Transparent pricing No membership required US-sourced ingredients Unlimited 24/7 support 100% online State-licensed pharmacies Clinician-led care

Compounded · Vitality

NAD+ Injection

A weekly reset for the energy you used to take for granted.

NAD+ is a coenzyme your cells use to turn food into usable energy and to repair the daily wear-and-tear in your DNA. Levels fall through midlife. Subcutaneous dosing once a week is a clean, predictable way to keep yours topped up — and it bypasses the absorption losses that make oral precursors hit-or-miss.

  • Once-weekly subcutaneous injection — 30 seconds, at home
  • Higher absorption than oral NMN or NR — you actually get the dose
  • Compounded by a state-licensed U.S. pharmacy
  • Includes clinician oversight, dose adjustment, and side-effect support
  • Direct-to-door · cancel anytime before your next ship date on monthly · save more on 6 or 12-month plans
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From$174/month
Compounded NAD+ injection — Cypress Health
Your care
Clinician-ledCare
State-LicensedCompounding Pharmacies
HIPAACompliant
Available inAll 50 US states

How it works

Simple online care, built around you.

Start your assessment

3-minute screener · No commitment

1
Complete your intake
Tell us about your health history, goals, symptoms, and what's changed. This takes less than 3 minutes.
Start Now
2
Get provider review
A licensed U.S. provider reviews your information and determines whether treatment is appropriate — typically within 24 hours.
Learn More
3
Start your plan
If eligible, your plan may include a compounded NAD+ protocol with pharmacy coordination, ongoing oversight, and direct-to-door delivery.

Our physician partner

Medical oversight by Arora Health

Your care is reviewed and overseen by board-certified, U.S.-licensed physicians at Arora Health & Aesthetics — our independent medical partner, with clinician coverage in all 50 states.

Dr. Sean Arora, Co-Founder and CEO of Arora Health & Aesthetics

Dr. Sean Arora

Arora Co-Founder & CEO

  • Board-certified physician
  • Licensed in all 50 states

Dr. Sean Arora is a board-certified physician and the founder of Arora Health & Aesthetics, bringing deep expertise in wellness, family medicine, and telehealth innovation.

He leads one of the nation's most comprehensive medical oversight and compliance networks, supporting clinics through full-spectrum medical directorship, nationwide telehealth provider coverage, and evidence-based protocol development across peptides, hormone optimization, weight loss, regenerative medicine, and aesthetic treatments.

Known for his forward-thinking approach to patient safety and scalable clinical operations, Dr. Arora partners closely with medical spas, wellness clinics, and telehealth organizations to ensure responsible, compliant, and impactful care. Licensed in all 50 states, he is dedicated to expanding access to high-quality wellness services through innovation, leadership, and patient-centered standards.

Dr. Shannon Arora, Chief Medical Officer of Arora Health & Aesthetics

Dr. Shannon Arora

Chief Medical Officer

  • Hospital-trained physician
  • Preventive & longevity medicine

Dr. Shannon Arora is a physician dedicated to making a meaningful impact on patient health through both traditional medicine and proactive wellness care.

With experience as a hospitalist, she brings a strong clinical foundation shaped by work in hospitals and nursing homes, offering a broad perspective on patient care across diverse settings. While her early career focused on acute care, Dr. Arora recognized an opportunity to create a more proactive, personalized approach within the health, wellness, and longevity space. She now focuses on optimizing patient health through advanced wellness therapies, preventative medicine, and longevity-focused care, helping patients improve energy, confidence, and overall quality of life.

As Chief Medical Officer, Dr. Arora is passionate about advancing innovation in regenerative medicine and wellness, while helping both patients and organizations achieve better outcomes through thoughtful, patient-centered care.

Why NAD+

A coenzyme your cells actually run on.

Cypress patient holding her compounded NAD+ injection vial

NAD+ (nicotinamide adenine dinucleotide) sits at the center of the chemistry that turns the food you ate this morning into the energy you'll use this afternoon. It's also what your cells lean on for DNA repair through enzymes like sirtuins and PARPs — the housekeeping that keeps tissues working as they should.

NAD+ levels decline measurably from your 30s onward. By midlife, many women are running with notably less than they had a decade earlier. Whether restoring those levels reverses every claim made about it is still an active research area — but the underlying biology is well-established and the early human data is encouraging.

What women on this protocol most often describe: a steadier baseline of daytime energy, faster recovery from physical effort, and a sharper sense of "with-it-ness" in the late afternoon. We don't promise those outcomes. We watch for them, and we adjust if they don't show up.

Dosing

An easy weekly cadence. Tuned to you.

1
Weeks 1–2 · Acclimation
Typical starting dose is 100 mg subcutaneous, once weekly. Some women feel a mild flush, warmth, or transient nausea in the first 30 minutes — injecting after a small meal usually settles it.
2
Weeks 3+ · Steady state
Your clinician may step the dose toward 150–200 mg weekly, depending on how you're tolerating it and what you're noticing. Effects build gradually — most women describe a clear shift by week 4 to 6.
3
Ongoing · Care, not just refills
Your plan includes clinician check-ins, dose adjustment, side-effect support, and the option to layer in or step away from other vitality protocols as your picture changes.

Side effects & safety

What to know before you start.

Woman reviewing health information at home

Most common: a brief flushing or warmth sensation right after injection, mild nausea, occasional headache, injection-site tenderness. These are typically dose-related and resolve within an hour. Slowing the injection or pre-treating with a small meal usually helps.

Less common but worth flagging: palpitations, jitteriness, or sleep disruption if you inject too late in the day. We recommend morning dosing for that reason.

Not appropriate if: you have an active malignancy under treatment, are pregnant or breastfeeding, or have an unstable cardiovascular condition. Tell your clinician about all medications and supplements — methylation-related supplements in particular can interact.

Questions

Answers to
common questions.

How is this different from oral NMN or NR supplements?
A meaningful share of an oral dose never reaches the bloodstream as NAD+.
NMN and NR are precursors — your body has to convert them to NAD+, and a meaningful share of an oral dose is degraded in the gut and liver before it reaches circulation. Subcutaneous NAD+ delivers the molecule directly. It's a more reliable way to know you're actually receiving the dose your clinician chose.
How is this different from a NAD+ IV drip?
Same molecule, gentler delivery, no four-hour appointment.
IV drips deliver a large bolus over several hours and tend to produce stronger short-term sensations — both desired and uncomfortable. Subcutaneous dosing is smaller, weekly, and at home. For most women looking for a sustainable midlife protocol, weekly subq is more practical and easier to tolerate.
When am I charged?
Not until a clinician confirms your eligibility.
You're not charged when you submit. Your card is saved. A licensed clinician reviews your assessment, typically within 24 hours. If approved, you'll be notified by email before the first charge. If not approved, you're not charged.
Can I cancel?
Yes — with full transparency on what you've committed to.
Yes. The 1-month plan can be cancelled anytime before your next ship date. The 6 and 12-month plans are committed terms billed monthly — cancel future renewals after the term ends.
Is insurance required?
No — transparent flat-rate pricing, no hidden fees.
No. Cypress offers transparent, flat-rate pricing without insurance and no hidden fees. Medication, supplies, and shipping are all included.
Can I use my FSA/HSA?
Yes — itemized receipts provided for self-submission.
Yes. HSA and FSA cards are accepted on any plan. We also provide itemized receipts in case you need to self-submit to your benefits provider.

Find out if NAD+ fits your picture.

The 3-minute vitality intake is free. If you're a candidate, your clinician typically follows up within 24 hours.

Start my assessment
Start my assessment