NAD+ Therapy: Your Guide to Boosting Energy and Vitality
I. Understanding NAD+: The Body's Essential Energy Molecule
You might have heard about NAD+ in health circles, often talked about as a key to feeling younger and more energetic. But what exactly is it, and why is it so important for your body?
Think of Nicotinamide Adenine Dinucleotide, or NAD+, as a vital helper molecule found in every single cell. It's absolutely essential for keeping your body running smoothly. Its main job is to help convert the food you eat into the energy your cells need to function. This energy powers everything from your muscles to your brain.
Beyond just energy, NAD+ also plays a crucial role in many other important cellular processes. It helps repair your DNA, keeps your cells healthy, and even influences how your body responds to stress and inflammation. It's like the fuel and the maintenance crew for your cells, all in one.
This short video explains NAD+:
II. Why We Lose Our Edge: The Age-Related Decline of NAD+
One of the most significant discoveries about NAD+ is that its levels naturally drop as we get older. This isn't just a minor change; studies show that by middle age, our NAD+ levels can be significantly lower than when we were younger.
This decline happens for a few reasons:
- Increased Demand: As we age, our cells experience more wear and tear, including DNA damage. To fix this, certain enzymes (like PARPs) kick into high gear, but they use up a lot of NAD+ in the process.
- Slower Production: The body's ability to make and recycle NAD+ also becomes less efficient over time.
- Mitochondrial Health: Our cell's "powerhouses" (mitochondria) also play a role, and their function can decline with age, impacting NAD+ levels.
When NAD+ levels fall, it's like your body's internal battery starts to run low. Your cells become less efficient, leading to common signs of aging like feeling tired, mentally foggy, and slower to recover. This natural decline can also be sped up by lifestyle factors such as poor diet, too much alcohol, stress, and not enough sleep.

III. How Boosting NAD+ Can Help You Feel Better
Restoring your body's NAD+ levels through supplementation is a proactive way to combat this age-related decline and support your overall vitality. While much of the early research was in animals, human studies are ongoing and show promising signs, though more large-scale research is still needed.
Here’s how boosting NAD+ might help you feel better:
- More Energy, Less Fatigue: Many people report a noticeable boost in energy. By helping your cells produce energy more efficiently, NAD+ can combat that deep-seated fatigue, giving you sustained energy without the jitters or crash of caffeine.
- Sharper Mind and Better Focus: Your brain is a huge energy consumer, and NAD+ is vital for healthy brain cells and clear communication between them. If you struggle with "brain fog" or difficulty concentrating, NAD+ therapy may help improve focus, memory, and overall mental clarity.
- Improved Physical Performance and Recovery: For those with an active lifestyle, NAD+ can be a game-changer. It fuels muscle cells, helps reduce fatigue during workouts, and speeds up recovery by supporting muscle repair and reducing inflammation. This means you might train harder and recover faster.
- Better Skin Health: NAD+ plays a role in keeping your skin healthy by helping repair DNA damage from sun exposure, preserving collagen (which keeps skin firm), and promoting cell regeneration. This can lead to skin that looks brighter, firmer, and more resilient.
- Support for Your Metabolism: NAD+ is a key player in how your body processes fats and sugars. Restoring NAD+ levels can support healthy weight management and overall metabolic balance.

It's important to note that while many people experience these benefits, individual results can vary, and more extensive human research is still underway to fully understand the extent of these effects.
IV. NAD+ Administration Methods: What Are Your Options?
When considering NAD+ therapy, you'll find a few main ways to get it into your system. The goal is to deliver NAD+ effectively so your cells can use it.
- Oral Supplements (Pills): This is the most common and convenient method. You take NAD+ precursors (like Nicotinamide Riboside or Nicotinamide Mononucleotide) as pills. They are generally considered safe and well-tolerated, with mild side effects like stomach upset or headaches. While they can increase NAD+ levels in your body, the exact amount that reaches your cells can vary, and human studies on their overall effectiveness for specific health benefits are still mixed.
- Intravenous (IV) Drips: This involves getting NAD+ directly into your bloodstream through a drip in a clinic. It delivers 100% of the NAD+ immediately, which can lead to rapid effects. However, it's more invasive, requires a visit to a clinic for a session that can last a few hours, and is often the most expensive option. Side effects are usually related to the infusion speed, like nausea or flushing, but serious issues can arise from improperly prepared solutions. The FDA has not approved IV NAD+ therapy as a drug for specific medical conditions.
- Subcutaneous (SC) Injections: These are quick injections into the fatty tissue just under the skin. They bypass the digestive system for a more gradual and sustained absorption than IVs. They can be more convenient and cost-effective than IVs, as they can sometimes be self-administered at home. However, research on this specific method is limited, and there are risks like local irritation or infection at the injection site. Like IVs, these are not FDA-approved as drugs.
- Nasal Spray: This is a non-invasive spray administered into the nasal passages. It's designed for easy at-home use. Information on its specific effectiveness and safety is still very limited in scientific literature.
For most people looking to combat the effects of aging and boost vitality, the convenience and sustained release of oral supplements or subcutaneous injections might offer a better balance of effectiveness, cost, and lifestyle integration compared to time-consuming and expensive IV drips.
At GobyMeds, we offer NAD+ as a subcutaenous injection or nasal spray.

V. Is NAD+ Therapy Safe? Understanding the Risks
NAD+ therapy is generally considered safe, especially when administered under the guidance of a medical professional. NAD+ is a molecule your body produces naturally.
Common Side Effects:
- Oral Supplements: Mild stomach upset, nausea, bloating, gas, fatigue, muscle pain, headaches, or sleep disturbances.
- IV Drips/Injections: Often related to how fast the treatment is given. These can include mild flushing, headache, nausea, muscle cramps, or a feeling of pressure in the head. These are usually temporary and can be managed by adjusting the speed of the drip or ensuring you're well-hydrated. Redness or tenderness at the injection site is also possible with injections.
Important Considerations and Potential Risks:
- Long-Term Safety: While short-term use appears safe, more research is needed on the long-term effects of NAD+ supplementation, especially at high doses.
- Quality Control: A significant concern, particularly with IV and subcutaneous injections, is the quality of the NAD+ solution itself. The FDA has raised concerns about improperly prepared solutions and unsanitary conditions in some unregulated wellness centers. Always ensure your provider uses high-quality, sterile products from reputable pharmacies.
- Lack of FDA Approval: It's crucial to understand that NAD+ therapy (especially IV and injectable forms) is not approved by the FDA as a drug for treating specific medical conditions. It's often offered as a general wellness treatment.
- Specific Populations: Safety has not been fully assessed in pregnant women, nursing mothers, or children, so these groups should avoid NAD+ injections.
- Potential for Paradoxical Effects: In some very specific cases, high NAD+ levels might have unexpected effects, or might not be beneficial for everyone, particularly very young, healthy individuals who already have optimal levels.
Always discuss your health history and goals with a licensed medical provider to determine if NAD+ therapy is right for you and to ensure you receive it safely.
VI. Natural Ways to Support Your NAD+ Levels
While NAD+ therapy is a direct way to boost your levels, certain lifestyle habits can help your body produce and preserve this vital molecule naturally. These are excellent foundational steps for overall health:
- Exercise Regularly: Physical activity, especially moderate intensity exercise, can stimulate your body's natural NAD+ production. Consistent movement is key.
- Consider Caloric Restriction or Intermittent Fasting: Eating less overall or incorporating periods of fasting has been shown to activate pathways that help preserve and regenerate NAD+.
- Prioritize Quality Sleep: NAD+ levels naturally fluctuate with your body's internal clock. Poor sleep can disrupt this cycle and lower NAD+ production. Aim for 7-9 hours of consistent, restful sleep each night.
- Eat NAD+-Boosting Foods: Incorporate foods rich in Vitamin B3 (a precursor to NAD+) like chicken, fish, green vegetables, and whole grains. Foods like broccoli, avocado, and beef also contain small amounts of NAD+ precursors. Tryptophan, found in protein-rich foods like eggs and dairy, can also be converted into NAD+.
These natural strategies are powerful ways to support your cellular health and complement any supplementation you might consider.
VII. Conclusion: Investing in Your Vitality
NAD+ is a fundamental molecule that plays a central role in your energy, cellular repair, and overall vitality. As we age, our natural NAD+ levels decline, contributing to many of the common signs of aging like fatigue and mental fog.
While promising research, particularly in animal models, suggests that boosting NAD+ can have significant benefits for health and longevity, human clinical evidence is still developing and sometimes inconsistent. Oral supplements are convenient and generally safe, while IV and injectable forms offer direct delivery but come with higher costs and require careful consideration of provider quality and safety.
Ultimately, supporting your NAD+ levels, whether through natural lifestyle choices or supplementation under medical guidance, represents a proactive approach to maintaining your energy, sharpening your focus, and investing in your long-term vitality. As research continues to evolve, it will provide even clearer insights into how best to harness the power of NAD+ for optimal health.
Works Cited:
- Therapeutic potential of NAD-boosting molecules: the in vivo..., https://pmc.ncbi.nlm.nih.gov/articles/PMC6342515/
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- How NAD+ Therapy Can Boost Energy and Reverse Aging | Blog - Serotonin Centers, https://www.serotonincenters.com/blog/how-nad-therapy-can-boost-energy-and-reverse-aging/
- Is NAD+ a Miracle Anti-Aging Treatment, or Is It Just Hype? - Verywell Health, https://www.verywellhealth.com/nad-iv-therapy-8783961
- NAD Injections vs. Drips: Which Works Better for You, https://www.mynavo.com/blog/nad-injections-vs-drips-which-works-better-for-you
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- Are There Any Side Effects Of NAD Therapy? | Concierge MD LA, https://conciergemdla.com/blog/side-effects-of-nad-therapy/