What is NAD+?
NAD+ (nicotinamide adenine dinucleotide) is a small molecule present in every cell. Cells use NAD+ as a coenzyme in many of the enzymatic reactions involved in energy metabolism. The molecule is consumed continually and is resynthesized by the body from dietary precursors.
The NAD+ preparations available through The Pep Club are compounded by a licensed compounding pharmacy and prescribed under U.S.-licensed physician supervision. Each prescription is issued after a clinical intake and consultation.
Who can be considered
Patients evaluated for NAD+ commonly describe persistent fatigue or are following an integrative wellness plan reviewed by their physician. Eligibility is determined at consultation. Active cancer, pregnancy, breastfeeding, severe liver disease, and concurrent chemotherapy or immunosuppressant use are contraindications. The physician reviews all current medications and prior reactions before issuing a prescription.
Safety and follow-up
Safety note
Patients sometimes report transient chest tightness or pressure during IV infusion (rate-dependent and resolves on slowing the infusion), mild nausea, flushing or warmth at the injection site, headache, or short-lived fatigue at the start of therapy. Patients are instructed to contact the practice if any unexpected reaction occurs. Follow-up consultations occur at the cadence determined by the prescribing physician.
Frequently asked
How is The Pep Club’s compounded NAD+ prepared?
Compounded NAD+ is prepared by a licensed compounding pharmacy under U.S.-licensed physician prescription. Patients are screened and supervised by a licensed physician throughout treatment. Outcomes vary individually and are reviewed at each follow-up consultation.
How quickly will I notice anything?
Patient experience varies. Some patients describe a subjective change in energy or mental clarity in the first few weeks; others report no change. NAD+ is not a treatment for any specific disease and outcomes cannot be guaranteed. Your physician will discuss realistic expectations at consultation.