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Short online visit
Answer a few questions about your symptoms, goals and health history. No appointment, no waiting room.
NAD+ is the coenzyme every cell uses to make energy and repair itself, and levels fall with age and stress. GobyMeds prescribes compounded NAD+ as an at-home subcutaneous injection or a needle-free nasal spray, online, through licensed U.S. providers — with transparent pricing and nothing that auto-renews. Glutathione and more longevity treatments are on the way.
Nicotinamide adenine dinucleotide shuttles electrons inside the mitochondria to produce ATP, fuels the sirtuin enzymes linked to healthy aging, and is consumed every time a cell repairs its DNA. Levels decline with age and chronic stress — by some estimates halving between young adulthood and middle age — and the result shows up as fatigue, brain fog and slower recovery.
Oral NAD+ is largely broken down in digestion. A subcutaneous injection (typically 25–50 mg, two to three times a week) delivers it directly, at home, without the hours-long IV infusions clinics charge hundreds for. The nasal spray (300 mg/mL, taken daily) is the needle-free option. Both are compounded by a licensed U.S. pharmacy for your prescription.
Provider-led, lab-informed where it matters, and candid about evidence: NAD+ is a naturally occurring coenzyme with promising but still emerging human research, and compounded NAD+ is not FDA-approved. We tell you what people commonly report, not what we can't substantiate.
The body's primary antioxidant, involved in detoxification and immune function, with levels that also decline with age. A compounded glutathione option is in preparation; join the notify list for launch pricing.
That sleep and coffee don't fix.
Adults who want steadier energy, sharper focus and faster bounce-back from training or long days.
When the tank never quite refills.
NAD+ is commonly combined with GLP-1 weight-loss medication (for energy during a calorie deficit), sermorelin or testosterone therapy; your provider coordinates them.
The nasal spray delivers the same molecule daily. NAD+ isn't prescribed during pregnancy or breastfeeding, and your provider will want to know about uncontrolled heart disease, active cancer, liver or kidney disease and blood-pressure medication.
How GobyMeds works
Four steps from your first question to medication at your door, with a licensed U.S. provider at every one.
Answer a few questions about your symptoms, goals and health history. No appointment, no waiting room.
A licensed U.S. provider reviews your visit — and your lab panel, where your treatment needs one — and recommends the right option.
If prescribed, you see the full price before anything ships. No membership fees, no hidden costs, nothing auto-renews.
Medication arrives at your door in as little as 2–3 days, with follow-ups and adjustments through your provider.
Weeks 1–4. Many patients report steadier daytime energy, clearer thinking and a lift in mood within two to four weeks as cellular NAD+ rises.
Month 2. Deeper sleep, faster recovery from exercise and a more stable metabolism are commonly reported as the effect builds.
Month 3. The fuller effect on sustained mental performance and recovery is typically felt by the end of the third month of consistent use.
Ongoing. NAD+ is a support therapy: benefits continue with regular dosing, and your provider can adjust the dose or schedule at any follow-up.
NAD+ injection is $179 for one month or $349 for three ($116 a month). NAD+ nasal spray is $199 a month. Both include the online visit, provider follow-ups, supplies (insulin syringes and swabs for the injection), and free refrigerated shipping in as little as 3 days. No insurance, no membership, no auto-renewal; full refund if a provider decides treatment isn't appropriate.
Most people experience few or no side effects. Mild flushing, headache, nausea or fatigue can occur during or shortly after a dose, and less commonly muscle cramping, stomach upset or a jittery, anxious feeling; injecting slowly or lowering the dose usually resolves it. Injection sites may be red or tender — rotate them. Serious reactions are very rare. NAD+ is a naturally occurring coenzyme, but compounded NAD+ is not FDA-approved and human research on supplementation is still emerging. Not for use during pregnancy or breastfeeding.
Answers from the GobyMeds care team. Still have a question? Message us any time from your patient portal.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell that mitochondria use to turn food into energy; it's also required for DNA repair and for the sirtuin enzymes linked to healthy aging. Levels decline with age and under chronic stress, and supplementing NAD+ directly is intended to restore the pool your cells draw on.
Many patients report steadier energy and clearer thinking within two to four weeks, with the fuller effect on sleep, recovery and mood building over two to three months of consistent use. NAD+ is a support therapy rather than a cure, and results vary from person to person.
Most people experience few or none. Mild flushing, headache, nausea or fatigue can occur during or shortly after a dose, and injections may cause redness or tenderness at the site. Less commonly people report muscle cramping, stomach upset or a jittery, anxious feeling; slowing the injection or lowering the dose usually resolves it. Serious reactions are very rare.
Yes. NAD+ is commonly used alongside GLP-1 weight-loss medication, sermorelin and TRT, since it works on cellular energy rather than hormones. Tell your provider everything you take, including supplements, so your plan can be coordinated.
The subcutaneous injection delivers a precise 25–50 mg dose two or three times a week and is the more economical option on a 3-month plan. The nasal spray is needle-free, taken daily, and suits people who want convenience or dislike injections. Your provider can start you on either and switch later.
No. Compounded NAD+ is prepared by licensed U.S. pharmacies for an individual prescription and is not FDA-approved or FDA-reviewed for safety or effectiveness. Human research on NAD+ supplementation is still emerging, which is why GobyMeds pairs it with provider oversight rather than selling it over the counter.
If a GobyMeds provider decides a prescription isn't appropriate for you, you receive a 100% refund of the medication price (lab fees, where they apply, are not refunded). Once your order has been sent to our medical partners or to the pharmacy for fulfillment we will do our best to accommodate changes or cancellations, but we can't guarantee them, and in some cases an adjustment or cancellation carries a $50 medical consultation fee.
Because of regulations covering prescription medication, we are unable to accept returned medication for a refund.
No insurance is needed and GobyMeds does not bill insurance. The price you see is the price you pay, with provider consultation and shipping included and no membership fee.
HSA and FSA cards are accepted at checkout, and we can provide a letter of medical necessity if your plan administrator asks for one.
You answer a short health questionnaire and upload a photo ID. A licensed U.S. provider reviews your history, confirms the treatment is appropriate, and writes the prescription. There is no video call to schedule unless your provider or your state requires one, and follow-up messaging with your care team is included with every plan.
If you're not a candidate, you'll be told why and refunded in full.
Take a short online visit. A licensed U.S. provider reviews it and recommends the right treatment — or tells you if none is appropriate and refunds you in full.
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