NAD+ Dosing Schedule: How Should I Use My NAD+ Injection?

NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme involved in cellular energy production and mitochondrial function.* Compounded NAD+: Follow the individualized dosing instructions provided by your prescriber and dispensing pharmacy.

Your First Month: The Titration Phase

During your initial month of treatment, you'll gradually increase your dose. Your prescriber may select or modify your dosing schedule based on your medical history and response to treatment. Your Strut provider may personalize this schedule based on your specific needs.

Option 1: Twice-Weekly Injections

• Week 1: 0.1 mL (20 mg)
• Week 2: 0.2 mL (40 mg)
• Week 3 and Beyond (Maintenance): 0.6 mL (120 mg)

Option 2: Three-Times-Weekly Injections

• Week 1: 0.1 mL (20 mg)
• Week 2: 0.2 mL (40 mg)
• Week 3 and Beyond (Maintenance): 0.4 mL (80 mg)

Helpful Tip: If you're injecting three times per week, aim for every-other-day dosing (for example, Monday, Wednesday, and Friday). Some flexibility is okay, but try to avoid injecting on consecutive days.

Keep in Mind: The titration schedule applies only to your first month. When you receive refills, they'll contain your full maintenance dose, even if the label still mentions titration.

Refills: Jump Right to Your Maintenance Dose

Once you've completed your initial titration month:

• Begin injecting at your full maintenance dose right away. There's no need to taper up again.
• Common maintenance schedules include:
  • 0.6 mL twice per week
  • 0.4 mL three times per week
• If your refill vial label still shows titration instructions, that's just a pharmacy default, not a sign to repeat the titration process.

Quick Dosing Reference

• 0.1 mL = 20 mg NAD+

Following your prescribed NAD+ dosing schedule helps you get the most from your treatment while supporting your body's natural adjustment process. If you have questions about your specific regimen, your Strut healthcare provider is here to help.

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*Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required.