Provider reviews your intake
A licensed provider reviews your online intake asynchronously — 5–7 minutes, no video call — and confirms the compound and delivery format that fit your history.
0Metabolic & cellular optimization compounds
0 minAsync provider review — no video call (5–7 min)
0-monthSupply shipped per initial visit (1 mo + 2 refills)
How it works
Why NAD+ declines — and why it matters
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme present in every cell, essential to converting food into cellular energy and repairing DNA. Levels decline substantially as you age — one of the more consistent findings in longevity science. Supplementing NAD+ is intended to support the cellular processes that decline alongside it.
The science
Cellular resources decline. Support compounds.
NAD+ — a coenzyme every cell relies on for energy production and DNA repair — declines substantially with age. Longevity-oriented compounds are positioned to support what naturally wanes.
Curve is illustrative, based on published research on age-related NAD+ decline.
Outcomes
Why people choose async over the alternatives
Gala Longevity — async review5–7 min
Traditional in-person longevity clinicWeeks-long wait + visit
Membership-based longevity programWeeks + monthly fee
Unsupervised / OTCNo provider review
What to expect
Your first six months on NAD+.
Every body is different. This is how the program runs, step by step, for people starting this protocol.
Your first shipment arrives
Your initial supply ships to your door — one month on hand, with two additional refills already on file.
Refills continue automatically
Your second and third month ship as part of your up-to-3-month initial supply — no extra ordering steps.
A quarterly check-in
A short async questionnaire keeps your provider current so your next supply keeps shipping without an office visit.
Is it right for you
NAD+ works best for…
- Interested in cellular repair and DNA protection as part of a longevity routine
- Comfortable with a subcutaneous injection you administer at home
- Curious about energy, cognitive function, or immune support
How to start
From assessment to treatment in a week.
Complete the online intake
Answer questions about your health history and goals for the compound(s) you're interested in — about 5-7 minutes to complete.
A licensed provider reviews, async
No video call required — a licensed provider reads your intake, matches it to the compound and delivery format that fits, and prescribes or follows up with a question.
Your supply ships, refills continue
Your initial visit covers up to a 3-month supply — one month plus two refills. A short async check-in every quarter keeps things going.
Frequently asked questions
What is NAD+ and why would I take it?
NAD+ is a coenzyme found in every cell, involved in energy production and DNA repair. Levels decline substantially with age, which is why it's a focus of longevity-oriented care.
How is NAD+ delivered?
As a subcutaneous injection you administer at home. Your provider reviews your intake and confirms the dosing that fits you before anything ships.
Can I get NAD+ if I'm also on a GLP-1/GIP medication?
If your GLP-1/GIP prescription contains a small amount of nicotinamide riboside, you can still receive NAD+ as part of that prescription. You cannot have a separate, standalone NAD+ prescription in addition to that — your provider will confirm which applies to you.
Who shouldn't take NAD+?
NAD+ isn't appropriate for patients with a hematocrit of 52% or higher, or a known allergy to NAD. Your intake questionnaire screens for this before your provider reviews your case.