Overview
Nicotinamide adenine dinucleotide (NAD+) is a coenzyme involved in mitochondrial energy production, DNA repair, and cellular signaling. IV or subcutaneous NAD+ protocols are popular in integrative clinics for fatigue, cognitive fog, athletic recovery, and addiction recovery support. Evidence is still emerging, but small studies and case reports suggest potential improvements in stamina, mood, and neurocognitive function.
Common Reasons to Seek NAD+
- Burnout, chronic fatigue, or post-viral recovery needing energy support
- Cognitive fog, decreased focus, or age-related memory concerns
- Athletic performance/recovery optimization
- Adjunct therapy during substance-use recovery or after intensive travel
When to seek treatment: After basic labs (CBC, CMP) confirm stability and patients understand the experimental nature. In-person care is required for uncontrolled cardiac disease, active infection, pregnancy, or severe renal/hepatic impairment.