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NAD+ FAQ's

Frequently asked questions about NAD+: its uses, side effects, and limitations.

Updated over 5 months ago

What is NAD?

Nicotinamide adenine dinucleotide (NAD) is a coenzyme present in all cells of the human body and performs essential functions in several cellular processes, including the regulation of calcium levels, gene expression, and antioxidant properties. NAD has also been linked to gene regulation, which may contribute to slowing down the aging process.

If NAD is produced by the body, why do we need NAD+ injections?

As we age, the level of NAD in our body decreases. Once associated with stress, sleep problems, drug use, or other environmental elements, the aging process can accelerate NAD usage. To maintain or restore a more youthful state, it is recommended to avoid these factors and replenish the levels of NAD in the body.

How does NAD+ injection work?

NAD+ is administered as a subcutaneous injection, which is a very effective method of NAD+ treatment, offering quicker and more powerful results than other delivery systems. NAD+ stimulates ATP production and activates SIRT1 enzymes and PARP1 genes, which have DNA repair properties and anti-aging benefits, thus promoting immediate energy, vitality, and overall well-being.

What are the benefits of NAD+ injection?

NAD+ injection therapy has a wide range of potential benefits, as it stimulates the body to regenerate healthy cells, repair damaged DNA, decrease internal inflammation, and slow the aging process.

Patients have reported improved mental clarity, indicating a reversal of age-related cellular dysfunction, as well as amplified body and brain function, increased energy, improved eyesight, increased stamina, and improved metabolism.

NAD+ injection therapy also reduces chronic fatigue, which promotes weight loss and improves concentration. Overall, NAD+ injection therapy has a positive influence on physical and mental well-being.

How is NAD+ injection different from NAD+ supplementation?

NAD+ injection and NAD+ oral supplementation are two different methods of delivering NAD+ to the body. NAD+ supplementation involves taking tablets orally, but the absorption rate is low due to the digestion process. In contrast, injecting NAD+ is more effective because it delivers the molecule directly into the bloodstream, where it can be quickly used by the cells. This method allows the body to absorb NAD+ directly.

What conditions can NAD+ injection treat?

NAD+ is a molecule that has shown great potential in the treatment of a variety of conditions. It may be useful in promoting healthy aging, aiding in the recovery of long-haul COVID, and treating chronic fatigue and traumatic brain injury. In addition, NAD+ has shown promising results as a therapeutic option for mental health issues such as addiction detoxification, mood disorders, anxiety, and post-traumatic stress disorder. The molecule's ability to support enzyme functions suggests that it may be useful in the treatment of Lyme disease. In addition, NAD+ has been suggested to improve insomnia.

How does NAD+ injection affect the aging process?

NAD+ is an essential molecule that is required for a variety of biological processes in the body, including DNA repair, energy metabolism, and cell signaling. However, aging or other factors can cause NAD levels to drop, which can lead to metabolic decline, cognitive problems, and a weakened immune system. NAD+ injections can help prevent these problems and promote energy production and cell repair by increasing NAD+ levels in the body. Maintaining healthy levels of NAD+ can lead to better health and protect against age-related diseases.

Is NAD+ FDA-approved?

NAD+, like most supplements, is not FDA-approved. This is because, as a natural substance, it cannot be monetized in the same way that pharmaceutical companies profit from their products. Therefore, it does not go through the same strict approval process as prescription drugs.

Is NAD+ injection safe?

Since NAD+ is a natural substance, it can be readily incorporated into the body without causing any significant side effects. In contrast, pharmaceutical drugs, which are synthesized in a laboratory, can sometimes cause adverse reactions and require additional testing and monitoring. Therefore, the injection therapy utilizing NAD+ is considered a safe treatment option.

Are there any side effects from a NAD+ injection?

While NAD+ injection therapy is generally considered safe and well-tolerated, there are potential side effects and adverse reactions associated with its use. Some individuals may experience symptoms such as nausea, shortness of breath, brain fog, cramping, and muscle fatigue during the injection if it is administered too rapidly. These side effects are typically transient and can be managed by slowing the injection rate.

In addition, some studies have reported changes in certain laboratory parameters, including increased plasma bilirubin and decreased levels of gamma-glutamyl transferase, lactate dehydrogenase, and aspartate aminotransferase. These changes are generally considered mild and not clinically significant. Furthermore, some individuals may experience constipation as a side effect of NAD+ injection therapy.

It's important to note that the occurrence of these side effects and adverse reactions may vary depending on the individual and their underlying medical conditions.

How quickly does a NAD+ injection work?

NAD+ injection therapy's significant advantage is its fast-acting effects. Many people claim that they feel a substantial improvement in their mood and general well-being in a matter of days following the injection. NAD+ plays a role in cellular energy production, oxidative stress reduction, and mitochondrial function enhancement, which are the reasons behind the benefits of the injection. This leads to a boost in physical and mental energy, better cognitive function, and an improved mood.

How long does the effect of NAD+ injection last?

NAD+ injection therapy is known for its rapid onset of effects. These effects typically last for 3 to 5 days, after which they may begin to taper off.

However, the biological impact of NAD+ injections extends beyond the immediate effects of the injection and continues to support overall health and well-being.

How often should I receive NAD+ injection?

The frequency of NAD+ injections may vary depending on the individual's wellness goals and the condition being treated. In general, NAD+ injections may be given once a day to once or twice a week. The dosage and frequency of injections can be adjusted based on the individual's response to treatment and the side effects experienced.

Is NAD+ injection only a mood enhancer?

Contrary to common belief, NAD+ injection therapy is not just a mood enhancer. NAD+ plays a critical role in numerous bodily processes, including cellular metabolism, DNA repair, and gene expression, and is essential for optimal health. Without sufficient levels of NAD+, the body cannot effectively absorb and utilize nutrients from food.

Low NAD+ levels have also been linked to a variety of chronic conditions, such as depression, fatigue, substance abuse, weak immune function, muscle pain, sleep problems, and brain fog. Additionally, research has shown that NAD+ supplementation can help support gene expression and reduce the risk of age-related diseases. Therefore, NAD+ injections can offer a range of benefits beyond just mood enhancement, making them a potentially valuable treatment option for individuals with various health conditions.

How is NAD+ injection administered?

NAD+ injection therapy is a quick and efficient treatment option that can be administered subcutaneously in a 15-minute clinic visit or injected at home. The injection involves a small dose of NAD+ being delivered into the tissue just below the skin, typically in the back of the arm, lower abdomen, or thigh. This allows for a slow and steady absorption of NAD+ into the bloodstream over several hours, resulting in sustained therapeutic effects.

How much NAD+ should I inject?

To ensure safe and effective treatment with NAD+ injections, it is essential to understand the recommended dosage and administration. In general, this involves reconstituting 1,000 mg of NAD+ with 5 ml of bacteriostatic water and then injecting up to 50 units (100 mg) subcutaneously, 1 to 3 times per week. Following these guidelines can minimize the risk of adverse events and maximize the therapeutic benefits of NAD+ injection therapy.

These are only guidelines; NAD+ is only available by prescription. Your doctor will suggest an appropriate NAD+ injection dose and frequency for you.

Can NAD+ injection be used for drug detoxification?

NAD+ therapy is a new IV treatment for detoxification that can help people overcome addiction to drugs or alcohol by restoring depleted NAD levels. Addiction changes the way the brain works, and the desire to quit is not always enough. NAD+ infusions stimulate DNA repair and improve cellular communication throughout the body, leading to improved cellular energy, an enhanced mood, increased energy, and reduced cravings. NAD+ therapy may also decrease the severity of withdrawal symptoms by 60-70% in certain cases.

Which doses are too much for NAD+ injection?

While NAD+ injection therapy is generally considered safe, taking doses that are too high may lead to adverse effects. The recommended long-term dietary intake of NAD+ is between 500 and 1500 mg per day. Doses higher than 3 grams have been associated with adverse effects, particularly in organs such as the liver, kidneys, cells in plasma, and pancreatic β-cells.

Is NAD+ injection good for the heart?

NAD+ plays a crucial role in protecting against cardiovascular disease by supporting healthy metabolic function, improving cardiac function, reducing inflammation, protecting against ischemia-reperfusion injury, preventing arrhythmia, and lowering blood pressure. NAD+ is also beneficial in preventing and treating heart failure and reducing the risk of heart disease.

Is NAD+ injection good for the brain?

NAD+ and NADH have been shown to be beneficial for multiple biological processes in the brain, including neurotransmission, learning, and memory. They can also help reduce tissue damage in various brain illnesses and slow down the process of brain aging. Injection of NAD+ has been found to be particularly effective in promoting these benefits in the brain.

What are the contraindications of NAD+ injection?

While NAD+ is generally considered safe with few side effects, some contraindications to its use include being pregnant or breastfeeding, having a history of seizures, being allergic to NAD+ or oral NAD+, or having an allergy to vitamin B3 or Niacin. Patients with a history of any form of cancer or those on dopamine agonists should also avoid NAD+ injections. Despite its generally safe profile, the long-term effects of NAD+ injections on humans are still relatively unknown.

What is the effect of NAD+ injection in the muscles?

The role of NAD+ in skeletal muscle development, regeneration, aging, and disease is significant. Studies have demonstrated that insufficient levels of NAD+ can adversely affect muscle health, while elevated levels of NAD+ can enhance it. As a result, NAD+ injections have been shown to boost muscle health and function, suggesting that they have the potential to be used as a therapy for skeletal muscle conditions.

Does NAD+ injection affect blood pressure?

According to a recent pilot study, NAD+ injections can affect blood pressure. The study found that when healthy middle-aged and older adults supplemented with the alternative NAD+ precursor NR for six weeks, they experienced a slight decrease in both blood pressure and aortic stiffness. These results suggest that NAD+ injections may hold promise as a therapeutic option for people with hypertension or other conditions related to blood pressure.

Does NAD+ injection reduce inflammation?

NAD+ has been shown to play an important role in regulating immune function and inflammation, which are critical processes in the body's response to injury and infection. By modulating the activity of immune cells, NAD+ can help prevent excessive inflammation and promote tissue repair.

Can NAD+ injection promote weight loss?

NAD is a coenzyme that plays a significant role in metabolism by aiding in the production of ATP, which is the cell's primary source of energy. It accelerates reactions during metabolism, resulting in the efficient utilization of food.

Frequent NAD+ injections can help maintain a highly efficient metabolism, which helps convert food into energy instead of being stored as fat. As a result, NAD+ injections may hold potential for aiding in weight loss.

Can NAD+ injection help with anxiety?

NAD+ can alleviate symptoms of anxiety and depression by increasing neurotransmitter levels in the brain. Compared to other treatments, such as ketamine, NAD+ therapy may be less effective. Therefore, it is essential to consult with a healthcare professional to determine the optimal treatment strategy.

How does NAD+ help with mental illnesses?

NAD+ plays a crucial role in offering neuroprotection and boosting cognitive function, resulting in improved mental clarity. Moreover, it helps in fighting stress, fatigue, and exhaustion and reduces cravings and discomfort during the detox process for those with a substance abuse disorder.

In people with depression, NAD+ has a remarkable 93% effectiveness rate by increasing the levels of neurotransmitters like dopamine and norepinephrine in the brain. In addition, NAD+ helps in ATP synthesis, which is the cellular energy molecule responsible for replenishing brain energy levels.

How can I store NAD+ injection?

Keep the medication at a temperature between 68°F and 77°F (20°C and 25°C) and away from heat, moisture, and light. Store it in a secure location out of the reach of children to prevent accidental ingestion. Additionally, once the beyond-use date has passed, make sure to dispose of any unused medication. However, do not flush unused medication or pour it down the sink or drain, as it can harm the environment.

Are there any interactions of NAD+ injection with other medications?

Currently, there are no known interactions with NAD+ injection, but there may be undiscovered ones.

It is important to disclose all current medications to your healthcare provider since there may be unknown interactions with NAD+ injection. Your provider can evaluate the potential advantages and disadvantages of including NAD+ injection in your treatment and monitor any adverse effects or interactions.

Can NAD+ injection be used during pregnancy?

The safety of NAD+ injection during pregnancy is currently unknown, as there is a lack of safety data available for pregnant women. Therefore, it is recommended that pregnant women avoid receiving NAD+ injections until further research is conducted.

Can NAD+ injections be used during breastfeeding?

The safety of NAD+ injection during breastfeeding is uncertain, and caution is recommended for breastfeeding women and children. Because of the lack of research in this area and the fact that the risk of NAD+ passing into breast milk and affecting the baby is unclear, it is important to put the health and safety of the infant first.

Can NAD+ injection be used with persons with cancer?

The use of NAD+ injection for patients with active cancer is not recommended due to potential safety concerns and the unknown risks associated with NAD+ and cancer. As new findings on NAD+ and cancer continue to emerge, close monitoring will inform decision-making regarding its use.

For individuals in remission or with a history of cancer, a licensed prescriber will review their intake form to determine if NAD+ is an appropriate treatment option. The reviewing prescriber may also seek additional information before approving the use of NAD+ for patients with a history of cancer.

Does NAD+ injection increase serotonin?

NAD+ injections can potentially increase serotonin levels in the brain, which regulates mood, appetite, and sleep. It may alleviate some symptoms of depression and anxiety caused by low serotonin levels. NAD+ replenishment can help produce important neurotransmitters for overall well-being.

Is NAD+ injection good for the kidneys?

Injecting NAD+ has demonstrated potential advantages for kidney function, particularly in situations of acute kidney injury (AKI). AKI can lower NAD+ levels, which can impair energy generation and lead to reduced kidney function. Injecting NAD+ may shield the kidney tubule against sudden pressure changes, potentially enhancing kidney function and easing AKI symptoms.

Can NAD+ injection improve fertility?

Studies suggest that age-related fertility decline can be a challenge for individuals trying to conceive. In a study conducted in mice, NAD+ injections improved fertility outcomes by enhancing the quality of oocytes (eggs). Improved oocyte quality may lead to better reproductive health and fertility, suggesting that NAD+ supplementation may be a promising solution for individuals experiencing age-related fertility decline.

Can NAD+ injection help with aging and age-related diseases?

NAD+ injection therapy is a promising approach to treating aging and age-related diseases, as it can slow or reverse the negative effects of aging by elevating NAD+ levels. This therapy has shown effectiveness for Alzheimer's and Parkinson's in preclinical studies, and clinical trials are underway to test it for other age-related diseases.

Can NAD+ injection affect the skin?

NAD+ injections can improve skin health by repairing damaged cells and boosting mitochondrial function. This can help reduce wrinkles, age spots, and fine lines, leading to healthier-looking skin. Unlike topical creams and serums, NAD+ injections address the root cause of aging.

Can NAD+ injection affect sleep?

NAD+ injections can regulate sleep patterns by boosting NAD+ levels that decrease as we age, leading to changes in sleep patterns. By maintaining adequate NAD+ levels, injection therapy may counteract age-related sleep changes and preserve a healthy sleep cycle.

Does NAD+ injection help DNA repair?

As we age, NAD levels decrease, potentially disrupting DNA-to-protein conversion and causing more mutations and errors. NAD+ injection has been linked to DNA repair and is essential in regulating proteins that prevent damage and repair DNA, as well as assisting with proper protein folding in the mitochondria. Impaired DNA repair mechanisms are associated with cancer development and cell death, making regular NAD+ injections a potential option to reduce cancer risk and promote cell survival. However, more research is needed because NAD+ could also increase cancer cell growth.

Are there any long-term side effects of NAD+ injection?

The long-term effects of NAD+ therapy at the cellular level are still unclear due to the limited available human data. The effects of NAD+ are distributed across multiple cellular processes, impacting various organs and pathways. Although low doses of NAD+ do not have metabolic side effects, high doses may cause potential side effects such as reducing insulin sensitivity and causing liver damage.

Frequent NAD+ therapy sessions at unregulated locations, such as IV bars, may also increase the likelihood of side effects.

Can NAD+ injection improve cognitive function?

Memory loss, brain fog, and difficulty concentrating are common symptoms of age-related cognitive decline.

As the lack of NAD+ can cause a deficiency in cellular energy in brain cells. It can worsen cognitive problems. NAD+ injections are an interesting way to improve cognitive function by boosting mental sharpness, encouraging neural plasticity, and reducing neuroinflammation. Patients who have had NAD+ injections frequently report increased mental clarity, better memory, and better concentration.

Does NAD+ injection increase energy level?

NAD+ is a coenzyme that is essential for ATP production, which is the primary source of energy in cells. Low NAD+ levels can lead to decreased energy levels and feelings of fatigue and exhaustion. NAD+ injections can potentially restore NAD+ levels and enhance ATP production, thereby increasing energy levels and combating exhaustion. NAD+ therapy may also help reduce symptoms of jet lag by promoting ATP production and reducing fatigue, leading to increased alertness.

Does NAD+ injection have an effect on pain management?

NAD+ therapy is becoming increasingly popular as a potential solution for managing pain. While opioids are often used for pain relief, they come with a high risk of addiction and side effects.

NAD+ therapy offers a non-addictive alternative for pain management by reducing inflammation.

Pain is often triggered by inflammation, and by reducing inflammation, NAD+ therapy can help alleviate pain sensations. In addition, NAD+ therapy activates sirtuins, which can help reduce inflammation and further alleviate pain.

Who can be a good candidate for NAD+ injection?

Taking NAD+ supplements can be beneficial for both men and women. It will help boost energy, improve mood, and relieve fatigue. It also helps people who suffer from confusion, forgetfulness, a lack of concentration, and mental clarity. It also helps to fight against the development of neurodegenerative diseases and cure addictions.

At what age can you start injecting NAD+?

There is no consensus on the optimal age to start NAD+ supplementation. While some experts suggest starting in middle age to prevent age-related decline in physical performance and energy levels, others recommend waiting until NAD+ levels have significantly decreased later in life. Ultimately, the decision on when to start NAD+ supplementation may depend on individual factors such as genetics, lifestyle, and overall health.

Is vitamin B3 the same as NAD+?

Niacin, or vitamin B3, is a vital nutrient for the production of NAD+, which is essential for numerous cellular processes such as energy metabolism, DNA repair, and gene expression. Insufficient NAD+ levels can cause these processes to function poorly. Niacin serves as a precursor to NAD+ and can also produce NADP+, which is important for antioxidant defense and lipid metabolism.

How to increase NAD+ levels in the body naturally?

NAD+ levels in the body can be naturally increased by promoting its synthesis, either by enhancing NAD+ biosynthesis enzymes or by taking precursor molecules. Healthy habits, such as having a balanced diet, engaging in regular physical activity, and reducing sun exposure, can also help increase NAD+ levels. NAD+ levels in the body can be increased naturally by developing healthy habits and making small changes to the way you live. This can improve the way cells work and your health as a whole.

Does NAD+ injection require a prescription?

NAD+ injections require a prescription from a healthcare professional, who will determine if NAD+ injections are appropriate for a patient and provide instructions on dosage, frequency, and potential side effects. Patients should follow these instructions carefully and report any adverse effects.

Should I use NAD+ injection in the morning or at night?

NAD+ injections are recommended to be taken in the morning due to their ability to regulate circadian rhythms, which control the body's sleep-wake cycles. By taking NAD+ injections in the morning, it can help individuals feel more alert and focused throughout the day. Taking NAD+ injections at night may potentially disrupt natural sleep patterns.

What does research say about NAD+ injection?

NAD+ supplementation has multiple health benefits supported by studies, including improvements in skin inflammation, mood, and overall health. Studies have also suggested that NAD+ can extend lifespan. NAD+ injections have been found to be more effective than oral supplements because they bypass the breakdown by the gut and liver, leading to more efficient delivery.

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