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    Prescribed online by licensed U.S. physicians · Made in a licensed U.S. pharmacy · Delivered cold to all 50 states
    Board-certified physicians
    US-compounded via 503A partners
    Prescription only
    Ships cold, in a plain box
    Full blood panel at week 12
    All peptides
    NEXPHORIANAD+200mg/mLRx ONLY
    Prescription only

    NAD+ · Skin & Longevity

    More cellular energy. Three times a week.

    NAD+. The coenzyme every cell uses to make energy, and one that falls with age. Studied for energy, recovery and healthy ageing. Three small injections a week.

    Good for

    • Energy
    • Recovery
    • Healthy ageing

    What it does

    • More: NAD+, the energy coenzyme
    • More: Cellular energy
    • More: Recovery

    How you take it

    Small injection under the skin · Three times a week

    Works at the cellular level

    Feel it by

    Energy in days to 2 weeks

    Full effect

    ongoing

    Evidence

    Moderate

    Small human trials and consistent clinical use.

    Stacks well with MOTS-cEpitalonGHK-Cu

    NAD+

    skin & longevity · prescribed online

    Dose
    100 mg three times a week, under the skin
    Format
    200 mg/mL · 5 mL vial
    Included
    Baseline blood kit · panel at week 12
    From $119/moon the 12-month plan · blood panel included

    Prescription only. A licensed U.S. physician reviews every request.

    What comes with it

    Prescribed online

    A licensed U.S. physician reviews your health questions and writes your prescription.

    Blood work, both sides

    A free baseline kit before your first dose, and the same panel again at week 12, included.

    Dose adjustments

    Your physician adjusts your dose from your results. Your price stays the same.

    What to expect

    Your first 12 weeks, on a calendar

    Week 0 · baseline kitWeek 12 · retest · and on
    • Feel it by Energy, days to 2 weeks
    • Full effect Builds while you take it
    • On paper at week 12 HbA1c, Fasting insulin, hs-CRP

    Wk 1

    Your first doses.

    Wk 4

    Three times a week, the level builds.

    Wk 12

    Your blood panel, with metabolic and inflammation markers checked.

    Included in your monthly price

    Physician review and prescription

    Baseline kit, and the week-12 panel

    Made in a licensed U.S. pharmacy

    Cold shipping, plain packaging

    Your results, explained

    Dose adjustments

    Your blood panel

    Full panel

    Drawn at week 12 and read by your doctor.

    See what is measured
    A physician on the Nexphoria review network

    Every NAD+ prescription is written by a licensed U.S. physician who has reviewed your health questions.

    The Nexphoria clinical standard

    Asked plainly, answered plainly

    Is NAD+ FDA-approved?

    Compounded NAD+ is prepared for you by a licensed 503A pharmacy under a physician's prescription, and compounded medications are not FDA-approved. Where a branded, FDA-approved version of the active ingredient exists, that approval does not extend to the compounded preparation. Compounded medications are not evaluated by the FDA for safety, effectiveness, or quality.

    Do I need a prescription?

    Yes. A licensed U.S. physician reviews your health questions and writes the prescription if it is right for you. Everything happens online.

    What bloodwork is required?

    A free at-home blood kit ships with your first order, so your physician sets your NAD+ dose against your numbers. At week 12, the same full panel is drawn again, included, and your dose is adjusted from what changed.

    What should I expect in the first weeks?

    Wk 1: Your first doses. Everyone responds differently, which is why your blood panel at week 12 is part of the plan and your dose is adjusted from it.

    How is it billed?

    You buy a block of time, paid up front: one month to try it, or three, six or twelve months at 10, 15 or 20% less per month. Longer terms include more blood work. When your term ends, renewing is your choice.

    Your week-12 blood panel

    See how your body is responding.

    This peptide works on cellular energy and metabolism. Your week-12 panel checks blood sugar, insulin, inflammation and cortisol so your physician can see the response.

    A full panel of 24 markers is included in your plan. See every marker and why it is there

    Go deeper, if you want to

    What your physician checks first

    HbA1c · Fasting insulin · hs-CRP · Cortisol

    Your physician checks for

    • Active cancer or a history of cancer
    • Pregnancy, or planning one

    More than the medication

    Your medication, your physician, and the blood panel behind it.

    Safety first

    Is it right for you?

    Active malignancy

    Pregnancy

    Compounded preparations are not FDA-approved, and the FDA does not review them for safety or effectiveness. Where an active ingredient is FDA-approved in other products, that approval does not extend to a compounded preparation. Prescribed only where a licensed provider determines it appropriate. This page is educational and is not medical advice.

    The complete route

    NAD+ anchors The Ascend protocol.

    NAD+ for cellular energy, MOTS-c for the pathways exercise switches on, GHK-Cu for collagen and skin, epitalon as a course for telomere maintenance. Four pathways no single peptide covers.

    MOTS-cNAD+GHK-CuEpitalon
    From $303/mo · if prescribedSee the protocol

    Other treatments

    Everything we prescribe comes with the same physician review, the same blood panel, and one monthly price.

    Ready when you are. Get started in two minutes.

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