Your first month from $129. Compare options

Every cell runs on it. Refuel it.

Clinician-prescribed NAD+ by needle-free nasal spray or subcutaneous injection — for the energy, focus and recovery your cells depend on.

  • Nasal spray or injection — your choice
  • Prescribed by licensed U.S. clinicians
  • Free 2-day shipping · HSA/FSA eligible
★★★★★4.9 on Google · No charge if not prescribed
HealSendNAD+NASAL SPRAY
HealSendNAD+INJECTION
Needle-free optionNasal spray
Starts at$129 first month

As seen on

USA TODAYAXIOSForbesBusiness Insider
★★★★★4.9 Google reviews
2K+HealSend members
LegitScript certified
LegitScriptcertified telehealth

Grinding harder with less to show.

Declining NAD+ isn’t a willpower problem. It’s a cellular fuel problem — and a fuel problem has a fuel answer.

The afternoon crash arrives on schedule.

Third coffee of the day, and you’re still fading by 2pm.

You sleep eight hours and wake up flat.

The hours are there. The restoration isn’t.

Mental clarity comes and goes.

Words that used to arrive instantly now take a second longer.

Recovery takes days it never used to.

Soreness that lasted a day now lingers for three.

The coenzyme behind every cell you have.

NAD+ sits at the center of energy production, DNA repair and sirtuin activity. Levels fall with age and under sustained stress.

NAD+ powers your mitochondria
Energy

NAD+ powers your mitochondria

Mitochondria turn fuel into ATP, the energy your cells run on. NAD+ is a required coenzyme in that process.

It supplies DNA-repair enzymes
Repair

It supplies DNA-repair enzymes

PARP enzymes use NAD+ to repair DNA damage — so repair competes with energy when NAD+ runs low.

It activates sirtuins
Signaling

It activates sirtuins

Sirtuins are NAD+-dependent proteins studied for their role in cellular stress response and metabolism.

Levels decline with age and stress
Age

Levels decline with age and stress

Circulating NAD+ falls with age in human samples. Whether restoring it changes long-term outcomes is still being studied.

Simplified biology. Human research on NAD+ therapy is still emerging.

Every cell runs on it. And it fades with age.

NAD+ is the coenzyme your cells use to turn food into energy and repair DNA. Human studies show levels decline as we age. Drag to your age.

Your age

40Estimated relative NAD+: —
20406080

Illustrative curve, not a lab measurement. Massudi H, et al. Age-associated changes in oxidative stress and NAD+ metabolism in human tissue. PLoS One. 2012.

Two ways to take NAD+.

Both prescribed by a licensed clinician. Pick needle-free or injectable.

HealSendNAD+NASAL SPRAY
Needle-free★ Your match

NAD+ Nasal Spray

Needle-free · daily

  • First month $129
  • A few sprays a day
  • No needles, no IV chair
Then monthly
In stock
Start nasal spray
HealSendNAD+INJECTION
Injectable★ Your match

NAD+ Injection

Subcutaneous · at home

  • First month $139
  • Quick at-home injection
  • Supplies included
Then monthly
In stock
Start injection

Compounded medications are prepared by state-licensed U.S. pharmacies for individual patients and are not FDA-approved or reviewed by the FDA for safety, effectiveness or quality. TODO: source or remove the absorption % and onset-time claims from the current page.

Oral vs. nasal vs. injection.

Nasal spray
Injection
Oral supplement
Needle-free
✓
✕
✓
Bypasses digestion
✓
✓
✕
Clinician-prescribed
✓
✓
✕
Monthly price
Varies

Oral NAD+ precursors (NR, NMN) are sold as supplements and are not prescribed by HealSend.

What members take it for.

Common goals our clinicians track with members.

Daytime energy is the most common reason members start.

All-day
energy

Members track focus and mental clarity at check-ins.

Sharper
focus

Recovery from training is a frequent goal.

Faster
recovery

Photo: Man, 55, laughing on a hike at sunrise

Healthy aging is a long-game goal — not an overnight change.

Age
well

Goals, not guarantees. Individual results vary. Lifespan findings for NAD+ come mainly from animal studies.

NO CHARGE IF NOT PRESCRIBED $0 HealSend

Zero risk to find out.

  • Not prescribed? You pay nothing
  • Month-to-month, cancel anytime
  • Free 2-day shipping
  • Unlimited clinician messaging

* Terms apply. You’re only charged once a clinician approves your prescription.

Start my plan — risk-free

4 reasons people choose HealSend.

Most clinics hand you a script and disappear. We cover everything you need to start safely — and stay on track.

A plan built
for you

Your plan · example
ProtocolNAD+ nasal spray
Matched
GoalEnergy & focus
Next check-inWeek 4
Scheduled

Spray or injection, matched to your goals and how you feel about needles — and adjusted as you go.

Licensed U.S.
pharmacies

Every prescription is filled by a licensed U.S. pharmacy and shipped free in discreet packaging.

Unlimited access
to your clinician

Member messaging their clinician
The afternoon crash is mostly gone. Can I switch to injections?
HSYour clinicianYes — I’ll update your plan, and your next refill will ship as injections.

Message a licensed clinician anytime. Questions and dose adjustments are part of your plan, not an extra visit.

On-time refills,
every time

Next shipmentArrives in 6 days
Supply left9 days
ShippingFree · discreet
StatusOn schedule

Refills ship automatically so your medication arrives before you run out.

What members actually say.

Individual results vary. Testimonials are from real HealSend members shared with permission.

Your questions. Honest answers.

Nasal spray or injection — which is better?
Both deliver NAD+ without going through digestion. Choose the spray to skip needles, or injection if you’re comfortable with it. Your clinician can help you decide.
Is NAD+ safe?
Common side effects include flushing, nausea, headache and, with the spray, nasal irritation. TODO: clinician-approved answer.
Is it FDA-approved?
No. NAD+ is prescribed off-label and compounded by licensed U.S. pharmacies.
Can I combine it with other treatments?
Often, yes. Your clinician reviews everything you take.
Do you take insurance?
No, but plans are HSA/FSA eligible.

Every cell runs on it. Refuel it.

Clinician-prescribed NAD+, needle-free or injectable, delivered in two days.

Check my eligibility

By starting, you agree to our terms & privacy policy. Prescribed only when clinically appropriate.

Important Safety Information

Prescription required. A licensed clinician decides whether treatment is appropriate.

NAD+

  • Not FDA-approved; prescribed off-label.
  • Possible side effects include flushing, nausea, headache, fatigue, injection-site reactions and nasal irritation.
  • Not for use during pregnancy or breastfeeding.

Compounded medications are prepared by state-licensed U.S. pharmacies for individual patients and are not FDA-approved or reviewed by the FDA for safety, effectiveness or quality.

Report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. In an emergency, call 911.

HealSend NAD+From $129 first month
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