NAD+

Lyophilized Vial

1 gm/Vial

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Product Overview

NAD+ Description1-6

Nicotinamide Adenine Dinucleotide (NAD⁺) is essential for metabolic function in the body, participating in more than 500 enzymatic reactions that support overall health. NAD⁺ plays a key role in energy metabolism, mitochondrial homeostasis, and processes related to cellular survival and death. It also serves as a mediator of important cellular functions, including DNA maintenance and repair. NAD⁺ levels naturally decline with age. Restoring NAD⁺ levels may help improve altered metabolic processes, reduce susceptibility to disease, and support longevity.

Potential benefits associated with increasing NAD⁺ levels include:

  • Improved cognitive function
  • Protection of brain tissue from neurodegenerative processes
  • Enhanced vascularization of blood vessels
  • Reduction in hepatic steatosis
  • Improved muscle strength and pancreatic function, including increased insulin secretion
  • Decreased inflammation

Mechanism of Action1-6

NAD+ is critical for metabolism and physiological function. It accepts electrons during metabolic reactions to become NADH (reduced form). NADH uses the electron to donate ot other molecules. This is important for ATP production in the body. This process occurs during glycolysis, fatty acid oxidation, and the TCA cycle. There is a continuous conversion of NAD+ to NADH in cells in the body which is critical for energy flow. NAD+ is also important for sirtuin regulation (DNA repair, inflammation processes, and fat metabolism). It is a substrate for  PARPs (poly (ADP-ribose) polymerases) (repair of damaged DNA), is important to prevent neurodegenerative processes.

Common2,6

  • Flushing, warm sensation
  • Headache, dizziness, lightheadedness
  • Nausea, abdominal cramping

Contraindications2,6

  • Known hypersensitivity to NAD+ or any component of the solution
  • Active infection or inflammation

Precautions2,6

  • Patients should be monitored during and after administration for tolerance

Store at 2°C to 8°C (36°F to 46°F); Protect from light, heat, and moisture.

  1. https://www.nad.com/what-is-nad
  2. Hwang ES, Song SB. Possible Adverse Effects of High-Dose Nicotinamide: Mechanisms and Safety Assessment. Biomolecules. 2020 Apr 29;10(5):687.
  3. Covarrubias AJ, Perrone R, Grozio A, Verdin E. NAD+ metabolism and its roles in cellular processes during ageing. Nat Rev Mol Cell Biol. 2021 Feb;22(2):119-141.
  4. Xie N, Zhang L, Gao W, Huang C, Huber PE, Zhou X, Li C, Shen G, Zou B. NAD+ metabolism: pathophysiologic mechanisms and therapeutic potential. Signal Transduct Target Ther. 2020 Oct 7;5(1):227.
  5. Mark, J. The Vital Role of NAD in Cellular Metabolism and Aging https://www.therealgutdoctor.com/the-vital-role-of-nad-in-cellular-metabolism-and-aging/. August 13, 2024. Accessed June 29, 2025
  6. Lopez J NAD IV Therapy Side Effects: Exploring the Potential Risks. https://www.azivmedics.com/side-effects-of-nad-therapy July 6, 2023. Accessed June 30, 2025.

WPPL operates as a 503A compounding pharmacy and prepares individualized prescription medications pursuant to provider direction. Compounded preparations are not reviewed, tested, or approved by the FDA.

This listing also includes commercially manufactured products for convenience; these items are not compounded by our pharmacy and are sold as provided by their manufacturers. Actual products in stock at time of dispensing may vary due to supply chain variability. Any statements regarding non-compounded products are manufacturer-supplied, have not been evaluated by the FDA, and are not intended to diagnose, treat, cure, or prevent any disease. WPPL does not verify or endorse any therapeutic claims made by manufacturers. Please refer to original labeling for complete product information.

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