NAD+ injection

Also called: NAD+ shot

Clinical reviewer: Jacob Moore, MD · Last checked September 18, 2026

What is an NAD+ injection?

NAD+ injection is a compounded product delivering the coenzyme nicotinamide adenine dinucleotide by IV or subcutaneous injection, marketed for anti-aging and wellness uses. NAD+ is not a peptide. It sits in FDA's Category 1 compounding list, and the controlled human pilot data on IV NAD+ is small and does not measure energy, cognition or aging outcomes.

What does the human data on IV NAD+ actually show?

One pilot infused 750 mg of NAD+ in saline over 6 hours into 8 healthy men aged 30 to 55, versus 3 men on saline; plasma NAD+ did not rise until after 2 hours, no adverse events occurred, and the study measured only plasma and urine metabolites, not energy, cognition or aging outcomes [1]. A 2026 review of 33 human studies from 2010 to October 2025 found "no eligible outcomes trials evaluated intravenous or intramuscular NAD+ itself for anti-aging or wellness indications" [2]. A 2026 review of IV longevity therapies, including NAD+, said they "should be regarded as an experimental intervention rather than an evidence-based dermatological or anti-aging practice" [3].

What has FDA said about NAD+ injections?

In an October 30, 2024 notice, FDA said some compounders were using food-grade NAD+ from repackagers, and that such ingredients "are not suitable for compounding sterile drugs without appropriate processing, due to the high risk of contamination with microbes and endotoxins" [4]. FDA also said it "has received adverse event reports following use of NAD+ injectable drugs, including severe chills, shaking, vomiting and fatigue," consistent with excessive endotoxin [4]. More on the data is in our review of whether NAD+ injections work.

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Sources

  1. Grant R et al. A Pilot Study Investigating Changes in the Human Plasma and Urine NAD+ Metabolome During a 6 Hour Intravenous Infusion of NAD. Front Aging Neurosci, 2019.
  2. Gallagher N, Emmanuel S. NAD+ supplementation for anti-aging and wellness, a PRISMA-guided systematic review. Ageing Res Rev, 2026.
  3. Godic A, Townsend JR. Intravenous longevity therapy, a critical review of evidence, mechanisms, and clinical utility. 2026.
  4. FDA reminds compounders to use ingredients suitable for sterile compounding (Oct 30, 2024)

This entry is for education and is not medical advice. Talk with a licensed clinician about your own situation before starting, stopping, or changing any treatment.

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