and kind. This is exactly what I would expect from the IVIM team.”
Understanding whether NAD+ is right for you starts with a conversation about your health history, your symptoms, and what’s driving the gap.
NAD+ is prescribed to support cellular energy production, which naturally declines with age. Clinicians prescribe it for patients experiencing fatigue, reduced mental clarity, slow recovery, and other signs of declining cellular metabolism. It is not a stimulant — it supports the biological processes your body already uses.
NAD+ injections are generally well-tolerated when prescribed and monitored by a licensed clinician. Your Ivím provider evaluates your health history before prescribing and monitors your response over time. Mild, temporary side effects such as injection site tenderness or brief flushing can occur but typically resolve quickly.
Your provider determines the right dosage based on your health profile and goals. Most protocols involve a weekly subcutaneous injection you administer at home. Timing is flexible — many patients prefer morning injections to align with their natural energy cycle. Your provider will guide you through the process and adjust as needed.
NAD+ is $74.50 a month. The $75/mo membership includes provider access, ongoing monitoring, and individualized care. First month of membership free. Cancel anytime.
Ivím clinical outcomes are based on two peer-reviewed retrospective observational studies published in Obesity Pillars: a study of 1,131 patients (September 2025) examining semaglutide outcomes across branded and compounded formulations, and a study of 1,166 patients (March 2026) examining tirzepatide outcomes across branded and compounded formulations. These are independent studies and not a randomized controlled trial or head-to-head comparison. Individual results may vary. Compounded medications are prescribed only after consultation with an Ivím provider.
Compounded drugs are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality. These products carry risks and are not appropriate for everyone. Not available in all states. Medications are prepared by FDA-registered compounding pharmacies.