What does NAD+ feel like?

Most patients report sharper focus, sustained energy, and better recovery within the first few weeks of consistent use.

NAD+ is typically self-administered subcutaneously 1-3 times per week, with dose titrated by your provider.

Where is NAD+ Plus available?

NAD+ Plus is available in every state except Alabama. Availability is checked before it is added to your cart.

How do I get started?

Complete a short online medical intake. A US-licensed clinician reviews your history, then either issues a prescription, requests labs, or recommends an alternative.

Where does my treatment come from?

Every prescription is dispensed by a US-licensed pharmacy and ships in discreet, temperature-controlled packaging when required.

Can I change my dose or cancel?

Yes. Programs are month to month. You can pause, adjust your dose with your provider, or cancel at any time with no fees.

Who do I contact with questions?

You can message your care team directly, or call us at +1 425-728-6182. Most questions are answered the same day during clinic hours.

NAD+ Injection

Restore declining NAD+ levels to support energy, focus, and cellular repair. A clinically studied coenzyme, self-administered at home for a fraction of what in-clinic IV therapy costs.

Subcutaneous injection, self-administered at home
Essential to cellular energy production and DNA repair
Restoring NAD+ is an active area of healthy-aging research

FormSame medication. Pick how you take it.

InjectionNasal Spray Oral

Select your supply

Billed every 90 days, cancel anytime.

Shipping State

Prescribed by a US-licensed provider
Compounded at a US 503(a) pharmacy
Shipped cold, ready to use
HSA / FSA eligible

Safety information

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. Injection site redness or discomfort, flushing, nausea, headache, and fatigue. Individual responses vary. 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.

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What Is NAD+?

(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 two families of repair proteins: PARPs, which fix everyday DNA damage, and sirtuins, which help regulate metabolism, inflammation, and circadian rhythm.

NAD+ levels decline with age

Illustrative only. Individual levels and results vary.

Cellular Energy

Supports ATP production inside the mitochondria, the fuel your cells run on.

Mental Clarity

May support focus and cognitive performance.

Cellular Repair

Fuels PARP enzymes and sirtuins, the proteins behind DNA repair and inflammation control.

Healthy Aging

Helps replenish declining NAD+, which supports metabolism and circadian rhythm.

Individual results vary and are not guaranteed.

How NAD+ Works

What NAD+ does in the body over time.

Day 1

Within hours, NAD+ becomes available to your cells, fueling the enzymes that convert nutrients into energy and support mitochondrial function.

30 Days

As cellular NAD+ levels rise, you may begin to notice steadier daily energy and sharper focus.

3 Months

Sustained NAD+ supports DNA repair and cellular maintenance, which may show up as better recovery and more consistent energy.

6 Months

Consistent use supports mitochondrial health and metabolic function over time.

1 Year and Beyond

Maintaining NAD+ levels becomes part of a long-term approach to healthy aging, with your protocol adjusted as your needs change.

Timeline reflects the general mechanism and published research. Individual results vary and are not guaranteed.

A Prescription, Not a Research Vial.

Many peptides sold online are labeled for research use only. Here is what changes when yours is prescribed.

Research-use sites

On the label: For research use only. Not for human use.
Who sets the dose: You guess it from a forum.
Where it is made: No pharmacy. No prescription.
What arrives: Loose powder you mix on your kitchen counter.
If you have a question: No one to call.

Optera

On the label: Your name. Your prescription.
Who sets the dose: A US-licensed provider sets it for you.
Where it is made: A US-licensed 503(a) compounding pharmacy.
What arrives: Ready to use. No mixing.
If you have a question: A care team that answers.

How Optera Works

100% online care, personalized dosing, and treatment delivered to your door.

Build your protocol and share your health history.

Get Started

Our providers review and prescribe if it's right for you.

Pre-Qualify

Patient messaging an Optera provider on a tablet

Compounded and shipped cold to your door.

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Learn More About NAD+ Injection

Ready When You Are

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

Check If I Qualify

NAD+ Injection

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