NAD+ Injections
Physician-supervised NAD+ in Houston, Katy, and Webster, TX. NAD+ is prescribed and supervised by your physician or Nurse Practitioner following an evaluation. You can receive injections in our office, or have a prescription filled by a pharmacy and shipped to you. No membership required.
Care is overseen by John Bergeron, MD. Whether NAD+ is appropriate for you is a clinical decision made after an evaluation — not a program you enroll in.
What is NAD+?
Nicotinamide adenine dinucleotide (NAD+) is a coenzyme found in every living cell. It acts as an essential cofactor — one of the compounds required for the activity of enzymes, the molecular machines that carry out biological processes. First identified in 1906, NAD+ has been the subject of renewed research interest for its role in cellular energy metabolism and repair.
NAD+ levels are understood to decline with age. Research into what that means, and into whether supplementation changes anything meaningful, is ongoing and not settled.
What Patients Use NAD+ For
Patients typically come to us interested in supporting everyday energy, focus, post-exercise recovery, or general cellular health as part of a broader wellness plan. Responses vary considerably from one person to the next, and some patients notice no change at all.
NAD+ is not a treatment for any disease, and we will not tell you it is. What it may do — and whether it is a reasonable thing for you to try — is a conversation to have with your provider, based on your health history and goals.
Two Ways to Receive NAD+
Depending on what your provider recommends and what suits you, there are two options. They are supplied by two different pharmacies, and your provider will explain which is appropriate for you.
In-office injections
Administered here, by us. The NAD+ we keep in the office is prepared by a 503B outsourcing facility — an FDA-registered compounder that produces under current Good Manufacturing Practice (cGMP) standards and is subject to FDA inspection. Pricing for in-office injections is published below.
Prescription shipped to you
If home administration is appropriate, your provider can write a prescription to be filled by a state-licensed 503A pharmacy and shipped to you. Your provider will explain how this works, and what it costs, before you decide.
Either way, NAD+ is prescribed after an evaluation and supplied by a licensed pharmacy. We strongly advise against purchasing injectables online from unregulated sources.
How Care Works Here
- Physician-supervised. Prescribed and overseen by your physician or Nurse Practitioner after an evaluation.
- Licensed pharmacy sourcing. 503B outsourcing facility for in-office injections; state-licensed 503A pharmacy for prescriptions shipped to you.
- Your choice. In-office or shipped to your home, depending on what is clinically appropriate.
- No membership required. No contracts, no monthly program fees.
- Transparent pricing. You will know what it costs before you book.
- Not for everyone. There are patients for whom NAD+ is not appropriate, and we will tell you if you are one of them.
In-Office Injection Pricing
These are the prices for an injection administered in our office. There is no membership fee and no contract.
- 50 mg NAD+ injection — $60
- 100 mg NAD+ injection — $100
- Package pricing is available when a series of injections is clinically appropriate. Ask our office for current rates.
Whether a series is appropriate for you — and how many injections, if any — is determined by your provider, not by what you purchase. If your prescription is instead filled by a pharmacy and shipped to you, your provider will go over that pricing with you.
Frequently Asked Questions
Who should not take NAD+?
NAD+ is not appropriate for individuals with a history of cancer or who are currently undergoing cancer treatment, women who are pregnant or breastfeeding, or individuals with severe liver, kidney, or cardiovascular disease or bleeding disorders. Your provider will review your history with you before recommending anything.
What are the side effects?
NAD+ is generally well tolerated, but like any treatment it can have side effects. Possible reactions include nausea, temporary fatigue, headache, cramping, and redness, tenderness, or swelling at the injection site. Discuss any symptoms or concerns with your clinician.
Can I do my injections at home?
In many cases, yes. If home administration is appropriate for you, your provider can write a prescription to be filled by a state-licensed 503A pharmacy and shipped to you. Some patients prefer to come in; others prefer the convenience of home. Your provider will talk it through with you.
Why are there two different pharmacies?
They serve different purposes. A 503B outsourcing facility supplies medication in bulk to clinics for administration on site — that is what we keep in the office. A 503A pharmacy compounds a prescription for one specific patient, which is what happens when medication is shipped to you. Both are licensed and regulated; they are simply different parts of the system.
How is NAD+ different from oral supplements?
They are absorbed differently, and many over-the-counter oral products contain NAD+ precursors rather than NAD+ itself. Your provider can discuss the differences with you, and whether either is a reasonable option given your situation.
How do I get started?
Care begins with an evaluation. Request an appointment or call (281) 400-1290.
Important medical information. NAD+ has not been evaluated or approved by the FDA for the wellness uses described on this page. It is not a treatment or cure for any disease, and nothing here should be read as a claim that it is.
Whether NAD+ is appropriate for you is determined by a licensed physician or Nurse Practitioner following an evaluation. Individual responses vary and outcomes are not guaranteed. This page is for general informational purposes only and is not medical advice.
Medically reviewed by John Bergeron, MD
Medically reviewed by John Bergeron, MD