What it is:
NAD⁺ stands for Nicotinamide Adenine Dinucleotide. It’s a coenzyme found in every cell of your body and plays a crucial role in:
- Energy production – Helps convert the food you eat into energy (ATP) in your cells.
- DNA repair – Supports the body’s natural repair of damaged DNA.
- Cellular health and longevity – Involved in processes that regulate aging and cell function.
- Metabolism – Helps enzymes work efficiently in breaking down fats, proteins, and carbohydrates.
In simple terms, NAD⁺ is like a fuel and repair helper for your cells, keeping them energized and healthy.
Subcutaneous NAD+ injections are a way of delivering nicotinamide adenine dinucleotide (NAD+), a molecule involved in energy production and cellular repair, directly under the skin.
How it’s given:
- A small needle injects the NAD+ just under the skin, usually in the abdomen, thigh, or upper arm.
- Injections are typically done in a clinic or at home under supervision, depending on your treatment plan.
Potential benefits:
- Supports cellular energy and metabolism
- May help with fatigue and mental clarity
- Sometimes used in addiction recovery or wellness programs
What to expect:
- Mild discomfort, redness, or swelling at the injection site
- Rarely, bruising or irritation
Safety tips:
- Keep the injection site clean
- Rotate injection spots to avoid irritation
- Report any severe pain, swelling, or signs of infection to your healthcare provider immediately
NAD⁺ levels naturally decline as we age due to several biological processes:
- Increased consumption by enzymes – Certain enzymes, like PARPs (involved in DNA repair) and CD38 (involved in inflammation and immune responses), use up NAD⁺. As we age, these enzymes become more active, depleting NAD⁺ faster.
- Reduced synthesis – The body’s ability to make NAD⁺ from precursors like tryptophan, nicotinamide, and nicotinamide riboside diminishes with age.
- Mitochondrial decline – Aging cells often have less efficient mitochondria, which affects NAD⁺ recycling, further lowering its levels.
- Oxidative stress – Accumulated cellular damage over time increases NAD⁺ consumption because the body tries to repair more DNA and proteins.
Result: Lower NAD⁺ leads to reduced cellular energy, slower repair processes, and increased signs of aging, which is why some therapies aim to restore NAD⁺ levels.