Who should talk with a physician before using NAD+?

NAD+ is not automatically appropriate because it occurs naturally in the body. Receiving it as an injection or nasal spray is different from the way your body makes and uses it. A licensed physician in your state must review your health information and decide whether treatment is appropriate.

Tell the physician if you are pregnant, breastfeeding, or planning pregnancy. Safety information for these uses is limited. Also report kidney or liver disease, cancer or cancer treatment, immune system problems, and any history of serious allergic reactions. These details need individual review; they do not create a simple eligibility checklist.

If an injection is being considered, mention bleeding problems and medicines that affect clotting. For a nasal spray, mention frequent nosebleeds, nasal irritation, or recent nasal surgery. Share allergies to preservatives and other ingredients, not just to active medicines.

Bring a complete list of prescriptions, over-the-counter medicines, and supplements. Do not stop prescribed treatment to qualify for NAD+. Persistent fatigue or other new symptoms may need further evaluation before any wellness prescription is considered.