Guides

What is NAD+ and how is it prescribed

Medically reviewed by Dr. Patrick Taylor, MDPublished August 12, 2026

A plain explanation of NAD+ as a cellular coenzyme and how it is accessed through telehealth, where a physician reviews your intake before any compounded prescription is written.

NAD+ is one of those biology terms that shows up everywhere and gets explained almost nowhere. Let's fix that. Here is what the molecule actually is, and how a legitimate telehealth practice handles it from intake to prescription.

What NAD+ is

NAD+ stands for nicotinamide adenine dinucleotide. It is a coenzyme, which means it works alongside enzymes to help chemical reactions happen inside your cells. It is present in every cell you have.

Its main job involves energy. NAD+ helps shuttle electrons during the reactions that turn food into usable cellular energy. It cycles between two forms, NAD+ and NADH, picking up and dropping off electrons as part of that process. It also participates in other cellular signaling pathways that researchers continue to study.

That is the honest scientific description. NAD+ is a worker molecule, not a promise. You will see a lot of bold marketing attached to it online, and we are going to stay away from that here.

Why people ask about NAD+

Interest in NAD+ has grown because it sits at the center of metabolism and cellular signaling, which makes it an active area of research. That research is ongoing, and much of it is still early. We are not going to tell you what NAD+ will do for you, because outcomes vary by individual and because responsible care does not oversell.

What we can tell you is how it is accessed through a real medical process, rather than purchased like a supplement off a shelf.

How it is prescribed through telehealth

At Live Vital, NAD+ is not a retail product. It is physician-prescribed and requires a medical intake and physician approval. Every protocol is reviewed by Dr. Patrick Taylor, MD, before anything moves forward.

The process works the way licensed telehealth is supposed to. You complete a medical screening that covers your history, current medications, and goals. A physician reviews that information. If a compounded NAD+ protocol is appropriate for you, a prescription may be written and sent to a compounding pharmacy that prepares it. A prescription is never guaranteed, and the physician determines what, if anything, is appropriate.

Compounded NAD+ is prescription and physician-reviewed. Compounded formulations are not FDA-approved, and their use may be off-label. This is general information, not medical advice.

Because the physician sets the specifics, we do not publish doses or schedules anywhere, and you should be cautious of any source that does. The right details depend on your individual intake and a clinician's judgment, not a blog post.

What the pharmacy side looks like

Compounding pharmacies prepare medications to a prescriber's specifications. When a physician writes a compounded NAD+ prescription, the pharmacy fills it based on that order. This is standard, regulated pharmacy practice, and it is why the physician review step is not optional.

A note on payment

Live Vital does not accept insurance. HSA and FSA funds are generally eligible and may be used. You can read more about the offering on the NAD+ treatment page.

One step you can take today

If you want to know whether NAD+ fits your situation, the concrete next move is to start the medical screening, or book a free consult to ask questions first. A licensed clinician reviews your information and decides what is appropriate for you.

This article is general information, not medical advice. Live Vital treatments are physician-prescribed and require a medical intake and physician approval. Outcomes vary by individual. Talk to a licensed clinician about what is right for you.

Related treatments