What is the recommended frequency and number of Nicotinamide adenine dinucleotide (NAD+) infusions?

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Last updated: March 16, 2025View editorial policy

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From the Research

The recommended frequency and number of NAD+ infusions vary based on individual health goals and conditions, but a typical initial protocol involves 1-3 infusions per week for 2-4 weeks, followed by maintenance infusions every 1-3 months, as supported by the most recent study 1.

Key Considerations

  • For general wellness and anti-aging benefits, starting with 250-500mg NAD+ per infusion is common, while therapeutic protocols for conditions like addiction recovery or neurological issues may use higher doses of 500-1000mg 1.
  • Each infusion typically takes 2-4 hours to administer, as NAD+ must be infused slowly to avoid uncomfortable side effects like chest tightness or nausea.
  • The rationale behind NAD+ therapy is to replenish declining NAD+ levels that occur with aging and certain health conditions, as NAD+ plays crucial roles in energy metabolism, DNA repair, and cellular signaling pathways 2, 3.

Personalization of Protocol

  • Your specific protocol should be personalized by a healthcare provider based on your health status, age, and treatment goals.
  • Results vary, with some people experiencing immediate benefits while others may need several sessions before noticing improvements.

Safety and Efficacy

  • Supplementation with NAD+ precursors is safe, tolerable, and can increase the abundance of NAD+ and related metabolites in multiple tissues 2, 1.
  • The most common side effects associated with NAD+ use are muscle pain, nervous disorders, fatigue, sleep disturbance, and headaches, but these are generally not serious 1.

Future Research Directions

  • Further investigations are needed to evidence the clinical benefits regarding specific diseases and doses administered 2, 1.
  • The potential efficacy of NAD+-boosting compounds for improving physiological function and extending human health span requires more research 2.

References

Research

Evaluation of safety and effectiveness of NAD in different clinical conditions: a systematic review.

American journal of physiology. Endocrinology and metabolism, 2024

Research

Dietary Supplementation With NAD+-Boosting Compounds in Humans: Current Knowledge and Future Directions.

The journals of gerontology. Series A, Biological sciences and medical sciences, 2023

Research

NAD⁺ in aging, metabolism, and neurodegeneration.

Science (New York, N.Y.), 2015

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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