What it is
A naturally occurring coenzyme central to cellular energy production, metabolic reactions, mitochondrial function, and redox balance. NAD+ levels decline with age, which has made replenishment a focus of longevity care. At Meridian it is prepared by a licensed compounding pharmacy and offered only under a physician’s prescription and guidance.
Why a provider may consider it
A provider may evaluate NAD+ when cellular energy production, mental and physical vitality, or healthy-aging support are prominent in an individual’s assessment and the overall clinical picture supports it.
- ✓Cellular energy production
- ✓NAD+ replenishment
- ✓Mental & physical vitality
- ✓Healthy aging support
How it is administered
Typically a small subcutaneous injection self-administered at home with guidance from your care team — or a sublingual form, when clinically appropriate and available. Frequency and strength are individualized by the prescribing physician and adjusted based on your response.
What Meridian may track
- •Energy patterns, sleep, and mood through regular check-ins
- •Recovery signals relative to your baseline
- •Side effects, so the plan can be adjusted early
- •Laboratory information when your physician considers it useful
Important considerations
- —Obtained only through a qualified pharmacy using sterile-compounding standards.
- —Compounded NAD+ is not an FDA-approved drug; the research base is active and still evolving.
- —Brief flushing, warmth, or nausea can occur around administration; your care team helps you manage this.
- —A licensed physician independently decides whether NAD+ is appropriate for you after reviewing your health information.