When most people search for NAD+ therapy, they find a list of local IV lounges charging $300 to $800 per session. That’s the traditional model — you go in, sit for a few hours while NAD+ drips into a vein, and leave. It works. It’s also expensive, time-consuming, and unavailable to anyone who doesn’t live near a clinic that offers it.
There is another way, and it’s what I use.
The Two Ways to Get NAD+ Therapy
Option 1: IV Infusion at a Clinic
NAD+ delivered intravenously gets the highest concentration of NAD+ into circulation in the shortest time. A single IV session typically delivers 250mg to 1,000mg over two to four hours, producing a rapid and pronounced effect on energy and cognitive clarity for many people.
The limitations are practical. IV clinics charge $300 to $800 per session. To maintain elevated NAD+ levels, most protocols call for a series of initial sessions followed by monthly maintenance — a significant ongoing cost. Not all areas have IV clinics that offer NAD+. And blocking out two to four hours for an infusion is not realistic for most people as a regular commitment.
Option 2: At-Home Subcutaneous Injection Through Telehealth
Subcutaneous NAD+ injections are administered at home using a small needle into the fatty tissue just under the skin — similar to how insulin injections work. The dose per injection is lower than IV infusion, but the delivery is consistent, the frequency is manageable, and the cost is a fraction of in-clinic IV therapy.
Telehealth providers that offer NAD+ therapy prescribe a monthly protocol and ship the medication directly to your door. A licensed provider oversees the program through the telehealth platform. You inject on your prescribed schedule at home.
This is the model I use through ShedRX. My protocol is a monthly supply of subcutaneous injections, administered on a schedule my provider set when I started. The process took about fifteen minutes to learn and has been part of my routine for over a year.
What the At-Home Model Actually Looks Like
When you start a telehealth NAD+ program:
- You complete an intake form online — medical history, current medications, health goals. The provider reviews your case and determines if you’re a candidate.
- If approved, your monthly supply is shipped to you from a licensed compounding pharmacy. It arrives refrigerated.
- Your first injection involves a brief learning curve. The needles are insulin-gauge — small. The process is straightforward once you’ve done it twice.
- You inject on your protocol schedule. Any questions go through the telehealth platform. Dose adjustments happen through provider messaging.
There is no commute. No waiting room. No two-hour commitment to sit with an IV line. And the monthly cost is substantially lower than in-clinic therapy.
Who Should Consider IV Clinic vs At-Home
IV clinic makes sense if: You want the highest possible single-session dose, you’re local to a reputable clinic, cost is not a primary concern, or you’re addressing a specific acute need (recovery from illness, a demanding period at work) where a concentrated one-time infusion is the goal.
At-home injection makes sense if: You want ongoing NAD+ maintenance as part of a regular wellness protocol, you want to combine it with other telehealth therapies (GLP-1, sermorelin), cost matters, or there is no reputable IV clinic in your area.
For most people using NAD+ as part of a broader approach to energy, aging, and metabolic health — which is how most people on GLP-1 are approaching it — the at-home protocol delivers consistent results at a sustainable cost.
What It Costs
IV clinic: $300 to $800 per session. A typical initial protocol is 4 to 10 sessions, followed by monthly maintenance.
At-home telehealth injection protocol: significantly less per month. The program I use through ShedRX runs at a fraction of what clinic IV therapy costs for the same period of treatment.
The cost comparison matters over months and years. NAD+ therapy is most effective as an ongoing protocol, not a one-time treatment. The delivery method that you can sustain financially and logistically is the better choice for long-term benefit.
Getting Started
The intake process for a telehealth NAD+ program takes about 15 minutes. A provider reviews your case, typically within 24 to 48 hours. If you’re a candidate, your first shipment arrives within a week of approval.
The NAD+ program I use is here.
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