Association of Human Whole Blood NAD(+) Contents With Aging.
Blood NAD+ declines with aging in males but not females, with significant decline in 40-49 age group.
NAD+ is a fundamental coenzyme present in all living cells that serves as a critical electron carrier in metabolic reactions and a substrate for enzymes including sirtuins, PARPs, and CD38. NAD+ levels decline approximately 50% between ages 40 and 60. While not a peptide, NAD+ and its precursors (NMN, NR) are frequently discussed in peptide communities. IV NAD+ infusions are popular at anti-aging clinics, though large-scale human efficacy trials are limited.

Typical dose
100-1000mg 1-3x weekly
Daily for 3-5 days
Route
Intravenous
IV infusions are administered slowly over 2-4 hours (rapid infusion causes chest tightness and nausea). Subcutaneous injections can be given at any time. Oral NMN/NR is typically taken in the morning to align with circadian NAD+ rhythms.
Cycle
4-12 weeks Typical duration
Typical duration
Storage
2–6°C2-8°C Refrigerated
Follow vendor guidance
Marketplace
16 offers for NAD+
| Vendor | Price | Rating | Shipping | COA | Action |
|---|---|---|---|---|---|
Renova Peptides
| $39.00 $0.08/mg | No reviews | 3–5 days United States | None | |
Reta One Labs
| $46.00 $0.09/mg | No reviews | 2 days United States | None | |
Crownwell Research
| $55.00 $0.11/mg | No reviews | 1-5 days United States | None | |
Trulab Peptides
| $55.00 $0.11/mg | No reviews | 2–5 days Worldwide | None | |
Peptix USA
| $57.99 $76.00 $0.58/mg −23.7% | No reviews | 3–5 days United States | None | |
prpeps
| $60.00 $0.12/mg | No reviews | 2 days United States | None | |
Synthesis Peptides
| $63.99 $0.13/mg | No reviews | 2–5 days United States | None | |
Amino Club
| $69.99 $0.14/mg | No reviews | 1–4 days United States | None |
What the research reports
Outcomes described across the published literature and ongoing study, not promised results. Read each as research context, not a personal guarantee.
Cellular energy production
DNA repair support
Anti-aging potential
Metabolic regulation
Dosage and protocol
NAD+ is an essential coenzyme involved in cellular energy metabolism, DNA repair, and sirtuin activation. Supplementation protocols include IV infusion (250-1000mg), subcutaneous injection (50-200mg), and oral precursors (NMN 250-1000mg or NR 300-600mg daily). IV NAD+ has gained popularity in wellness and longevity clinics.
01 Route
Intravenous, Subcutaneous, Intramuscular, Oral (precursors)
02 Example range
500mg IV
03 Frequency
Daily for 3-5 days
04 Timing
IV infusions are administered slowly over 2-4 hours (rapid infusion causes chest tightness and nausea). Subcutaneous injections can be given at any time. Oral NMN/NR is typically taken in the morning to align with circadian NAD+ rhythms.
Educational reference only. Use clinician guidance for dosing decisions.
Evidence
Blood NAD+ declines with aging in males but not females, with significant decline in 40-49 age group.
GDF15, GDF11, AGEs, NLRP3, and sirtuin 1 levels vary with age and sex as potential aging biomarkers.
Peritransplant energy adenine nucleotide ratios correlate with graft function after liver transplantation.
Gut microbial metabolite nicotinamide n-oxide suppresses herpes simplex encephalitis via NAD-dependent mitophagy.
Interactions
MOTS-C Synergistic · Emerging
Synergistic for mitochondrial function. Both target cellular energy pathways through complementary mechanisms.
FAQ
NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme critical for cellular energy production, DNA repair, and longevity pathways. Injectable forms are available from peptide vendors, bypassing oral bioavailability limitations.