MADRES NAD+ Protocol

Longevity Protocol — Cellular Energy & Repair

Restore energy at the cellular level

NAD+ is the coenzyme your cells use for everything — energy, metabolism, DNA repair, and healthy aging. Levels drop by more than 50% between your 20s and 50s. Restoring them changes how you feel at the source.

$247 / monthly protocol
Pharmacy503A Certified
ApprovalNo Waitlist
ShippingAlways Free
Cellular EnergyDNA RepairMental Clarity Metabolic HealthHealthy AgingImmune SupportDeep Sleep Cellular EnergyDNA RepairMental Clarity Metabolic HealthHealthy AgingImmune SupportDeep Sleep

Why NAD+

Your cells are tired. NAD+ is why they recover.

NAD+ is involved in over 400 cellular reactions. It is not a supplement trend — it is the foundational molecule your mitochondria depend on to convert food into energy, repair DNA damage, and regulate the biological clock of aging.

After 30, NAD+ levels fall steadily. By 50, most women have less than half the NAD+ they had at 20. Injectable NAD+ restores levels directly — with a bioavailability that oral supplements, sprays, and precursors simply cannot match.

Philosophy

Unhurried. Evidence-based. Yours. We treat the whole woman, not the symptom list.

Our Physicians

Board-certified women's health specialists, licensed in your state, who review every intake personally.

Your Protocol

Compounded pharmacy. Discreet delivery. More NAD+ per milligram than any comparable program.

Ongoing Care

Unlimited messaging with your care team. Monthly check-ins. Your dosing adjusts as your body responds.

The Science

NAD+ is the molecule at the center of how you age

Nicotinamide Adenine Dinucleotide (NAD+) is a coenzyme present in every living cell. It acts as a critical electron carrier in the production of ATP — the energy currency your cells run on — and activates the sirtuins and PARP enzymes responsible for DNA repair and cellular resilience.

Injectable NAD+ delivers the molecule directly into your bloodstream, bypassing the conversion losses that limit oral NMN, NR, and other precursor supplements. The result is a more immediate, more measurable restoration of cellular function.

MADRES protocols include 1,200–2,000mg per cycle — two to four times the NAD+ included in most clinical programs — compounded at 200mg/ml by 503A LegitScript-certified pharmacies.

>50%
NAD+ decline from your 20s to your 50s
400+
Cellular reactions that require NAD+ to function
2–4x
More NAD+ per cycle than most clinical programs
503A
LegitScript-certified pharmacy — the highest compounding standard

Six Ways NAD+ Restores You

Energy, repair, and resilience — from the inside out

01

Cellular Energy Production

NAD+ is essential for mitochondrial function and ATP synthesis — the energy your cells need to power every system in your body, from muscle to brain.

02

Mental Clarity & Focus

Fuels neurons with energy, supports neurotransmitter production, and protects against neurodegenerative decline. Most women notice sharper thinking within the first two weeks.

03

DNA Repair & Longevity

Activates PARP enzymes that detect and repair DNA damage — the foundation of healthy aging, genomic stability, and long-term cellular integrity.

04

Metabolic Efficiency

Regulates glucose and lipid metabolism at the cellular level, supporting efficient energy use, fat oxidation, and overall metabolic balance as hormones shift.

05

Healthy Aging via Sirtuins

Activates sirtuin proteins that regulate cellular health, reduce chronic inflammation, and improve stress resilience — the biological drivers of slower aging.

06

Immune & Recovery Support

Fuels immune cell activity and accelerates recovery from illness, inflammation, and physical exertion. Women on NAD+ report faster bounce-back from everything.

Your Restoration Timeline

What to expect — and when

Month 1

The Lift

Clean, sustained energy without the crash. Sharper focus and improved mood within the first two weeks. Most women describe it as the fog lifting — not a stimulant feeling, but a baseline restoration.

Month 2

The Steadiness

Steadier energy throughout the day. Stronger recovery after workouts and stress. Better sleep quality and improved stress resilience as cellular repair compounds.

Month 3+

The Compound

Sustained metabolic efficiency, enhanced skin tone and texture, and long-term DNA repair support. The benefits of NAD+ build on themselves — this is where the real shift happens.

Choose Your Protocol

More NAD+ than anywhere else. Transparent pricing.

Monthly

NAD+ Home Kit

1,200mg / 6ml · Standard monthly cycle

$247

Per cycle · No hidden fees, ever

1,200mg / 6ml compounded NAD+ vial (200mg/ml)
20 syringes and sterile alcohol wipes
Full dosing guide and administration instructions
Physician consultation and prescription included
Unlimited care team messaging · Free shipping
Select Monthly Kit

The Process

Simple. Private. Yours.

A thoughtful intake. A physician who listens. Your protocol, delivered — and a team that stays with you after.

Begin Your Consultation
01

Online · Private · Secure

Complete your health history

A thoughtful intake designed to actually understand you. Takes 5 minutes — not a generic form. HIPAA-protected and reviewed only by your assigned physician.

02

Video or Async · 48hr Turnaround

Meet your MADRES physician

A board-certified doctor, licensed in your state, reviews your intake and consults with you directly. You are not charged unless approved for treatment.

03

Pharmacy Compounded · Discreet Delivery

Receive your protocol

Your NAD+ is compounded at a 503A certified pharmacy, packaged discreetly, and delivered overnight via FedEx or UPS — free of charge. No PO boxes.

04

Unlimited Messaging · Monthly Check-ins

Ongoing care, not a one-time script

Your MADRES team checks in regularly. Adjust dosing, refine your protocol, and evolve your approach as your body responds. This is a relationship — not a transaction.

Pharmacy Quality & Safety

Every batch tested before it ships

✓ Potency Test — Passed

Active Ingredient Verified

Performed multiple times per week. Confirms the medication contains the correct concentration of NAD+ within plus or minus 10% as required by law — results are typically within 2%.

✓ Sterility Test — Passed

Contaminant Free

Every batch is tested to confirm the medication is free from bacteria and other pathogens, meeting all requirements of USP 797 compounding standards.

✓ pH Test — Passed

Injection Comfort Assured

Assesses acid/base balance to ensure minimal irritation upon subcutaneous injection. MADRES partners only with pharmacies that test every batch — not every batch type.

✓ Purity Test — Passed

Endotoxin Free

Every batch is tested for bacterial endotoxins per USP 85 standards. MADRES partners exclusively with 503A LegitScript-certified pharmacies — the highest compounding certification available.

From the MADRES Community

Women who chose to restore

"Within two weeks I noticed something shifted. Not wired — just clear. Like my brain finally had the fuel it needed. I hadn't felt that way in years."

Adriana S.

Age 46 · On protocol 3 months

"I do NAD+ and Sermorelin together. The combination is unlike anything I've tried. My energy is consistent, my recovery is faster, and my skin looks genuinely different."

Melissa T.

Age 39 · Combined protocol

"I was skeptical about injections but the instructions made it easy. Month two I started sleeping through the night for the first time in years. I didn't expect that at all."

Renee P.

Age 52 · On protocol 5 months

Safety & Medical Context

Informed decisions, supported by physicians

Why injectable NAD+ vs. oral supplements

Injectable NAD+ delivers the molecule directly into your bloodstream — bypassing the conversion losses that limit NMN, NR, and other oral precursors. At-home subcutaneous injections provide the same bioavailability as IV infusions at a fraction of the cost and time, with flexible dosing throughout the week to maximize cellular uptake.

Who should not use NAD+

Not appropriate for individuals who are pregnant or breastfeeding, have active cancer, or have a severe heart condition such as coronary artery disease or a history of heart attack. Those with high blood pressure or anxiety disorders should begin at the minimum dose and titrate slowly. Your intake form captures this for physician review.

Common side effects

NAD+ is generally well-tolerated — it is a bioidentical molecule your body already produces. Most side effects are dose-dependent and subside within 2–12 hours:

  • Flushing or warm sensation post-injection
  • Mild nausea or headache
  • Temporary fatigue or drowsiness
  • Injection site redness or swelling
  • Rarely: mild chest tightness or feelings of restlessness
Starting at a lower dose and titrating up is the best way to ensure comfortable tolerance.

Medications & supplements to avoid

Do not take additional NAD+ via IV infusion or other injectable means alongside this protocol. Do not take NMN or NR supplements concurrently — they compete with the same pathways. NAD+ topical creams and lotions are safe to use alongside injectable NAD+. Always inform your MADRES physician of all current supplements and medications.

Common Questions

Answered by our clinical team

Will I be charged before physician approval?
No. You complete checkout to hold your protocol, but your card is not charged until a MADRES-affiliated licensed physician reviews and approves your intake form. If not approved, you will not be charged and will be notified of the reason.
Which kit should I choose — Monthly or XL?
The XL kit (2,000mg) is our most popular and the best value per milligram. It supports maximum dosing of up to 500mg/week for 28 days, or a longer lower-dose protocol. The Monthly kit (1,200mg) is a great starting point for those new to NAD+ who want to assess their tolerance before committing to a larger supply.
How much NAD+ should I take per week?
Recommended use is two to three 0.5ml injections per week (200–300mg/week). Maximum dose is 500mg/week. Minimum dose is 100mg/week. After a loading phase of one month, some women find success continuing at the minimum dose. Your physician will personalize your protocol.
Can I combine NAD+ with Sermorelin or GLP-1?
Yes — NAD+ pairs exceptionally well with both. Combined with Sermorelin, it supports deep cellular energy, recovery, and skin renewal simultaneously. Combined with GLP-1, it helps preserve metabolic efficiency and counteracts fatigue associated with appetite suppression. Many MADRES women run all three together.
How soon does my order ship after approval?
Allow up to 6 business days for physician review and pharmacy processing. Once approved, your order ships overnight via FedEx or UPS with tracking sent to your email and phone. The best-used-by date is guaranteed at 28 days from arrival. We cannot ship to PO boxes.
Is this FSA or HSA eligible?
Yes. You may use your FSA or HSA card at checkout. MADRES does not accept insurance of any type, and there are never additional fees beyond the protocol price listed.

Begin Your Protocol

Every cell in your body is waiting for this.

NAD+ doesn't force energy — it restores the conditions your cells need to create their own. Pre-qualify in 60 seconds.

Pre-Qualify Now

© 2026 MADRES Health LLC. All prescription protocols require review by an independent licensed provider. Compounded medications are not FDA-reviewed for safety or efficacy. Statements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. Always consult a healthcare provider before making medical decisions.

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