Licensed U.S. providers  ·  Physician-guided quality  ·  Provider review where clinically required

Provider review required

NAD+

Cellular energy & longevity coenzyme

A coenzyme central to how your cells produce energy and repair themselves, studied for its declining role in the biology of aging.

Start your free visitNo charge until a provider approves.
Access typeProvider review required
AdministrationSubcutaneous injection
Evidence maturityEarly / evolving
Treatment formatProvider-set cadence
MembershipOptional
Prepared by licensed U.S. compounding pharmaciesProvider-reviewed before dispensingCold-chain shipping when required
What it is

A coenzyme central to cellular energy

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every living cell, where it plays a central role in energy metabolism and cellular repair. Levels are understood to decline with age, which is why it has become a focus of research into healthy aging. At Meridian it is offered as a compounded medication — meaning it is prepared by a licensed pharmacy — and is used only under a provider’s guidance.

How it works

Supporting how cells make energy

NAD+ is a key participant in the reactions that convert nutrients into usable cellular energy and in pathways involved in DNA repair. Research explores whether restoring NAD+ availability may support these processes. It is typically administered as a subcutaneous dose on a cadence your provider sets.

  • Central to the reactions cells use to convert nutrients into energy
  • Studied in the context of DNA repair and cellular aging pathways
  • Delivered as a provider-guided subcutaneous protocol at a set cadence
Potential benefits

What people explore it for

Areas of interest reported in research and clinical use. Benefits vary by individual and are not guaranteed — your provider can set realistic expectations for you.

Cellular energy metabolism

Studied for its central role in the reactions that turn nutrients into usable cellular energy.

Healthy-aging research

Explored by people interested in the biology of aging and long-term cellular resilience.

Cellular repair pathways

Investigated in the context of DNA repair and the maintenance of healthy cell function.

Statements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease.

Who it may be appropriate for

People who may find it relevant

01

Focused on longevity

Taking a long-view approach to cellular health and the biology of healthy aging.

02

Noticing lower energy

Exploring options for metabolic and cellular vitality alongside a provider.

03

Building a protocol

Integrating cellular-health support into a broader, provider-guided routine.

This is general education, not medical advice. Whether NAD+ is appropriate for you is determined by a licensed provider.

Provider considerations

Why oversight matters here

Provider review required

This is a compounded medication, so a licensed provider must confirm it’s appropriate for you before it can be dispensed. The review checks your health history, current medications, and goals to ensure it’s a safe fit.

This therapy requires review by a licensed provider before it can be dispensed. You’ll complete a short online visit; a provider evaluates whether it’s appropriate for you and, if so, authorizes it.

1Complete a short, free online visit about your health and goals.
2A licensed provider reviews your profile and decides if it’s appropriate.
3If approved, a licensed pharmacy prepares and ships your order.
What to expect

Your care journey, step by step

From first visit to follow-up — calm, transparent, and guided by a licensed provider throughout.

1
Online visit
Share your health & goals, ~10 min.
2
Provider review
A licensed provider evaluates fit.
3
Pharmacy prep
A licensed pharmacy compounds it.
4
Shipment
Discreet, cold-chain delivery.
5
Begin protocol
Dosing guidance included.
6
Follow-up
Check-ins when appropriate.
Supporting science

What the research explores

A plain-language look at the areas of study. Research is evolving and varies in strength — we present it honestly, not promotionally.

Cellular metabolism

NAD+ is well established as an essential coenzyme in energy metabolism. Its role in this process is foundational cell biology.

Aging research

Studies have observed that NAD+ levels decline with age, prompting research into whether restoring them supports cellular function.

Repair pathways

Research has investigated NAD+’s involvement in DNA repair and the enzymes tied to cellular maintenance. Human clinical evidence remains limited and ongoing.

Evidence maturity

NAD+ is not FDA-approved. It is a compounded medication; the research into its use for aging is early and evolving.

Our Science Library — evidence summaries, mechanisms, limitations, and provider commentary — is expanding.

Questions

NAD+, answered

Is NAD+ FDA-approved?

No. It is a compounded medication prepared by a licensed pharmacy, not an FDA-approved drug. It is provided only when a licensed provider determines it is appropriate for you.

How is it taken?

Typically as a subcutaneous injection on a cadence your provider sets. Your provider will give you specific dosing guidance and everything needed to administer it.

Do I need a provider visit?

Yes. This therapy requires provider review. You’ll complete a short free online visit, and a provider decides whether to authorize it.

Is it better with a membership?

For long-term longevity goals, membership adds check-ins, tracking, and provider adjustments over time — but it isn’t required for a reviewed purchase.

Related therapies

Others in Longevity

Often considered alongside NAD+ as part of a personalized longevity strategy. Your provider determines whether any therapy is appropriate based on your goals and medical history.

With membership

A one-time purchase, or ongoing care

You can access appropriate therapies on their own — but the strongest outcomes come from a provider who tracks your response and adjusts over time. That’s the difference between buying a product and being cared for.

Explore membership
One-timeMembership
Provider oversightAt purchaseOngoing
Dose adjustmentsAs needed
Progress trackingIncluded
Messaging & check-insIncluded

Explore NAD+ with a provider.

Start a free online visit. A licensed provider will review your profile and let you know whether this therapy is appropriate for you — you’re never charged until you’re approved.

No charge until a provider approves.