Also known as: NAD+, Nicotinamide Adenine Dinucleotide, Beta-NAD
Half-life: ~6-10 hours (cellular turnover)
Last reviewed: · Published:
NAD+ (Nicotinamide Adenine Dinucleotide, oxidized form) is not a peptide — it is a coenzyme present in every cell of the body and central to redox metabolism, ATP production, DNA repair, and sirtuin signaling. It is included on this site because uk-peptides.com and other vendors sell injectable and intranasal NAD+ alongside their peptide catalog and it has become a popular longevity intervention. The premise of NAD+ supplementation is that cellular NAD+ levels decline substantially with age (by approximately 50% between young adulthood and middle age in some studies) and that this decline contributes to many of the cellular hallmarks of aging — including reduced sirtuin activity, impaired DNA repair, mitochondrial dysfunction, and chronic inflammation.
NAD+ can be raised pharmacologically by direct administration of NAD+ itself, or by supplementation with NAD+ precursors (nicotinamide riboside / NR, nicotinamide mononucleotide / NMN). Oral bioavailability of direct NAD+ is poor, which is why injectable and intranasal formulations are sold. IV NAD+ infusion has been used in addiction recovery clinics for decades (the "Brain Restoration Plus" protocol) and has emerged into mainstream wellness use for anti-aging, energy, and cognitive applications.
Evidence is mixed. Small clinical studies of NAD+ precursors (NR, NMN) have shown that they reliably raise blood NAD+ levels and produce some measurable changes in metabolic markers. However, large clinical evidence of meaningful longevity or healthspan effects in humans is limited, and several proposed mechanisms remain debated. Subjective user reports of energy and mental clarity from injectable NAD+ are common but inherently anecdotal. The peptide is generally safe but is best understood as a research-grade intervention rather than a proven anti-aging therapy.
NAD+ was discovered as a coenzyme by Arthur Harden and William John Young in 1906 (work for which Harden shared the 1929 Nobel Prize). Its role in sirtuin-mediated longevity signaling was established by David Sinclair, Leonard Guarente, and colleagues from the late 1990s onward. The clinical use of IV NAD+ in addiction medicine dates to the 1960s. The modern wave of NAD+ longevity supplementation began in the 2010s following Sinclair-group work on NAD+ precursors and aging in mice, and has since expanded into a substantial wellness industry around NR, NMN, and direct NAD+ administration.
IV NAD+ at the slow infusion rates standard in addiction-medicine and wellness clinics is generally well-tolerated, with the main acute effect being a flushing or "internal warmth" sensation that resolves as the infusion completes. Rapid IV push can cause nausea and chest discomfort, which is why infusions are typically dripped over 1-4 hours. Subcutaneous and intranasal NAD+ have less complete safety profiles. Long-term safety of repeated NAD+ supplementation is reasonably reassuring based on decades of addiction-medicine use, but very high or sustained dosing may have effects on methylation balance and immune signaling that warrant caution.
Dose Range
500-1500 mg
Frequency
Per infusion, weekly to monthly
Duration
Cycle-based
Dose Range
50-200 mg
Frequency
Daily or alternate-day
Duration
2-4 week cycles
Dose Range
20-100 mg
Frequency
Daily
Duration
Cycle-based
Dosing information is for educational purposes only. Consult a healthcare professional before using any peptide.
Typical Vial Size
500 mg
Water Type
Sterile water for injection (clinical IV) or bacteriostatic water (research SubQ)
Mixing Volume
5-10 (concentrated) mL
Half-Life
~6-10 hours (cellular turnover)
Molecular Weight
663.4 Da
Store reconstituted vial refrigerated at 2-8°C. Use within 14-30 days depending on formulation. IV use should always be slow infusion (minimum 1-2 hours for moderate doses) to avoid acute side effects. Subcutaneous can sting due to acidic pH; some users buffer the solution.
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FDA Status
Not FDA approved as a therapeutic. Available via compounding pharmacies for off-label use. NAD+ precursors (NR as Niagen, NMN) sold as dietary supplements.
Legal Status
Available via compounding pharmacies (prescription). Sold as research chemical in pure form.
USA
Compounded onlyAvailable via 503A compounding pharmacies on prescription; not FDA-approved as therapeutic
EU
Not approvedNot authorized as medicinal product
UK
Not approvedAvailable through some wellness clinics off-label
Australia
Not approvedTGA has not authorized as therapeutic
Canada
Not approvedAvailable via compounding in some provinces
Verdin E
Science (2015)
Authoritative review of NAD+ biology and the decline-with-age framework that motivates supplementation, including the role of sirtuin and PARP enzymes that consume NAD+.
View Study →Cantó C, Menzies KJ, Auwerx J
Cell Metabolism (2015)
Comprehensive review of NAD+ metabolism and its role at the intersection of mitochondrial energetics and nuclear signaling, providing mechanistic context for the rationale behind NAD+ supplementation.
View Study →Conze D, Brenner C, Kruger CL
Scientific Reports (2019)
Clinical study of the oral NAD+ precursor nicotinamide riboside (NR) showing it reliably raises blood NAD+ levels in humans with an acceptable safety profile — the strongest clinical evidence base for the NAD+ supplementation strategy.
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