2,000+ active members
Every cell runs on it. By 35, you have half as much.
Clinician-prescribed NAD+ therapy, delivered two ways. A needle-free nasal spray or a subcutaneous injection - both bypass digestion entirely.
- Nasal spray or injection - your clinician helps you choose
- Month-to-month · Cancel anytime · HSA/FSA accepted
Check my eligibility
Takes 90 seconds · 100% private · free
Sound familiar?
Grinding harder with less to show.
Declining NAD+ isn't a willpower problem. It's a cellular fuel problem. And a fuel problem has a fuel answer.
The afternoon crash arrives on schedule.
- Third coffee of the day and you are still fading by 2pm.
- It is not caffeine you are short on - it is cellular energy production.
You sleep eight hours and wake up flat.
- The hours are there. The restoration is not.
- Sleep is when cellular repair happens - if the machinery is running.
Mental clarity comes and goes.
- Words that used to arrive instantly now take a second longer.
- Your brain is one of the most energy-hungry organs you have.
Recovery takes days it never used to take.
- Soreness that lasted a day now lingers for three.
- Cellular repair capacity declines with age in both men and women.
Your NAD+ peaked in your twenties.
Then it started falling.
Population averages for age-related decline in men and women. Not a representation of results on this protocol.
25-0%
drop in NAD+ levels by age 40
<0%
of youthful NAD+ levels remain by age 60
<0%
of oral NAD+ capsules survive digestion
0+
cellular processes NAD+ is involved in
NAD+ Therapy
In Stock
FSA & HSA Eligible
$129per month
See the protocols
No charge until your protocol is approved
Fast NAD+ rise for deep mitochondrial activation.
Supports recovery from workouts and long days.
Sharpens focus and mental stamina.
Steady, all-day cellular energy support.
High bioavailability with no digestive loss.
Supports better sleep and stress tolerance.
Helps restore NAD+ levels depleted by stress and aging.
Prescribed and monitored by a board-certified clinician.
Compounded in the U.S.AFSA & HSA Eligible
Related Products
The statements on this page have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
*Pricing shown reflects first-month rates. NAD+ Nasal Spray from $129 first month, then $179/mo. NAD+ Injection from $139 first month, then $219/mo. Compounded NAD+ is not FDA-approved for any indication and is prescribed off-label. Final treatment fit and pricing depend on clinician review.
Two routes. One
molecule.
Your clinician will help you choose based on your goals, health history, and how you feel about needles.
Google
4.9 · Google Reviews
HealSend
2K+ Members
Needle-FreeMost Popular
NAD+ Nasal Spray
Needle-free intranasal delivery
WHAT IS INCLUDED
- Onset in roughly 5 to 10 minutes
- From $129 first month, then $179/mo
- Bypasses digestion entirely - no needles
- Clinician review and dose adjustments
Highest AbsorptionClinician-Guided
NAD+ Injection
Subcutaneous, self-administered at home
WHAT IS INCLUDED
- 1200mg vial (5mL) - 85-90% absorption
- From $139 first month, then $219/mo
- Supplies and injection kit included
- Video walkthrough for your first dose
The Science
The coenzyme behind
every cell you have.
NAD+ sits at the centre of energy production, DNA repair and sirtuin activity. Levels fall with age and under sustained stress.
NAD+ powers your mitochondria
Mitochondria convert fuel into ATP, the energy currency your cells run on. NAD+ is a required coenzyme in that process.
It supplies DNA-repair enzymes
PARP enzymes consume NAD+ while repairing DNA damage. When NAD+ is scarce, that repair capacity competes with energy production.
It activates sirtuins
Sirtuins are NAD+-dependent proteins studied for their role in cellular stress response and metabolic regulation.
Levels decline with age and stress
Circulating NAD+ falls with age in human samples. Whether restoring it changes long-term outcomes in people is still being studied.
Rooted in Science
Designed to support how
you feel and function.
More alert, more refreshed, and more in control of your day.
Boost Cellular Energy
Supports cleaner, steadier daily energy.
Mental Clarity
Helps sharpen focus and clears mental fog.
Enhance Cellular Repair
Supports healthier cells and faster recovery.
NAD+ therapy vs.
oral supplements.
Same molecule. Entirely different amount of it reaches your bloodstream.
Feature
HealSend NAD+
Oral capsules
Bypasses digestive breakdown
Onset within minutes, not hours
Prescribed by a licensed clinician
Compounded in a U.S. licensed pharmacy
Third-party tested for purity and potency
No clinic visit required
Needle-free option available
Most of the dose lost to digestion
Ready to feel like
yourself again?
Discover how NAD+ can help you feel recharged, clearer and more balanced day to day. Every plan includes:
- 1-on-1 guidance from U.S.-based health experts
- No-cost consultations for ongoing treatment optimization
- Free expedited 2-day shipping
- Syringes and alcohol wipes included with injections
- Patient education materials
- Ongoing support from the HealSend care team
NAD+ Therapy Benefits
Supports mitochondrial and metabolic pathways
Supports recovery and stress resilience
Elevates cognitive clarity
Counters age-related NAD+ decline
Supports better sleep and stress tolerance
High bioavailability with no digestive loss
Reduces fine lines and wrinkles
In animal studies, NAD+ has been linked to lifespan and healthspan
Get StartedTwo Delivery Routes
Pick your
delivery route.
Oral NAD+ is broken down before it reaches your bloodstream. Both of our routes skip the digestive tract, and your clinician picks the one that fits your life.
Nasal spray - needle-free
Absorbed through the nasal mucosa, bypassing the digestive tract entirely. The simplest option if needles are a non-starter for you.
Subcutaneous injection - highest absorption
A short insulin-style needle into the abdomen or thigh. More absorption than the spray, and most members find it easier than expected.
Your clinician decides the dose
Route and dose are set from your intake, not a template. You can switch routes later by messaging your care team.
Absorption by Route
70-80%
Nasal - 5-10 min
85-90%
SubQ - 10-15 min
<20%
Oral - 1-2 hrs
What members
actually say.
Members were compensated for their testimonials. Individual results vary.
90
Day Promise
If a clinician doesn't prescribe, you don't pay.
No fine print. No retention scripts.
Science backed
therapy.
NAD+ has been studied across mitochondrial biology, neuroscience and ageing research. Much of that work remains preclinical.
Plasma response:Human IV NAD+ infusion showed a roughly 4x rise in plasma NAD+ levels within 6 hours.
Metabolite activity:IV NAD+ increased nicotinamide (NAM) and ADP-ribose by approximately 400% during infusion.
Age-related decline:Human tissue analysis shows NAD+ falls significantly with age, supporting the clinical rationale for replenishment.
Mitochondrial markers:Human trials of NAD+ precursors demonstrate enhanced markers of mitochondrial remodeling and metabolic signaling.
Inflammation:A human NR trial showed reduced IL-6 and inflammatory markers after NAD+ restoration.
Tolerability:Pilot IV NAD+ studies report good tolerability and expected pharmacokinetics in healthy adults.
Featured Study
“NAD+ Replenishment Improves Mitochondrial ATP Output in Human Neurons”
Harvard Medical School, 2020. Examined how restoring NAD+ levels affects mitochondrial energy output at the cellular level.
5-10
min onset (nasal)
2
delivery routes
U.S.
compounded
Reviewed by HealSend Clinical Team
Dr. M. Chen & team
Board-certified endocrinology & regenerative medicine
3 steps to relief
Submit your application and meet with a doctor
STEP1
Complete a quick form and meet with a licensed medical provider 100% online. They'll determine if a personalized treatment plan is right for you.
Get your medication delivered at home
STEP2
If eligible, your custom prescription will be shipped directly to your door — fast and free.
Receive 24/7 support and ongoing care
STEP3
We'll be with you every step of the way with regular check-ins and on-demand medical support to keep you on track.
Full-Spectrum Care
Not a kit. A
complete care program.
Every NAD+ plan includes clinician oversight, lab monitoring, and ongoing support — at a price that actually makes sense.
Board-certified clinician
Every protocol is reviewed and prescribed by a U.S. board-certified physician before anything ships.
Compounded in the U.S.
Prepared by a state-licensed compounding pharmacy and independently tested for purity, potency and sterility.
Always-on messaging
Message your care team anytime through the HealSend portal. Questions about your dose or side effects get a response within 24 hours.
Auto-refill, zero friction
Your medication ships automatically each month. No refill requests, no clinic visits, no interruption.
Already on a GLP-1?
NAD+ works on a different pathway.
GLP-1 medications work largely through appetite and gastric emptying. NAD+ works on cellular energy production. Ask your clinician whether running both makes sense for you.
Everything you need for complete care.
Medication is just the start. Your plan includes ongoing clinician support, lab work, and everything you need to optimize.
Evidence-Based Treatments
Protocols backed by clinical research, not trends.
100% Online & Private
No waiting rooms. No awkward in-person visits.
Automatic refills
Your medication ships before you ever run out.
Same-Day Prescriptions
Clinician review and Rx issued the same day.
Affordable, Transparent Pricing
No hidden fees. Know exactly what you pay.
Fast free delivery
Discreet, free shipping straight to your door.
Evidence-Based Treatments
Protocols backed by clinical research, not trends.
100% Online & Private
No waiting rooms. No awkward in-person visits.
Automatic refills
Your medication ships before you ever run out.
Same-Day Prescriptions
Clinician review and Rx issued the same day.
Affordable, Transparent Pricing
No hidden fees. Know exactly what you pay.
Fast free delivery
Discreet, free shipping straight to your door.
Lab tested medications for quality & potency
Our medication is delivered from a state licensed pharmacy in our network, right to your door when you need it.
Third party quality control testing
Compounded in U.S. pharmacies
No Memberships or Hidden Fees
Clinician-Prescribed NAD+ Protocols
Free & Fast Shipping
U.S. Only Certified Pharmacies
Always On Clinician Support
1,000,000+ prescriptions written
FSA & HSA Eligible
No Memberships or Hidden Fees
Clinician-Prescribed NAD+ Protocols
Free & Fast Shipping
U.S. Only Certified Pharmacies
Always On Clinician Support
1,000,000+ prescriptions written
FSA & HSA Eligible
Same medication.
Very different experience.
HealSend
Others
Personalized, clinician-prescribed NAD+ protocols
Generic, fixed plans you have to adapt to
Expert-led education with an active member community
No education, no nutrition support, no community
Treatment precisely matched to your body and goals
Same dose for everyone, basic diagnosis protocols
Doses titrated by your clinician to minimize side effects
Side effects handled reactively, not proactively
Unlimited video calls and messaging with your clinician
No follow-up after your prescription ships
100% online. Free, discreet shipping.
Pharmacy lines, long waits, no guarantees
HealSend
- Personalized, clinician-prescribed NAD+ protocols
- Expert-led education with an active member community
- Treatment precisely matched to your body and goals
- Doses titrated by your clinician to minimize side effects
- Unlimited video calls and messaging with your clinician
- 100% online. Free, discreet shipping.
Others
- Generic, fixed plans you have to adapt to
- No education, no nutrition support, no community
- Same dose for everyone, basic diagnosis protocols
- Side effects handled reactively, not proactively
- No follow-up after your prescription ships
- Pharmacy lines, long waits, no guarantees
NAD+ questions. Honest answers.
Everything we get asked about NAD+ therapy. Want a real answer? Message a HealSend clinician for free before you commit.
We're here when
You need us.
Always available
7 days a week · 8:00am - 8:00pm ET
Care Team Support
Secure in-app messaging
Email us
yourhealth@healsend.comPatient care line
+1 (888) 282-5851Recharge your body.
Refocus your mind.
Clinician-prescribed NAD+ therapy, delivered to your door. Needle-free nasal spray or subcutaneous injection. From $129/mo.
Start consultation →By starting, you agree to our terms & privacy policy. Provider-prescribed when appropriate.
Get Started
NAD+ Therapy - In Stock
Get Started
NAD+ Therapy - In Stock