NAD+ Nasal Spray

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme naturally present in cells throughout the body. It takes part in redox reactions involved in energy metabolism and is used by enzymes involved in cellular signaling and maintenance.

Research in humans and experimental models has observed that NAD+ metabolism can change with age. That makes NAD+-related pathways an active research area. It does not establish that raising NAD+ slows or changes aging.

A compounded prescription preparation of NAD+ supplied as a nasal spray, prescribed by a licensed provider after an intake and prepared by a licensed compounding pharmacy.

NAD+ has established roles in the body's own energy metabolism and cellular maintenance. Those roles are why people are interested in it. They are not the same as demonstrated treatment outcomes: clinical evidence for compounded intranasal NAD+ is limited, and Vivo does not claim that it improves energy, focus, recovery or longevity.

NAD+ is essential to how cells produce energy, but that biology doesn't establish that adding NAD+ through a nasal spray changes how energetic you feel. That hasn't been shown for compounded intranasal NAD+. Fatigue has many causes, and your provider can help look at them.

There isn't evidence that compounded intranasal NAD+ improves focus or clears brain fog. If you're having trouble concentrating, tell your provider; it can have causes that deserve their own evaluation.

The route and the experience differ: a nasal spray is used at home without needles or an infusion appointment, while IV NAD+ is generally given in a clinic over a longer session. Different routes should not be assumed to have equivalent absorption, bioavailability or effects.

Vivo doesn't claim it is. The nasal spray is a different way to administer NAD+, chosen for convenience. It is not presented as more effective or better absorbed than an injection.

There isn't a clinically established timeframe in which compounded intranasal NAD+ should be expected to produce a particular effect. Individual experiences vary.

Exactly as your prescription and the pharmacy's instructions direct. Don't change your dose or frequency without talking to your provider.

No. Compounded medications are not FDA-approved, and FDA does not review them for safety, effectiveness or quality before they are marketed.

Yes. Every Vivo protocol is prescription-only. When you complete your intake, a licensed US provider in your state reviews your medical history and, if appropriate, writes the prescription. The compounded medication is then shipped directly to your door.

Arora Health & Aesthetics, LLC provides the clinical care for this program. Its licensed providers serve patients across the United States in accordance with applicable state licensure requirements and telehealth regulations.

For provider-related questions, contact medicalcompliance@arorahealthgroup.com.

Arora Health & Aesthetics, LLC300 Lenora Street, Seattle, WA 98121Website: www.arora-health.com

No prescription is issued, and you are not charged for medication. Entering payment information at checkout authorizes your payment method — it does not capture a charge. A charge is captured only after a provider approves the prescription.

Vivo works with the following independent, state-licensed 503A compounding pharmacy:

VialsRX — 6220 Westpark Drive, Suite 111, Houston, TX 77057 — vials.ai

Services are available across all 50 U.S. states through affiliated providers and our pharmacy partner operating in accordance with applicable state licensure requirements.

Please note that medication availability, formulations, and fulfillment options may vary depending on state-specific pharmacy regulations and dispensing restrictions.

You can cancel a subscription at any time from your account dashboard, or by emailing care@vivoclinic.org. Cancellation takes effect at the end of your current billing period, provided we receive it before that period's order is transmitted to the pharmacy. Once an order has been transmitted to the pharmacy, or compounding has begun, it can't be canceled or refunded — it's being prepared specifically for you. Full details are in our Refund Policy.

Under 5 minutes, online, whenever suits you. There's no appointment and nothing to schedule.

Vivo Clinic serves patients across all 50 U.S. states through our affiliated medical provider, Arora Health & Aesthetics, LLC. Treatment and medication availability may vary depending on provider licensure, state telehealth requirements, and pharmacy dispensing restrictions.