Injectable · Compounded medication · provider-guided only

NAD+

Cellular energy & performance support

What it is

A naturally occurring coenzyme central to cellular energy production, metabolic reactions, mitochondrial function, and redox balance — provided through prescription injectable formulations prepared by a licensed compounding pharmacy.

Why a provider may consider it

A provider may evaluate NAD+ when energy and fatigue, exercise recovery, performance, or healthy-aging objectives are prominent in an individual’s assessment and the overall clinical picture supports it.

  • Energy & fatigue patterns
  • Exercise recovery
  • Performance goals
  • Healthy-aging objectives

How it is administered

A prescription injectable, typically self-administered at home with guidance from your care team. Frequency and strength are individualized by the prescribing physician and adjusted based on your response.

What Meridian may track

  • Energy patterns, sleep, and mood through regular check-ins
  • Recovery signals relative to your baseline
  • Side effects, so the plan can be adjusted early
  • Laboratory information when your physician considers it useful

Important considerations

  • Obtained only through a qualified pharmacy using sterile-compounding standards.
  • Compounded NAD+ is not an FDA-approved drug; the research base is active and still evolving.
  • Brief flushing, warmth, or nausea can occur around administration; your care team helps you manage this.
  • A licensed physician independently decides whether NAD+ is appropriate for you after reviewing your health information.

Every treatment option is presented for educational purposes only. All prescribing decisions are made independently by a licensed physician after review of your health history, goals, medications, laboratory information, and clinical evaluation. Nothing on this page is an offer of treatment or a guarantee of outcomes.

Meridian Vitality is a technology and health-services platform. Clinical services are provided by independent licensed medical professionals. Meridian Vitality does not independently diagnose, prescribe, or direct medical care.

Compounded medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or manufacturing quality before they are marketed. The availability of a treatment depends on the prescribing provider’s independent medical judgment, pharmacy availability, applicable law, the individual’s medical history, and other clinical considerations.

Potential benefits are not guaranteed. Individual results vary. Meridian Zenith™ is a proprietary Meridian Vitality program name for a compounded oxytocin / bremelanotide formulation.

Find out if it’s appropriate for you.

A licensed physician reviews your assessment and independently decides — you’re never charged unless care is approved.

Start Your Free Assessment