Complete your intake
Five minutes. Goals, health history and current medications.
Needle-free daily support for energy and focus — a quick spray each morning.
Get startedRx only. Prescription required. Available only if a US-licensed clinician determines it is medically appropriate after evaluation. Not all visits result in a prescription.
NAD+ works upstream of the things you actually notice: energy, mood, focus, and how fast you bounce back. Many patients report changes within the first month.
Individuals shown are models.
Levels vary by tissue and by person. Age in years.
Many patients notice cleaner, steadier energy through the afternoon, without the crash of caffeine or sugar.
Brain fog lifts for many people as focus, processing speed and recall improve.
Your clinician reviews changes in fatigue, focus, sleep and overall function.
A check-in on how you’re responding, any side effects, and whether to adjust your dose.
One to two sprays per nostril each morning, as your clinician directs. It takes about ten seconds — no needles, no clinic chair. Keep the bottle refrigerated after opening.
Five minutes. Goals, health history and current medications.
A US-licensed clinician confirms fit and prescribes your NAD+ nasal protocol if it’s medically appropriate.
Compounded by a 503A US pharmacy and shipped to your door. Refills are automatic.
Ongoing care. Your clinician monitors your response and side effects, answers messages in the patient portal, and reassesses your protocol at 90 days.
NAD+ is a coenzyme your body already makes. The nasal spray is generally well tolerated; the most common side effects are brief tingling or warmth in the nose, and some people notice flushing, nausea or a headache. Your clinician reviews your health history and medications before prescribing and can adjust your dose.
Some people notice steadier energy in the first couple of weeks; for others it builds over the first month. Everyone responds differently, which is why your clinician checks in and reassesses at 90 days.
The injection delivers a larger, more consistent dose under the skin. The nasal spray is a fine mist absorbed through the nasal lining — needle-free and done in seconds each morning. Many patients start with the spray; your clinician can help you choose.
Often, yes. Many patients use it alongside other Tempo protocols. List everything you take in your intake, and your clinician checks for interactions before prescribing.
No. A US-licensed clinician prescribes only if treatment is medically appropriate for you. Not all visits result in a prescription.
Complete a 5-minute intake. A clinician reviews within 48 hours. First shipment in under a week.
US-licensed physicians · 503A compounding pharmacy · HIPAA compliant
Rx only. Prescription required. A clinician determines whether treatment is medically appropriate. Not all visits result in a prescription.
Compounded medication. Compounded NAD+ is prepared by a state-licensed 503A pharmacy for an individual patient based on a valid prescription. Compounded drugs are not FDA-approved, and the FDA does not verify their safety, effectiveness or quality. These statements have not been evaluated by the FDA. NAD+ is not intended to diagnose, treat, cure or prevent any disease. Common side effects include brief nasal tingling or warmth, flushing, nausea and headache. Individual results vary. Individuals shown are models.