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Anti-Aging

NAD+

Also known as: Nicotinamide Adenine Dinucleotide, NAD

Clinical Trials
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Key Facts: NAD+

Category
Anti-Aging
FDA Status
Not FDA Approved
Clinical Status
Not FDA approved as a drug. Sold as a supplement in precursor form and administered off-label as IV or subcutaneous injection in clinics. The evidence base sits mainly with oral precursors, not with injected NAD+.
Banned in Sport (WADA)
Not on the WADA Prohibited List (2026). Note that any IV infusion or injection over 100 mL per 12 hours is banned under WADA M2.2, which catches many NAD+ drips.
Administration
Subcutaneous injection or slow IV infusion. Fast infusion is the main cause of the flushing and chest tightness people report.
Typical Dose
50-100 mg, 2-3x weekly
Frequency
Two to three times weekly, or per clinic protocol for infusion
Duration
Ongoing use is common. No controlled long-term injectable data exists.
Also Known As
Nicotinamide Adenine Dinucleotide, NAD

How does NAD+ work?

NAD+ is a required cofactor in the reactions that turn food into ATP, and it is consumed as a substrate by two families of enzymes tied to ageing: sirtuins, which regulate DNA repair and metabolic signalling, and PARPs, which repair DNA damage. Because NAD+ is used up by these processes, sustained DNA damage or metabolic stress can deplete it. The theory is that restoring NAD+ restores the function of everything downstream. The unresolved problem is delivery: NAD+ is a large charged molecule that does not readily cross cell membranes, which is why most serious research uses precursors like nicotinamide riboside or NMN that cells can actually take up and convert internally.

What does the research show?

The decline of NAD+ with age is well documented, and precursor supplementation reliably raises blood NAD+ levels in human trials. What those trials have not clearly shown is that raising NAD+ produces the functional benefits people are hoping for. Human studies on nicotinamide riboside and NMN show good safety and consistent biomarker changes, with inconsistent effects on measurable outcomes like muscle function, insulin sensitivity or fatigue. Direct injected or infused NAD+ has far thinner evidence than the precursors do: most of what exists is small, uncontrolled, or observational, and the widely reported subjective effects of IV NAD+ have not been separated from placebo in good trials. Anyone telling you injected NAD+ has strong human evidence is describing the precursor literature and attaching it to a different product.

Trial Progress:Preclinical
Pre
I
II
III
IV
FDA

What doses have been studied?

Human Trials·Good human data on oral precursors. Direct injected NAD+ is far less studied.

Typical Dosingⓘ

Community experience

Common Dose

50-100 mg, 2-3x weekly

Range

50-750 mg depending on formulation

Frequency

Two to three times weekly, or per clinic protocol for infusion

NAD+ itself and its precursors are not interchangeable, and almost all of the sound human evidence belongs to the precursors, which are covered separately on the NAD+ Precursors profile. Where infusion is used, the flushing and chest tightness reported is largely a function of infusion rate.

Research Dosingⓘ

Scientific studies

Community and clinic protocols. There is no established clinical dosing for injected NAD+.

Doses from Studies

50-100 mg subcutaneous

Community-reported protocols - No controlled trials of injected NAD+ at this dose

250-750 mg IV

Clinic protocols - Uncontrolled clinical practice, not trial-derived

Duration

Ongoing use is common. No controlled long-term injectable data exists.

Administration

Subcutaneous injection or slow IV infusion. Fast infusion is the main cause of the flushing and chest tightness people report.

When and how is NAD+ taken?

Best Time to Take

Morning

Two to three times weekly in most subcutaneous protocols

Food Recommendation

With or without food

Why This Timing?

NAD+ is tied to energy metabolism and circadian signalling, and evening dosing is commonly reported to disturb sleep.

What are the side effects of NAD+?

Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.

  • ●Flushing, nausea and chest tightness during IV infusion, worse when infused quickly
  • ●Injection site irritation
  • ●Headache
  • ●Fatigue after infusion in some people
  • ●Long-term safety of repeated high-dose injection is not established

References

Research This Peptide Further

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Frequently Asked Questions

What does NAD+ do?

NAD+ is not a peptide at all, it is a coenzyme every cell uses to move electrons around during energy production. It gets grouped with peptides because it is sold in the same places and injected the same way. Levels fall with age, which is the entire basis of the longevity interest, but the leap from that observation to injecting it is longer than most sellers admit.

How does NAD+ work?

NAD+ is a required cofactor in the reactions that turn food into ATP, and it is consumed as a substrate by two families of enzymes tied to ageing: sirtuins, which regulate DNA repair and metabolic signalling, and PARPs, which repair DNA damage. Because NAD+ is used up by these processes, sustained DNA damage or metabolic stress can deplete it. The theory is that restoring NAD+ restores the function of everything downstream. The unresolved problem is delivery: NAD+ is a large charged molecule that does not readily cross cell membranes, which is why most serious research uses precursors like nicotinamide riboside or NMN that cells can actually take up and convert internally.

Is NAD+ FDA approved?

No, NAD+ is not currently FDA approved. Current status: Not FDA approved as a drug. Sold as a supplement in precursor form and administered off-label as IV or subcutaneous injection in clinics. The evidence base sits mainly with oral precursors, not with injected NAD+.

Is NAD+ banned in sport?

Not on the WADA Prohibited List (2026). Note that any IV infusion or injection over 100 mL per 12 hours is banned under WADA M2.2, which catches many NAD+ drips.

What are the side effects of NAD+?

Reported side effects include: Flushing, nausea and chest tightness during IV infusion, worse when infused quickly, Injection site irritation, Headache, Fatigue after infusion in some people, Long-term safety of repeated high-dose injection is not established. Individual responses vary based on dosage, duration, and personal health factors.

What is the typical dose of NAD+?

Community-reported common dose: 50-100 mg, 2-3x weekly (Two to three times weekly, or per clinic protocol for infusion). Range: 50-750 mg depending on formulation. Administration: Subcutaneous injection or slow IV infusion. Fast infusion is the main cause of the flushing and chest tightness people report.. Community-reported doses. Not medical advice. Consult healthcare provider.

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NAD+ Precursors

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NAD+ precursors are not peptides. They are small molecules, mainly nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN), that the body converts into NAD+, a coenzyme every cell needs to make energy and run repair enzymes. NAD+ falls with age, so these precursors are sold as anti-aging and metabolic supplements. Human trials confirm they reliably raise blood NAD+ levels, but clear proof of real health benefits in people is still missing.

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Anti-Aging

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