NAD+ Nasal Spray

More NAD per bottle than every major competitor. We ship Precision Pharmacy's NanoNAD+ formulation at 500mg/mL concentration, the highest in the category. Our 15mL bottle contains 7,500mg of NAD+. AgelessRx ships 4,200mg per bottle (300mg/mL × 14mL). HydraMed ships 3,000mg (200mg/mL × 15mL). ConciergeMD ships 4,500mg (300mg/mL × 15mL) at $199/mo and refrigeration required. Our protocol is 1 spray in each nostril once or twice daily, so a single bottle covers 30 days at recommended dosing with plenty of headroom. NanoNAD+ also uses a patented 1.92nm nanoparticle formulation for nasal absorption, which is the only patented absorption technology in the category. Bottom line: more total NAD+ per bottle, more concentrated solution, better mg-per-dollar than any competitor we've benchmarked. The /mo price is higher than the cheapest options, but on raw NAD content delivered, we're at the top of the category.

A Comprehensive Metabolic Panel (CMP) checks your kidney and liver function to ensure NAD+ therapy is safe for you. This is standard practice for responsible prescribing and helps our physicians provide personalized care.

Yes. If you have recent lab results from the last 6 months, you can upload them during the consultation process. We accept results from any CLIA-certified lab including Quest, Labcorp, or your primary care physician.

You can visit any Labcorp or Quest Diagnostics location near you. We will provide you with the specific test to request after you complete your consultation. Most visits take less than 15 minutes, and results are typically available within 2-3 business days.

NAD+ (Nicotinamide Adenine Dinucleotide) is a vital coenzyme found in every cell of your body. It powers your mitochondria to produce energy, supports DNA repair, and regulates cellular aging. NAD+ levels naturally decline with age, leading to fatigue, brain fog, and slower recovery.

NAD+ nasal spray delivers this essential coenzyme directly through the nasal mucosa (the thin membrane in your nose). This intranasal delivery bypasses digestion and provides rapid absorption into your bloodstream. Once absorbed, NAD+ replenishes cellular energy stores, supports mitochondrial function, and activates sirtuins - proteins that regulate longevity and cellular health. It's a needle-free, convenient alternative to injections.

Most patients notice initial improvements like increased energy and mental clarity within 2-4 weeks. However, the full therapeutic benefits of NAD+ nasal spray require 8-12 weeks of consistent treatment. Your body needs time to restore cellular NAD+ levels (weeks 1-4), rebuild mitochondrial function (weeks 4-8), and sustain metabolic improvements (weeks 8-12+). This is why we recommend a minimum 3-month commitment.

NAD+ nasal spray is incredibly simple to use - just spray into each nostril as directed. We provide step-by-step instructions with your first delivery. Most users find it as easy as using any over-the-counter nasal spray. No needles, no mixing, no preparation required - your NAD+ arrives ready to use.

The typical protocol is once daily, usually in the morning as part of your wellness routine. This provides consistent NAD+ replenishment throughout the day. Your physician will provide specific dosing instructions based on your health needs and goals.

NAD+ is generally very well tolerated. Some users may experience mild nasal irritation, temporary flushing, or a brief tingling sensation in the nose. Rarely, some people report headaches or nausea, which typically resolve within a few days. Always follow your prescribed dosage and consult your provider if you have concerns.

NAD+ is generally safe to combine with most supplements. However, it's important to disclose all medications and supplements during your medical consultation. NAD+ should not be combined with certain blood thinners, MAO inhibitors, or blood pressure medications without physician approval.

Yes, NAD+ is often stacked with testosterone replacement therapy (TRT), sermorelin, and other longevity therapies. Many users find the combination enhances energy, recovery, and overall results. Be sure to mention all current therapies during your medical consultation.

NMN (Nicotinamide Mononucleotide) and NR (Nicotinamide Riboside) are NAD+ precursors - your body must convert them into NAD+. NAD+ nasal spray delivers the active form directly through the nasal mucosa, bypassing conversion and digestion for maximum bioavailability and faster results compared to oral supplements.

Yes, NAD+ nasal spray should be stored in the refrigerator to maintain potency and freshness. We ship it in temperature-controlled packaging. Store it immediately upon arrival and keep refrigerated between uses.

If you miss a dose, simply use your nasal spray at your next scheduled time. Do not double up to make up for a missed dose. Consistency is important for optimal results, so try to maintain your regular daily schedule.

NAD+ therapy provides benefits as long as you're taking it. If you stop, your NAD+ levels will gradually return to your natural baseline over time. There are no withdrawal symptoms - your body simply reverts to its pre-treatment state.

NAD+ as a substance is recognized and well-studied. The NAD+ nasal spray you receive from MadeMed is compounded by a licensed US pharmacy specifically for you based on your physician's prescription. Compounded medications are not FDA-approved but are legal and prescribed by physicians for individual patients.

Never. We notify you via email in advance of recurring renewal charges with easy options to pause, skip, or cancel. No surprises, no ambush billing. You're always in control of your subscription.

You can cancel your subscription at any time through your patient account or by reaching out to our support team. No phone calls required, no runarounds. We believe if you want to leave, you should be able to - easily. That said, we hope you'll stay because we've earned your trust, not because we've trapped you.

When you pause your subscription, recurring billing is paused until you choose to unpause or resume. We'll send you a reminder after your pause period ends, and you can extend it anytime.

Prescription products require an online consultation with a licensed provider, who decides whether a prescription is appropriate for you. The consultation fee for this product is $20. If your provider determines a live video visit is needed instead, the fee is $30. The consultation fee is charged whether or not a prescription is issued; everything else is refunded if you are not prescribed.