Restore Cellular Energy and Peak Performance With NAD+
Our physician-supervised NAD+ program delivers medical-grade injections that restore cellular energy production—so you power through your day without crashing, recover faster than you have in years, and maintain the mental clarity you thought was gone for good.
Apex MD Chief Medical Officer Dr. Jim Bowen explains the benefits of NAD+
Nicotinamide Adenine Dinucleotide (NAD+) is an essential coenzyme found in every cell. It helps your mitochondria produce energy and supports critical processes like cellular repair and metabolism.
Imagine waking up energized, powering through your day without crashing, and recovering faster than you have in years. ApexMD’s medical-grade NAD+ injections help restore the cellular energy your body needs to perform at its peak—bringing back the vitality you thought was gone for good.
Our medical-grade GLP-1 program combines prescription medication with personalized dosing protocols and quarterly bloodwork monitoring. So you burn fat without losing the muscle you’ve worked hard to build.
Unlike cookie-cutter telehealth programs that give everyone the same dose, ApexMD uses ongoing bloodwork and Bionetic tracking to adjust your protocol in real-time. The result: continuous fat loss, preserved muscle mass, and prevention of the dreaded weight loss plateau.
Save $100 Off Your First Month Of Treatment! FSA/HSA Approved
- Licensed US Providers
- Medical-Grade Injectable NAD+
- 100% Online Consultation
- Unlimited Provider Support
Only available if prescribed after an online consultation with a healthcare provider. NAD+ therapy requires medical evaluation to ensure safety and appropriateness. This page has been medically reviewed by Dr. Jim Bowen, Chief Medical Officer.
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The Problem
NAD+ Naturally Declines With Age
Here’s the challenging part: NAD+ levels naturally decline as we get older.
Research suggests that by midlife, many people have significantly lower NAD+ levels than they did in their 20s. That decline may contribute to:
- Less energy — cells can’t produce ATP as efficiently
- Slower recovery — your body has a harder time repairing muscle and tissue
- Brain fog — neurons don’t have the same energetic support
- Signs of aging — cellular repair processes don’t work as well
You’re not “just getting older.” In many cases, your cells are trying to run on less of the fuel they once had.
Why Do You Still Feel Exhausted Despite Doing Everything Right?
You’re not lazy. You’re not out of shape. Something deeper is going on – and it starts at the cellular level.
You work out consistently, eat clean, and prioritize sleep. You’re doing everything you’re “supposed” to do – but something still feels off.
- Energy crashes by 2pm
- Recovery takes longer than it used to
- Brain fog makes you feel years older
- Workouts feel harder than they should
The issue isn’t your discipline or your routine.
It’s what’s happening inside your cells – and there’s a scientific reason for it.
Meet NAD+
A Key Molecule for Cellular Energy
NAD+ is one of the most important coenzymes in your body – and supporting healthy levels may help you feel and perform better.
What Is NAD+?
The Problem
NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in every cell of your body.
It plays a critical role in how your cells produce energy and carry out essential functions.
Think of it like this:
- NAD+ helps “charge” your cells so they can make energy (ATP)
- Like oil in an engine, healthy NAD+ levels help your cellular machinery run smoothly
- It fuels your mitochondria – the tiny “power plants” inside your cells
Every time you:
- Move a muscle
- Think a thought
- Repair damaged tissue
- Digest food
- Fight off illness
…your cells are using NAD+ as part of the process.
When NAD+ levels are low, your cells may struggle to produce energy efficiently – and when your cells can’t keep up, you feel it as fatigue, slower recovery, and brain fog.
Why NAD+ Matters So Much
NAD+ is especially important in tissues that demand a lot of energy – like your heart, brain, and muscles.
It plays a key role in:
- Supporting cellular energy production
- Helping maintain healthy metabolism
- Supporting normal DNA repair and cellular maintenance
When your NAD+ levels are healthy, your cells can do their jobs more effectively. When levels drop, it can contribute to feeling tired, worn down, and less resilient than you used to be.
What NAD+ Therapy
Can Do For You
NAD+ isn’t just about “anti-aging.” It’s about feeling and performing better today – with more energy, smoother recovery, clearer thinking, and the capacity to do more of what you love.
Boost Energy Levels
- Powers your cells to produce energy naturally
- Eliminates the 2pm crash so you stay sharp all day
- Reduces your dependence on coffee and energy drinks
Enhance Athletic Recovery
- Powers your cells to produce energy naturally
- Eliminates the 2pm crash so you stay sharp all day
- Reduces your dependence on coffee and energy drinks
Sharpen Mental Clarity
- Powers your cells to produce energy naturally
- Eliminates the 2pm crash so you stay sharp all day
- Reduces your dependence on coffee and energy drinks
Slow Cellular Aging
- Powers your cells to produce energy naturally
- Eliminates the 2pm crash so you stay sharp all day
- Reduces your dependence on coffee and energy drinks
Improve Mood & Wellness
- Powers your cells to produce energy naturally
- Eliminates the 2pm crash so you stay sharp all day
- Reduces your dependence on coffee and energy drinks
Your Complete
NAD+ Therapy Program
Medical-grade NAD+ therapy with personalized dosing, unlimited provider support, and fast delivery – often for less than a single IV clinic session.
NAD+ Injectable Program
- Medical consultation & personalized protocol
- 4-week supply of pharmaceutical-grade NAD+
- Unlimited messaging with your provider
- Free shipping to your door
- All necessary injection supplies
Everything You Need, All In One Place
From your first visit to long-term maintenance, ApexMD is built to make NAD+ therapy simple, supported, and personalized. Here’s what you get as an ApexMD patient
Here’s what you get as an ApexMD patient:
Medical-Grade NAD+ Injections
Compounded NAD+ from US-licensed pharmacies — not supplement-grade products
Personalized Dosing Protocol
Your provider customizes and adjusts your dose based on your age, weight, goals, and how you respond over time
Unlimited Provider Consultations
Reach out with questions or concerns as often as you need — no visit limits, no surprise fees
Fast, Free Delivery
If prescribed, medication typically ships straight to your door in 2–3 business days
Ongoing Support From the Medical Team
Help with injections, side effects, and program optimization so you’re never navigating it alone
Access to the ApexMD Platform
Track your progress, schedule visits, and message your care team in one easy-to-use app
• FSA/HSA eligible • No long-term contracts • Pause or cancel anytime
• Medication prescribed only when clinically appropriate
Add-On Therapies
Maximize Your Results
Combine NAD+ with complementary therapies for additional support with metabolism, body composition, and performance.
MIC/B12 Injectable
Sermorelin Injectable
- Supports your body’s natural growth hormone production
- May help with muscle recovery and lean muscle support
- May help improve sleep quality
- Can support metabolism and body-composition goals
Why Choose ApexMD for NAD+ Therapy?
Medical expertise, personalized care, and full support – without IV clinic pricing.
Complete Your Health Assessment
Answer a brief questionnaire about your health, goals, and lifestyle so your provider can see whether NAD+ therapy may be appropriate for you.
Consult With Your Provider
Meet with a licensed ApexMD provider by telehealth to review your assessment, discuss your goals, and design a personalized NAD+ plan if it’s a good fit.
Start Your Program
If prescribed, your medication typically ships to your door in 2–3 business days with free delivery. Use the ApexMD platform to track progress, schedule follow-ups, and message your care team any time.
Where NAD+ Is Most Needed
Your body prioritizes NAD+ in organs and tissues with the highest energy demand, including:
Why NAD+ Levels Decline
NAD+ levels drop dramatically as you age, by up to 50% every 20 years after age 30. And certain lifestyle factors accelerate the decline even faster.
The main culprits:
- Natural Aging – NAD+ levels generally decline as we get older
- Chronic Stress – Stress can increase metabolic demand and NAD+ turnover
- Poor Sleep – Inadequate sleep can disrupt normal cellular repair and energy balance
- Poor Sleep – Inadequate sleep can disrupt normal cellular repair and energy balance
- Excessive Alcohol Intake – Alcohol metabolism consumes NAD+ and can deplete levels
The result for many people: cells trying to do the same work with less of a key coenzyme that supports energy production and repair.
How NAD+ Therapy
Restores What Was Lost
NAD+ injections deliver the coenzyme directly into your system — bypassing digestion for maximum absorption and immediate cellular support. Unlike oral supplements that break down in your stomach, pharmaceutical-grade injections ensure your cells actually get what they need
It helps
- Restore NAD+ to youthful levels within weeks
- Accelerate cellular repair so your body recovers faster
- Eliminate afternoon crashes and maintain steady energy all day
- Slow cellular aging and protect against age-related decline
NAD+ isn’t a quick fix or a shortcut. It’s a fundamental coenzyme your cells rely on every day for energy and repair.
Who Benefits Most from NAD+ Therapy?
NAD+ works for anyone looking to optimize their health—but these groups see the most dramatic results.
You’re a perfect fit if you’re a:
Active Athletes
& Gym Members
- Want faster recovery between workouts
- Seek competitive edge in performance
- Looking to maintain athletic ability as you age
Busy Professionals
- Need sustained energy throughout the day
- Want mental clarity for demanding work
- Struggle with afternoon energy crashes
Aging Optimizers (35+)
- Notice declining energy and vitality
- Concerned about cognitive health
- Want to age WELL, not just age
Biohackers & Longevity Enthusiasts
- Already optimizing diet, sleep, exercise
- Want cellular-level optimization
- Interested in cutting-edge anti-aging science
NAD+ vs. The Alternatives
Why Injectable NAD+ with ApexMD?
Cost
Quality
Convenience
Support
Apex
NAD+ Program
From $249/month
Medical-Grade Injectable
At-home convenience
Personalized dosing
IV Clinics
Often $500-$500 per infusion
Medical-Grade IV
Must visit clinic
Generic protocols
Oral Supplements
Typically $50 - $50/month
Low Bioavailability Pills
No proper procedure & inconsistent absorption
Generic, Limited personalization
With ApexMD, you get clinician-guided injectable NAD+ at home – at a lower cost than repeated IV clinic visits – with personalized dosing and ongoing medical support included.
Trusted by Elite Performers & Longevity Centers
NAD+ therapy is widely used in longevity and performance-focused clinics. ApexMD makes this level of care accessible at home with clinician guidance and ongoing support.
Used in Leading Longevity & Performance Clinics
NAD+ infusions and injections are commonly included in high-end longevity and performance medicine programs as part of a broader cellular health strategy.
Protocols Led by an Experienced Medical Team
ApexMD’s Chief Medical Officer brings decades of clinical experience in functional and longevity-focused medicine, helping shape safe, effective protocols for everyday patients.
Chosen by Fitness and Performance Partners
ApexMD works with partners like 10FITNESS Fitness and other gym communities that prioritize performance, recovery, and long-term health – not quick fixes.
What Members Experience With ApexMD
I feel a noticeable difference in my energy and how I bounce back from tough weeks. Regular labs and check-ins kept me reassured that everything was on track. ApexMD clearly cares about the medical side, not just sending a product.
Michael P.
The doctor actually listened and adjusted my plan based on my lab results and how I was feeling. My energy is better, my labs have improved, and I feel more like myself again. The personalization has been the biggest difference.
Katie T.
I was skeptical at first, but the process was simple and the follow-up was excellent. My recovery improved, my bloodwork moved in the right direction, and the providers were always quick to respond.
John P.
Why Choose ApexMD for NAD+ Therapy?
Medical expertise, personalized care, and full support – without IV clinic pricing.
Medical Expertise
- Protocols designed by Dr. Jim Bowen, Mayo Clinic–trained with 39 years in longevity medicine
- Care overseen by licensed providers experienced in cellular and metabolic health
- A medically supervised program – not generic, one-size-fits-all telehealth
Personalized Approach
- Dosing adjusted to your body, goals, and response
- Protocols informed by your age, weight, health history, and progress over time
- Ongoing adjustments to support both effectiveness and safety
Comprehensive Support
- Unlimited provider access with no extra visit fees
- Help with injections, side effects, and program optimization when you need it
- Full access to the ApexMD platform for tracking, scheduling, and secure messaging
Convenience & Quality
- Medical-grade NAD+ from US-based, licensed pharmacies
- If prescribed, medication typically ships to your door in 2–3 business days with free, discreet delivery
- Simple at-home injections that take just a few minutes, with training included
What to Expect: Your First 4 Months on NAD+ Therapy
Week 1 – 2
Initial Phase
Begin Injections Per Provider Protocol
You start your personalized NAD+ dosing schedule.
Early Sleep And Energy Changes
Many patients report deeper, more restorative sleep and noticeable improvements in morning energy within the first week.
Your Provider Checks In On How You’re Feeling
Early feedback helps guide any initial adjustments.
Week 3 – 4
Building Phase
Increased Energy Throughout The Day
Many people report fewer dips and a more consistent energy curve.
Improved Workout Recovery
Soreness and “bounce-back” time may begin to improve.
Clearer Thinking
Some patients describe less brain fog and better focus.
Month 2 – 3
Optimization Phase
Noticeable Change In Overall Energy
You may feel you’re operating at a higher baseline than before starting NAD+.
Recovery Feels Effortless
Training and busy weeks may be easier to bounce back from.
Mood And Focus May Feel More Stable
Many patients report feeling more mentally “on” and resilient.
Dosing Fine-Tuned
Your provider uses your feedback and labs (when ordered) to adjust your protocol.
Month 4
Maintenance Phase
New “Normal” For Energy And Performance
The goal is a sustainable, stable level of energy and recovery that supports your lifestyle.
Long-Term Support For Cellular Health
Ongoing therapy is aimed at supporting healthy cellular function and aging, alongside your nutrition, sleep, and training.
Continued Check-Ins And Adjustments
Regular follow-ups help ensure your plan stays appropriate as your needs evolve.
Your Questions, Answered
Everything you need to know about NAD+ therapy with ApexMD.
What is NAD+?
NAD+ (Nicotinamide Adenine Dinucleotide) is a naturally occurring coenzyme found in every cell of your body. It plays a critical role in energy production, cellular repair, metabolism, and healthy aging.
As we age, NAD+ levels naturally decline, which may contribute to fatigue, slower recovery, reduced mental clarity, and decreased cellular resilience. NAD+ therapy is designed to help replenish these levels and support optimal cellular function.
How is injectable NAD+ different from supplements?
Oral NAD+ supplements must pass through the digestive system, where absorption can be limited and inconsistent.
Injectable NAD+ bypasses digestion and is delivered directly into the body, allowing for significantly greater bioavailability. This means your cells can access and utilize NAD+ more efficiently compared to oral forms.
Is it safe?
When prescribed and monitored by a licensed medical provider, NAD+ therapy is generally considered safe for appropriate candidates.
At ApexMD, every patient completes a medical intake and consultation to determine eligibility. Treatment protocols are customized based on individual health history, goals, and provider recommendations.
What are the potential side effects?
Most patients tolerate NAD+ well. Mild side effects may include:
- Temporary flushing or warmth
- Nausea (rare and typically dose-related)
- Headache
- Injection site soreness
Side effects are usually short-lived and manageable. Your provider will review all potential risks with you prior to starting therapy.
How quickly will I see results?
Some patients report improvements in energy and mental clarity within days. Others notice gradual improvements over several weeks.
Response time depends on baseline NAD+ levels, lifestyle factors, overall health status, and consistency with treatment. Optimal results are typically seen with a structured protocol followed by maintenance dosing.
Can I combine NAD+ with other treatments?
Yes. NAD+ is often combined with other therapies such as:
- Peptide protocols
- Hormone optimization
- GLP-1 programs
- Recovery and performance programs
Your provider will ensure all therapies are coordinated safely and effectively based on your individual goals.
Do I have to inject it myself?
For at-home protocols, NAD+ is typically administered as a small subcutaneous injection (similar to insulin). Most patients find the process simple and well-tolerated.
You will receive clear instructions and guidance from our medical team. If injections are not appropriate for you, alternative options may be discussed during your consultation.
How often do I inject?
Frequency depends on your personalized treatment plan.
Some patients follow a short loading phase (multiple doses per week), followed by a maintenance schedule (such as weekly or biweekly dosing). Your provider will determine the appropriate protocol based on your goals and response.
Is it covered by insurance?
NAD+ therapy is generally considered a wellness or optimization treatment and is not typically covered by insurance.
We provide transparent pricing and flexible options so you can make an informed decision about your care.
What if I’m already taking NAD+ supplements?
You may continue supplements in some cases, but injectable NAD+ may provide enhanced cellular availability compared to oral forms.
During your consultation, your provider will review your current supplementation and determine the best strategy to optimize your results safely.
The Perfect Complement to Your
Fit Athletic Workouts
You’re already putting in the work at Fit Athletic. NAD+ ensures every rep, every set, and every session delivers maximum results
Why NAD+ is perfect for gym members:
- Faster recovery between training sessions
- More energy for intense workouts
- Better muscle repair and growth
- Reduced inflammation from training
- Maintains athletic performance as you age
The Fitness + NAD+ Synergy
- Exercise Depletes NAD+ Faster
Intense training burns through your cellular NAD+ stores, which is why recovery slows and energy drops
- NAD+ Supplementation Helps You Recover From Demanding Workouts
Intense training burns through your cellular NAD+ stores, which is why recovery slows and energy drops
- Combined Approach = Peak Performance And Longevity
You’re already doing the hard part – NAD+ maximizes the return on your effort
Exclusive FIT Member Offer
Save $50 on your first month with code FITNAD50
Start Optimizing
Your Cellular Health Today
Join thousands of people working with ApexMD to support their energy, recovery, and healthy aging with clinician-guided NAD+ therapy.
You’re already taking your health seriously. NAD+ therapy is a way to support your cellular energy and recovery with medical oversight – not just another supplement.
Here’s what you get with ApexMD:
- Medical-grade NAD+ from licensed US pharmacies
- Personalized dosing adjusted to your body and goals
- Unlimited Provider Support & Check-Ins
- Unlimited provider support and follow-up
- If prescribed, medication typically ships in 2–3 business days with free delivery
• Licensed US providers • Medical-grade injectable NAD+ • 100% online consultation
• Unlimited support included
