NAD+
Support longevity

NAD+

Can replenish NAD+ levels, which naturally decline with age. Supports cellular energy, DNA repair, and antioxidant defense.

Medication Type

HSA/FSA reimbursable
Founded by Bryan Johnson
No insurance required
Fast, discreet shipping
Licensed US pharmacies
Unlimited follow-up with licensed physicians
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“NAD+ is a molecule found in every cell of your body. It plays a key role in how your cells produce energy and repair damaged DNA. As we age, NAD+ levels naturally decline, which may contribute to many of the changes we associate with getting older.”

Carl Seger, M.D.
– Dr. Carl Seger M.D.

Why NAD+

NAD+ declines with age. Supplementing can help replenish it.

NAD+ drops with age

NAD+ levels drop steeply with age. Direct measurements in human tissue found levels of 8.5 units at birth, 2.7 units in young adults, and just 1.1 units in people over 71 — an 87% decline over a lifetime.

Source: Massudi et al., "Age-Associated Changes in Oxidative Stress and NAD+ Metabolism in Human Tissue," PLoS ONE (2012); Nakahata & Bessho, "The Circadian NAD+ Metabolism," BioMed Research International (2016)


Charts and graphics are illustrative representations intended to communicate published research findings and the known pharmacologic properties of the referenced medication. Visualizations may simplify, normalize, or model study data for educational purposes and should not be interpreted as guarantees of individual clinical outcomes or expected results.

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HOW NAD+ WORKS

Powers cells. Activates repair.

NAD+ is a coenzyme that cells use to turn nutrients into energy. It fuels two enzyme families — sirtuins and PARPs — that regulate DNA repair, inflammation, and aging processes.

NAD+ (Nasal Spray)

Supports cellular health

NAD+ fuels cellular energy and supports antioxidant defense. Subcutaneous delivery can replenish NAD+ levels and support healthy cellular function as those levels decline with age.

Fuels energy production

NAD+ converts nutrients into ATP (Adenosine Triphosphate), the energy source that powers every living cell.

Activates repair pathways

Sirtuins and PARPs (enzyme families that depend on NAD+) help repair damaged DNA, regulate inflammation, and influence the processes linked to cellular aging.

How Immortals Medicine works

From intake to your door in three to seven days

  1. Person completing a medical intake on their phone
    Step 1

    Medical intake

    Answer a guided set of questions covering your medical history, current medications, goals, and treatment preferences.

    A few minutes
  2. A physician reviewing a patient intake
    Step 2

    Doctor review

    A U.S.-licensed, board-certified physician reviews your intake and recommends a medication, if appropriate.*

    Within 72 hours
  3. A discreet medication package at a doorstep
    Step 3

    Fast shipping

    Approved medications ship directly to your door in discreet packaging.

    2-5 business days
  4. Person messaging their doctor from home
    Step 4

    Unlimited messaging

    Your doctor is available by message any time for additional support. Video consults available.

    Up to 12 months
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The same prescription framework as Bryan Johnson's medical team.

*Some states may require a synchronous audio and/or video consultation prior to a prescription being approved.

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Why Immortals Medicine

Precision medicine protocols to support longevity

Proactive care

Doctor-led treatment plans designed around your goals. No wait lists. No insurance required.

Transparent pricing

No membership fees, no hidden costs. You pay only after a doctor prescribes treatment.

Board-certified doctors

Access to specialist physicians, licensed in your state. Unlimited messaging for up to 12 months.

Curated by longevity experts

Every protocol is built by medical experts, based on longevity research from Bryan Johnson's science team.

COMMON QUESTIONS

Questions, answered

Compounded medications are not FDA-approved, and the FDA does not evaluate them for safety, effectiveness, or quality prior to use. This page is intended for educational purposes only and is not intended to provide medical advice, diagnosis or treatment. Medication eligibility and prescriptions are determined solely by licensed medical providers based on clinical appropriateness. Not all individuals will qualify for medication-based treatment.