A daily oral antioxidant to support detox pathways and immune function, no needles involved.
From $143/mo

Daily oral NAD+ to support energy, focus, and healthy aging. A needle-free way to maintain NAD+ levels on its own or between injections.
FormSame medication. Pick how you take it.
Select your supply
Billed every 90 days, cancel anytime.
Side effects are possible with any medication. Read the full safety information for NAD+ and discuss all medications with your provider.
Compounded medication. Compounded products are not FDA approved. Optera provides compounded NAD+ from US-licensed 503(a) pharmacies only.
Common side effects. Nausea, stomach upset, flushing, and headache, most often when starting. Taking the capsule with food may help. Tell your provider about any side effect you think is related to NAD+.
Talk to your provider first. If you are pregnant, breastfeeding, or planning to become pregnant, or if you are being treated for a chronic medical condition.
When to stop. Stop and contact your care team if you experience a severe reaction. For a medical emergency, call 911.
Prescription treatments are dispensed only when clinically appropriate after provider review. Compounded medications are not FDA approved.
Commonly prescribed together. Add a second product for $60 off, or three for $120 off.
A daily oral antioxidant to support detox pathways and immune function, no needles involved.
From $143/mo
Oral GHRH support in 2 mg and 5 mg strengths for recovery, sleep quality, and lean muscle maintenance.
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(nicotinamide adenine dinucleotide)
NAD+ is a coenzyme found in every cell in your body. Your cells rely on it to turn food into energy, repair damaged DNA, and keep their internal clocks running. Research shows NAD+ levels fall steadily with age, and lower levels may contribute to fatigue, brain fog, and slower recovery.
Inside every cell, NAD+ helps the mitochondria convert food into ATP, the fuel your cells run on. It also powers the repair proteins that fix everyday DNA damage and help regulate metabolism, inflammation, and circadian rhythm.
NAD+ levels decline with age
Illustrative only. Individual levels and results vary.
Supports consistent cellular energy production.
May support mental clarity throughout the day.
Helps maintain NAD+ levels that decline with age.
A simple daily capsule, no refrigeration or injections.
Individual results vary and are not guaranteed.
What NAD+ does in the body over time.

Day 1
Daily dosing begins raising the NAD+ available to your cells for energy production.

30 Days
Steady daily use may support more consistent energy and focus.

3 Months
Maintained NAD+ levels support the enzymes involved in DNA repair and cellular maintenance.

6 Months
Consistent use supports mitochondrial function and metabolic health.

1 Year and Beyond
A simple daily routine for maintaining NAD+ as part of a healthy-aging protocol.
Timeline reflects the general mechanism and published research. Individual results vary and are not guaranteed.
Many peptides sold online are labeled for research use only. Here is what changes when yours is prescribed.
100% online care, personalized dosing, and treatment delivered to your door.

Answer a few questions and a licensed provider will tell you whether this is a fit.