NAD+ is one of the most-searched IV therapies of the last two years, and also the one with the widest gap between what the marketing promises and what the research supports. Both extremes are wrong. It is not a fountain of youth, and it is not just expensive water. Here is the grounded version, from the team that runs it.
What NAD+ actually is
NAD+ stands for nicotinamide adenine dinucleotide, a coenzyme present in every cell you have. It does two big jobs. First, it is a required partner in the reactions your mitochondria use to turn food and oxygen into ATP, the molecule your body spends to do literally everything, from contracting a muscle to holding a thought. Second, it fuels a family of repair proteins called sirtuins that maintain your DNA and regulate the cellular housekeeping researchers loosely call the longevity response. No NAD+, no energy production and no repair.
Why your levels fall
Your body makes NAD+ from precursors in food, but production does not keep pace with demand over a lifetime. Levels decline steadily with age and drop faster under chronic stress, poor sleep, heavy alcohol use, illness, and inflammation. By middle age most people carry roughly half the NAD+ they had in their twenties. That decline is real and well documented. It is the part of the story the skeptics tend to skip.
What low NAD+ actually feels like
This is where we would rather be specific than dramatic. Low NAD+ does not cause anything sudden; it shows up as a slow erosion. Energy that does not fully return after a normal night's sleep. The particular brand of brain fog where something that used to be automatic now takes effort. Slower recovery from workouts, minor illness, and travel. Less sharpness late in the day. None of those symptoms are unique to NAD+, which is exactly why the topic is so easy to oversell, but the underlying physiology behind them is not made up.
Why an IV, and not a capsule
You can buy oral NAD+ precursors (NR and NMN) at any supplement shop, and for daily baseline support they are fine and inexpensive. The limitation is bioavailability: taken by mouth, they raise blood NAD+ modestly over weeks. An IV raises it directly within hours, which is why the delivery format matters as much as the molecule. We are not knocking supplements. We are saying that if you want to actually feel a change rather than support a baseline, intravenous is what moves the needle.
What the infusion is like
NAD+ is run slow on purpose. Pushed in quickly it can cause a flushing sensation (chest tightness, a heavy feeling, sometimes mild nausea), so we deliberately take our time and adjust the rate to your comfort throughout. A standard dose runs roughly 60 to 90 minutes; a high-dose protocol can take longer. Bring a podcast, a book, or a laptop. Most clients tell us it turns into the most productive hour and a half of their week.
Who it is genuinely for (and who it is not)
We recommend NAD+ specifically for people in their forties and up who feel the energy decline that comes with the territory, athletes in heavy training cycles who need faster recovery, people climbing back from a long illness or surgery, and high-output workers circling burnout who have already fixed the basics. We do not recommend it for anyone who has not addressed sleep, hydration, and nutrition first, for anyone hoping it will undo a chronic condition on its own, or for clients who are pregnant or breastfeeding. Getting the fit right is most of what makes the difference.
The honest math on cost
NAD+ is real money, and a typical loading course is several sessions over a couple of weeks followed by monthly maintenance. That is more than a bottle of capsules, but it is often less than what people in this category already spend on supplements and gadgets that do less. Before you book, Tom or September will walk you through whether it is the right next move for your situation. We would genuinely rather you pass than buy something that will not help, and every session is reviewed by our physician.