Is NAD+ worth it? Depends entirely on what you were promised.
NAD+ is a coenzyme in every cell you own, central to energy metabolism, and declining with age. All of that is textbook biology, not marketing. What the marketing added is the promise that topping it up transforms how you feel, and that is where the honesty has to start: the human outcome evidence is young, individual responses vary, and anyone selling certainty in this category is selling. We prescribe NAD+ and we will still tell you that, because the customer who arrives with accurate expectations is the only one worth having.
The short answer
If you were promised a transformation, nothing in this category is worth it, ours included, because that promise was never real. If what you want is the direct form of a molecule your cells demonstrably use, delivered with clinical oversight rather than supplement-market guesswork, the prescription routes exist for exactly that: the injection delivers NAD+ itself, the nasal spray does it without a needle, and a clinician decides whether either belongs in your plan at all. Some patients report meaningful differences in energy and clarity; some do not; your clinician will treat both outcomes as data rather than as a testimonial.
Why is there so much hype around it?
Because the underlying biology is genuinely interesting and interesting biology is easy to oversell. The gap between "this molecule matters in cellular energy" and "this injection will change your life" is where the mythology lives, and our position is stated on every NAD+ page we have: interesting biology, early evidence, real products, no promises.
Questions
What happens if I am not approved?
You are not charged. Your clinician explains the reasoning and, where useful, what a better next step may be. Reviews are typically completed in under 24 hours.
Is this FDA approved?
No compounded medication is FDA-approved, including these. Compounded medicines are made to your individual prescription by a licensed pharmacy rather than manufactured and approved as a finished drug product.
Injection, spray, or pills?
Different routes deliver different things, and we compared them without the hype: see NAD+ Injections vs Nasal Spray vs Pills.
Ready when you are.
About 10 minutes. No charge unless your clinician approves.