Question 1

What does NAD+ actually do?

Accepted Answer

NAD+ is a coenzyme involved in basically every cellular energy-producing reaction — it's the obligate electron carrier for mitochondrial ATP production. It's also a substrate for enzymes (sirtuins, PARPs) involved in DNA repair, gene regulation, and inflammation. NAD+ levels decline with age and are consumed under chronic stress. The premise of NAD+ supplementation is that replenishing the pool supports cellular function. The biology is solid; whether IV infusion translates to measurable clinical benefit is what the evidence base is still working out.

Question 2

Are NAD+ IVs FDA-approved?

Accepted Answer

Not for any general wellness, anti-aging, or longevity indication. NAD+ is administered off-label. Some specific clinical applications (e.g., addiction recovery protocols) have research support, but the typical wellness-clinic NAD+ IV is off-label use at provider discretion.

Question 3

How often should I get NAD+ infusions?

Accepted Answer

Common protocols are weekly for 4–8 weeks as an initial loading series, then monthly or as-needed for maintenance. There's no consensus on optimal frequency because rigorous dose-response data is limited. Many patients find that the acute energy boost from a single infusion fades within a week or two, which informs the weekly initial dosing.

Question 4

Why do I feel chest pressure during the infusion?

Accepted Answer

Chest pressure, flushing, and nausea are common acute side effects when NAD+ infuses too fast. The mechanism isn't fully understood — likely related to the rapid receptor activation and possibly histamine release. The fix is simple: slow the infusion rate. A 500 mg dose over 60 minutes is generally tolerable; the same dose over 30 minutes is often uncomfortable. Your clinician should adjust based on how you feel.

Question 5

Is NAD+ better as an IV or oral?

Accepted Answer

IV bypasses the digestive system and raises blood NAD+ acutely; oral NAD+ has poor bioavailability and most of it is broken down before reaching circulation. That's why oral protocols typically use NAD+ precursors (NMN, nicotinamide riboside) rather than NAD+ itself. Both approaches have their proponents and limited rigorous comparative data. IV is faster-acting and more expensive; oral precursors are slower and easier to maintain at home.

NAD+ IV in Albany, NY

Benefits

Cellular energy

Cognitive clarity

Recovery support

How it works

Initial consultation

Baseline labs

Personalized protocol

Ongoing follow-up

Designed around your schedule

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Where to get it

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What sets us apart

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