SIGNAL // LOADING
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NAD+ Injectable
PeptideLongevityProvider reviewLongevity Protocol
Overview
Subcutaneous NAD+ skips first-pass metabolism and raises whole-blood NAD+ within hours. Cycled under clinical review, with labs bracketing every course. No immortality pitch.
Key benefits
- 01Whole-blood NAD+ rises measurably within the first cycle
- 02Self-injectable format avoids the $300-500 IV clinic markup
- 03CBC, CMP, and metabolic panel bracket every cycle
- 04Quarterly provider check-in ties protocol to actual outcomes
Clinical rationale
NAD+ is a rate-limiting coenzyme in mitochondrial metabolism, DNA repair (PARP), and sirtuin signaling. SubQ delivery bypasses first-pass metabolism and raises whole-blood NAD+ within hours; oral NR/NMN raises metabolites more slowly. Human outcome data is early - ALUKARD positions NAD+ as a provider-supervised layer on top of a clean metabolic baseline, not as a standalone longevity lever.
Directions
Complete assessment. A licensed provider determines eligibility and appropriate care steps.
Fit check
Who this is for
- Adults already running the basics: HbA1c < 5.5, ApoB < 90, seven hours of sleep
- Members chasing recovery-quality or cognitive-clarity signal, not hype
- Anyone who wants supervised cycles plus labs, not an IV drip fee
Who this isn't for
- Anyone expecting a guaranteed biological-age reduction - the evidence isn't there
- Pregnancy or breastfeeding
- Active cancer, acute infection, or uncoordinated oncology care
Using it well
How to combine
- Retest ApoB, HbA1c, hs-CRP, and ferritin every cycle to track signal, not placebo
- Pairs cleanly with creatine, protein targets, and sleep-first coaching
- Evaluate at 12 weeks minimum - shorter windows are placebo territory
Safety considerations
- Common: flushing, injection-site tenderness, transient fatigue in the first 24 hours
- Stop and contact care for chest pain, severe rash, or breathing changes
- State-level compounding rules determine availability - not every state qualifies
Safety notes
- Eligibility is determined by a licensed provider.
- Individual outcomes vary.
Questions
Who gets declined on this pathway?
Anyone with abnormal baseline labs we should fix first - pre-diabetes, low ferritin, or inflammatory markers. NAD+ on a broken metabolic baseline is wasted money.How long before I feel anything?
Some members notice recovery or sleep quality shifts in the first cycle. Others need the 12-week retest to see a real trend. Treat week-one impressions as noise.Is oral NR better than injectable?
NR has the strongest human trial data on raising metabolites, at a fraction of the cost. Start oral if budget matters; escalate to injectable if recovery is the specific goal.What actually gets monitored?
CBC, CMP, ApoB, hs-CRP, and a hormone panel where indicated - baseline, then every cycle. Protocol adjusts on data, not on vibe.
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$249/mo
One-time
After provider review
$249
Pathway logistics
FormatVial - subcutaneous
FulfillmentAfter review, mail order
ReviewLicensed provider
EligibilityState-licensed
Note:Nothing ships until a licensed provider reviews your intake. If the pathway isn’t right, we say so.
Related reading
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