NAD+ Injectable
NAD+ supplementation supporting neuronal energy production, DNA repair, and sirtuin-mediated neuroprotection.
Medically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.What It Is
NAD+ is dual-listed here for its significant cognitive benefits. Beyond cellular energy, it's critical for neuronal health and cognitive function.
How It Works
NAD+ supports neuronal mitochondrial function, activates sirtuins involved in neuroprotection, and supports DNA repair in brain tissue.
Who It's For
Those seeking cognitive enhancement as part of a broader longevity protocol. See Longevity category for full details.
Who Should Avoid It
AUTO-DENY for active cancer and chemotherapy.
Protocol & Pricing
OBP Pharmacy Price
$100/1000mg
You pay pharmacy price. No markup.
Starting Dose
20 units (20mg)
Form
Injectable vial (10mL, 100mg/mL, 1000mg total)
Dosing Protocol
See Longevity listing for full protocol details.
Beyond Use Date
90 Days from compounding (USP <797>)
Use within this window from the date your vial is compounded. BUD is set per USP <797> sterile compounding standards and printed on every label.
Stacking Guide
Stacks Well With
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NAD+ Injectable lab test reports
Every NAD+ Injectable batch dispensed by Optimal Balance Pharmacy is independently tested by Eagle Analytical Services (FDA-registered, A2LA ISO 17025 accredited) for sterility (ScanRDI) and bacterial endotoxin (USP <85>). The most recent report:
| Submission | Lot | Sample | Sterility | Endotoxin | |
|---|---|---|---|---|---|
| ETX-260325-0598 | 032526-11 | NAD+ 100MG/ML SOLN (10ml) | Pass | Pass <2 EU/mL / 400 EU/mL | Download |
Eagle Analytical Services is an independent FDA-registered laboratory, A2LA accredited to ISO 17025, based in Houston, Texas. They have no commercial relationship with PeptideRx. PeptideRx prescribes; Optimal Balance Pharmacy compounds and dispenses; Eagle tests every batch. Three separate companies. Browse our full quality program on the quality page.
Common questions about NAD+ Injectable
- What is the NAD+ Cognitive formulation?
- The NAD+ Cognitive formulation is a variant injectable compounded by Optimal Balance Pharmacy that adapts the standard NAD+ injection for cognitive-priority protocols. The base active is the same NAD+ molecule; the formulation differs in concentration, dilution, or carrier choice to support specific cognitive-protocol dosing patterns.
- How is it different from the standard NAD+ injection?
- Same active ingredient (NAD+), different concentration or formulation tuning. The Cognitive formulation is typically chosen by patients whose primary protocol target is brain energy and focus rather than systemic mitochondrial support, and where their provider has determined a different concentration produces better tolerability for the patient's planned dose schedule.
- How is the cognitive formulation dosed?
- Common protocols deliver 20 to 100 mg subcutaneously, 2 to 3 times per week. Optimal Balance Pharmacy compounds the formulation against PeptideRx prescriptions; your provider sets the per-dose draw on your shipment protocol sheet. As with all NAD+ injections, push slowly to minimize flushing or chest pressure.
- How do I inject the cognitive formulation?
- Subcutaneously into the abdomen, upper outer thigh, or back of the upper arm using a 31-gauge, 5/16-inch needle on a U-100 insulin syringe. Push slowly over 30 to 60 seconds. Sterile syringes are included with every PeptideRx shipment.
- How is the formulation supplied?
- Compounded by Optimal Balance Pharmacy under a 503A patient-specific prescription. Ships pre-reconstituted and ready to inject in cold-chain packaging. Every batch is tested by Eagle Analytical Services; the Certificate of Analysis is published on this product page.