Our physician-supervised NAD+ program delivers medical-grade injections that restore cellular energy production—so you power through your day without crashing, recover faster than you have in years, and maintain the mental clarity you thought was gone for good.
Nicotinamide Adenine Dinucleotide (NAD+) is an essential coenzyme found in every cell. It helps your mitochondria produce energy and supports critical processes like cellular repair and metabolism.
Imagine waking up energized, powering through your day without crashing, and recovering faster than you have in years. ApexMD’s medical-grade NAD+ injections help restore the cellular energy your body needs to perform at its peak—bringing back the vitality you thought was gone for good.
Get up to 4 Times More NAD for Less – bold black title – Apex MD NAD+ gives up to 2,000 mg where most competitors only give 500mg – 1,000mg
Our medical-grade GLP-1 program combines prescription medication with personalized dosing protocols and quarterly bloodwork monitoring. So you burn fat without losing the muscle you’ve worked hard to build.
Unlike cookie-cutter telehealth programs that give everyone the same dose, ApexMD uses ongoing bloodwork and Bionetic tracking to adjust your protocol in real-time. The result: continuous fat loss, preserved muscle mass, and prevention of the dreaded weight loss plateau.
Only available if prescribed after an online consultation with a healthcare provider. NAD+ therapy requires medical evaluation to ensure safety and appropriateness. This page has been medically reviewed by Dr. Jim Bowen, Chief Medical Officer.
Here’s the challenging part: NAD+ levels naturally decline as we get older.
Research suggests that by midlife, many people have significantly lower NAD+ levels than they did in their 20s. That decline may contribute to:
You’re not “just getting older.” In many cases, your cells are trying to run on less of the fuel they once had.
You’re not lazy. You’re not out of shape. Something deeper is going on – and it starts at the cellular level.
You work out consistently, eat clean, and prioritize sleep. You’re doing everything you’re “supposed” to do – but something still feels off.
The issue isn’t your discipline or your routine.
It’s what’s happening inside your cells – and there’s a scientific reason for it.
NAD+ is one of the most important coenzymes in your body – and supporting healthy levels may help you feel and perform better.
Here’s the challenging part: NAD+ levels naturally decline as we get older.
Research suggests that by midlife, many people have significantly lower NAD+ levels than they did in their 20s. That decline may contribute to:
You’re not “just getting older.” In many cases, your cells are trying to run on less of the fuel they once had.
NAD+ is especially important in tissues that demand a lot of energy – like your heart, brain, and muscles.
It plays a key role in:
When your NAD+ levels are healthy, your cells can do their jobs more effectively. When levels drop, it can contribute to feeling tired, worn down, and less resilient than you used to be.
NAD+ isn’t just about “anti-aging.” It’s about feeling and performing better today – with more energy, smoother recovery, clearer thinking, and the capacity to do more of what you love.
Medical-grade NAD+ therapy with personalized dosing, unlimited provider support, and fast delivery – often for less than a single IV clinic session.
From your first visit to long-term maintenance, ApexMD is built to make NAD+ therapy simple, supported, and personalized. Here’s what you get as an ApexMD patient
Here’s what you get as an ApexMD patient:
Compounded NAD+ from US-licensed pharmacies — not supplement-grade products
Your provider customizes and adjusts your dose based on your age, weight, goals, and how you respond over time
Reach out with questions or concerns as often as you need — no visit limits, no surprise fees
If prescribed, medication typically ships straight to your door in 2–3 business days
Help with injections, side effects, and program optimization so you’re never navigating it alone
Track your progress, schedule visits, and message your care team in one easy-to-use app
• FSA/HSA eligible • No long-term contracts • Pause or cancel anytime
• Medication prescribed only when clinically appropriate
Combine NAD+ with complementary therapies for additional support with metabolism, body composition, and performance.
Medical expertise, personalized care, and full support – without IV clinic pricing.
Answer a brief questionnaire about your health, goals, and lifestyle so your provider can see whether NAD+ therapy may be appropriate for you.
Meet with a licensed ApexMD provider by telehealth to review your assessment, discuss your goals, and design a personalized NAD+ plan if it’s a good fit.
If prescribed, your medication typically ships to your door in 2–3 business days with free delivery. Use the ApexMD platform to track progress, schedule follow-ups, and message your care team any time.
Your body prioritizes NAD+ in organs and tissues with the highest energy demand, including:
Fuels powerful movement, peak performance, and rapid recovery after every workout
Keeps your heart pumping strong and blood flowing efficiently — the foundation of sustained energy
Powers sharp thinking, clear memory, and stable mood
NAD+ levels drop dramatically as you age, by up to 50% every 20 years after age 30. And certain lifestyle factors accelerate the decline even faster.
The main culprits:
The result for many people: cells trying to do the same work with less of a key coenzyme that supports energy production and repair.
NAD+ injections deliver the coenzyme directly into your system — bypassing digestion for maximum absorption and immediate cellular support. Unlike oral supplements that break down in your stomach, pharmaceutical-grade injections ensure your cells actually get what they need
It helps
NAD+ isn’t a quick fix or a shortcut. It’s a fundamental coenzyme your cells rely on every day for energy and repair.
NAD+ works for anyone looking to optimize their health—but these groups see the most dramatic results.
You’re a perfect fit if you’re a:
Why Injectable NAD+ with ApexMD?
With ApexMD, you get clinician-guided injectable NAD+ at home – at a lower cost than repeated IV clinic visits – with personalized dosing and ongoing medical support included.
NAD+ therapy is widely used in longevity and performance-focused clinics. ApexMD makes this level of care accessible at home with clinician guidance and ongoing support.
NAD+ infusions and injections are commonly included in high-end longevity and performance medicine programs as part of a broader cellular health strategy.
ApexMD’s Chief Medical Officer brings decades of clinical experience in functional and longevity-focused medicine, helping shape safe, effective protocols for everyday patients.
ApexMD works with partners like 10FITNESS Fitness and other gym communities that prioritize performance, recovery, and long-term health – not quick fixes.
I feel a noticeable difference in my energy and how I bounce back from tough weeks. Regular labs and check-ins kept me reassured that everything was on track. ApexMD clearly cares about the medical side, not just sending a product.
The doctor actually listened and adjusted my plan based on my lab results and how I was feeling. My energy is better, my labs have improved, and I feel more like myself again. The personalization has been the biggest difference.
I was skeptical at first, but the process was simple and the follow-up was excellent. My recovery improved, my bloodwork moved in the right direction, and the providers were always quick to respond.
Medical expertise, personalized care, and full support – without IV clinic pricing.
You start your personalized NAD+ dosing schedule.
Early Sleep And Energy Changes
Many patients report deeper, more restorative sleep and noticeable improvements in morning energy within the first week.
Your Provider Checks In On How You’re Feeling
Early feedback helps guide any initial adjustments.
Many people report fewer dips and a more consistent energy curve.
Improved Workout Recovery
Soreness and “bounce-back” time may begin to improve.
Clearer Thinking
Some patients describe less brain fog and better focus.
You may feel you’re operating at a higher baseline than before starting NAD+.
Recovery Feels Effortless
Training and busy weeks may be easier to bounce back from.
Mood And Focus May Feel More Stable
Many patients report feeling more mentally “on” and resilient.
Dosing Fine-Tuned
Your provider uses your feedback and labs (when ordered) to adjust your protocol.
The goal is a sustainable, stable level of energy and recovery that supports your lifestyle.
Long-Term Support For Cellular Health
Ongoing therapy is aimed at supporting healthy cellular function and aging, alongside your nutrition, sleep, and training.
Continued Check-Ins And Adjustments
Regular follow-ups help ensure your plan stays appropriate as your needs evolve.
Everything you need to know about NAD+ therapy with ApexMD.
NAD+ (Nicotinamide Adenine Dinucleotide) is a naturally occurring coenzyme found in every cell of your body. It plays a critical role in energy production, cellular repair, metabolism, and healthy aging.
As we age, NAD+ levels naturally decline, which may contribute to fatigue, slower recovery, reduced mental clarity, and decreased cellular resilience. NAD+ therapy is designed to help replenish these levels and support optimal cellular function.
Oral NAD+ supplements must pass through the digestive system, where absorption can be limited and inconsistent.
Injectable NAD+ bypasses digestion and is delivered directly into the body, allowing for significantly greater bioavailability. This means your cells can access and utilize NAD+ more efficiently compared to oral forms.
When prescribed and monitored by a licensed medical provider, NAD+ therapy is generally considered safe for appropriate candidates.
At ApexMD, every patient completes a medical intake and consultation to determine eligibility. Treatment protocols are customized based on individual health history, goals, and provider recommendations.
Most patients tolerate NAD+ well. Mild side effects may include:
Side effects are usually short-lived and manageable. Your provider will review all potential risks with you prior to starting therapy.
Some patients report improvements in energy and mental clarity within days. Others notice gradual improvements over several weeks.
Response time depends on baseline NAD+ levels, lifestyle factors, overall health status, and consistency with treatment. Optimal results are typically seen with a structured protocol followed by maintenance dosing.
Yes. NAD+ is often combined with other therapies such as:
Your provider will ensure all therapies are coordinated safely and effectively based on your individual goals.
For at-home protocols, NAD+ is typically administered as a small subcutaneous injection (similar to insulin). Most patients find the process simple and well-tolerated.
You will receive clear instructions and guidance from our medical team. If injections are not appropriate for you, alternative options may be discussed during your consultation.
Frequency depends on your personalized treatment plan.
Some patients follow a short loading phase (multiple doses per week), followed by a maintenance schedule (such as weekly or biweekly dosing). Your provider will determine the appropriate protocol based on your goals and response.
NAD+ therapy is generally considered a wellness or optimization treatment and is not typically covered by insurance.
We provide transparent pricing and flexible options so you can make an informed decision about your care.
You may continue supplements in some cases, but injectable NAD+ may provide enhanced cellular availability compared to oral forms.
During your consultation, your provider will review your current supplementation and determine the best strategy to optimize your results safely.
You’re already putting in the work at 10 Fitness. NAD+ ensures every rep, every set, and every session delivers maximum results
Why NAD+ is perfect for gym members:
Intense training burns through your cellular NAD+ stores, which is why recovery slows and energy drops
Intense training burns through your cellular NAD+ stores, which is why recovery slows and energy drops
Join thousands of people working with ApexMD to support their energy, recovery, and healthy aging with clinician-guided NAD+ therapy.
You’re already taking your health seriously. NAD+ therapy is a way to support your cellular energy and recovery with medical oversight – not just another supplement.
Here’s what you get with ApexMD:
• Licensed US providers • Medical-grade injectable NAD+ • 100% online consultation
• Unlimited support included
Doctor of Pharmacy
Brandi has always been fascinated by the practice of pharmacy. As a child, her brother and her would visit a locally owned pharmacy with a soda shop. “I would see the pharmacists walking around in their white coats being so friendly and helpful to the customers. I believe that was when I first decided to become a pharmacist.”
With that idea in mind, she began my undergraduate career at the University of Tennessee. Brandi found an opportunity at a locally-owned pharmacy close to home and worked there as a pharmacy technician for the last 2 years of my undergraduate studies. Falling in love with the small town feel of working at a independent community pharmacy, she entered a pharmacy program with goal of becoming a small town community pharmacist.
Integrated Pharmacist
Ruby has always walked the line between food and science. Her mother was a psychiatric nurse, wonderful cook, and exceptional gardener. Holistic care was something she learned from her parents very early. At the University of Waterloo, School of Pharmacy Ruby interned in several community pharmacies and research labs, co-authoring 2 peer-reviewed journal articles. Her independent studies, however, were focused on nutraceuticals and functional foods.
Registered Dietitian, Nutritionist
Lori is a Registered Dietitian-Nutritionist, passionate about health and wellness. With over 20 year’s experience in the dietary supplement industry, she has expertise in the field of dietary supplements and has spent her career helping customers achieve optimal health and vitality through the integration of a healthy diet, proper nutrition, a healthy lifestyle and dietary supplements. She loves to learn and strives to continually upgrade her knowledge in the field.
Nutritionist
While choosing the path she wanted to make for herself, she made stops in photography and women’s studies before finding her passion in nutrition sciences. As she worked her way through school, she gained over 20 years of customer service experience, a growing knowledge of the power of supplements, and through her externship at Bastyr University, a love of supporting her community. At Bastyr she gained essential knowledge in culinary arts, sports nutrition, and developed a deep love for research and the body’s amazing ability to heal itself from the inside out through nutrition.
Registered Nutritionist,
Dietitian
Zoe, a registered dietitian and certified diabetes educator, began her career at a weight management center, where she helped clients achieve weight loss goals ranging from 10 to 300 pounds. She has also worked in clinical settings as a hospital dietitian, provided outpatient nutrition counseling, and held various management roles throughout her career. Zoe is deeply passionate about motivating clients to reach their health and wellness goals. With a warm and encouraging presence, she thoughtfully guides you toward realizing lifelong wellness goals with genuine ease and confidence.
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