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Compounded NAD+ Injection
Compounded NAD+ Nose Spray
NAD+ injections support the body’s ability to produce energy, recover, and function at a cellular level. As NAD+ levels decline with age, many people notice fatigue, brain fog, slower recovery, and reduced stamina.
By restoring NAD+ levels, this therapy helps support steadier energy, clearer focus, and improved resilience for everyday life, especially for adults over 40.
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NAD+ (nicotinamide adenine dinucleotide) is a molecule found in every cell of the body and is essential for cellular energy production and normal metabolic function. It plays a foundational role in how efficiently your cells convert nutrients into energy and support overall cellular health.
NAD+ levels naturally begin to decline in early adulthood, often starting in the 30s, and continue to decrease with age. As levels decline, cellular efficiency can decline as well. NAD+ therapy is explored as a way to support these core cellular processes through medically guided supplementation.
NAD+ levels naturally decline with age, and many people begin to notice changes in energy, focus, metabolism, or overall vitality as this occurs.
You may be a good candidate for NAD+ injection therapy if you are over 30 and experiencing one or more of the following:
NAD+ injection therapy is typically explored by individuals who want a clinically effective option, not another over-the-counter supplement, and who prefer prescription-based care.
A medical intake is required to determine eligibility and ensure NAD+ therapy is appropriate for you.
Over-the-counter NAD+ products are limited to oral or liposomal supplements and cannot provide the same delivery method or dosing as prescription NAD+ injections.
Prescription NAD+ injections:
Because injection-based delivery and prescription-strength dosing are not available over the counter, NAD+ injection therapy represents a clinically effective approach that is fundamentally different from supplementation alone.
Telezen MD offers prescription-based NAD+ therapy, not retail supplements.
Our program includes:
This approach is designed for individuals who take a proactive, intentional approach to their energy, quality of life, and long-term health.
Choosing NAD+ injections in Washington is a straightforward way to kickstart your energy and help your brain stay sharp, especially if you deal with a high-stress lifestyle. NAD+ injection therapy in Washington gives your body the exact nutrients it needs to repair worn-down cells, helping you feel younger and keeping your health on the right track.
When your energy fails despite a good diet and restful sleep, the problem is likely occurring at the cellular level. Telezen MD offers a sophisticated solution, delivering NAD+ injections in Washington that recharge your mitochondria and provide the mental sharpness required to excel in both your career and personal life.
A demanding lifestyle requires a body that can keep up with mental and physical challenges without breaking down. Our Washington anti-aging med treatments focus on restoring the essential molecules that govern your energy, allowing you to maintain a high level of output while protecting your long-term health.
Our medical-grade NAD+ injection therapy options in Washington offer a wide range of improvements that help you look, feel, and perform better than you have in years:
Investing in your cellular health today pays significant dividends in your quality of life tomorrow.
For Energy, Focus, Hormones, Mood, and Longevity
Eliminates exhaustion and afternoon
slumps
Feel calmer, happier, and more
productive
Helps you feel alive, balanced, and confident
Many patients over 40 come to us feeling exhausted even after sleeping seven or eight hours. They struggle with focus and brain fog. The drive and excitement they used to have for life feels dulled. Most assume this is just part of aging.
This is where NAD+ often changes everything. When levels are supported, patients frequently describe steadier energy, clearer thinking, and a sense of motivation returning. Not in a dramatic way. In a way that makes daily life feel easier to show up for.
At Telezen MD, NAD+ is used as a front-line therapy for patients over 40 who feel depleted and want their quality of life back. It is not about changing yourself to adjust to aging. It is about feeling more like yourself again, the way you did years ago.show up for.
*Individual experiences may vary
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Step
1
Complete a short online intake and connect with a licensed medical provider through Telezen MD’s secure telehealth platform. Your physician will review your health history and determine whether a personalized treatment plan is appropriate for you.
Step
2
If approved, your prescribed medication is prepared by our partner pharmacy and shipped directly to your home. Delivery is discreet, fast, reliable, and included with your care.
Step
3
Telezen MD provides continued physician oversight, 24/7 access to medical support, and a seamless patient portal experience—along with structured digital education and behavioral support designed to help you stay consistent and achieve results.
Telezen MD combines the convenience of modern technology with the rigor of traditional medicine to provide a superior healthcare experience. We are dedicated to helping our Washington clients achieve their health goals through personalized care and high-potency treatments that are delivered directly to their homes.
NAD+ injection therapy in Washington is the modern solution for maintaining a competitive edge in life.
Telezen MD is ready to help you rediscover your potential through advanced nutrient therapy and professional medical support. Our streamlined process for getting NAD+ injections in Washington ensures you get the treatments you need without the delays or high costs associated with traditional longevity clinics.
Start your medical evaluation now and take the first step toward a more energized and focused future.

Comprehensive family medicine, preventative care, and evidence-based treatment across the lifespan.
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Providing patient care through Telezen MD’s physician-led telehealth platform.

Obesity medicine, metabolic health, weight management, and long-term wellness-focused care.
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Providing patient care through Telezen MD’s physician-led telehealth platform.

Internal medicine, telemedicine, and personalized care with a focus on accessibility and continuity.
Education & Training:
Providing patient care through Telezen MD’s physician-led telehealth platform.

Internal medicine, preventative care, chronic disease management, and telehealth-based patient care.
Education:
Providing patient care through Telezen MD’s physician-led telehealth platform.

Comprehensive family medicine, preventative care, and evidence-based treatment across the lifespan.
Education & Training:
Providing patient care through Telezen MD’s physician-led telehealth platform.

Obesity medicine, metabolic health, weight management, and long-term wellness-focused care.
Board Certifications:
Providing patient care through Telezen MD’s physician-led telehealth platform.

Internal medicine, telemedicine, and personalized care with a focus on accessibility and continuity.
Education & Training:
Providing patient care through Telezen MD’s physician-led telehealth platform.

Internal medicine, preventative care, chronic disease management, and telehealth-based patient care.
Education:
Providing patient care through Telezen MD’s physician-led telehealth platform.
NAD+ (nicotinamide adenine dinucleotide) is a naturally occurring coenzyme found in every cell of the body. It plays a key role in cellular energy production and metabolic processes. NAD+ levels naturally decline with age. NAD+ therapy involves medically supervised supplementation designed to support cellular function as NAD+ levels decrease over time.
NAD+ therapy may support:
Individual response varies based on health status, lifestyle, and consistency of use.
At Telezen MD, NAD+ therapy is primarily offered as injections for at-home use, as this delivery method provides the most consistent and predictable absorption.
Patients may choose between NAD+ injections or NAD+ nasal spray. If someone cannot tolerate injections, nasal spray may be used as a secondary option. Availability and suitability are reviewed during the medical intake process.
NAD+ injections bypass the digestive system entirely, allowing NAD+ to be delivered directly into the body. This provides more reliable and consistent dosing compared to oral or liposomal supplements, which must pass through digestion and can vary widely in absorption.
For this reason, injections are commonly used in structured NAD+ restoration protocols.
Different delivery methods affect how NAD+ is absorbed and utilized:
Because of this, injections are generally considered the most reliable option, while nasal spray is typically used when injections cannot be tolerated.
NAD+ injections are commonly used 3–5 days per week during an initial restoration phase and during maintenance. Dosing frequency varies by individual and is outlined during onboarding based on health goals and medical review.
Yes. If prescribed injections, patients self-administer at home. Clear instructions and educational resources are provided. Injections are designed to be manageable even for individuals without prior injection experience.
Most NAD+ injections require refrigeration unless otherwise directed. Always follow the storage instructions provided with your prescription to ensure product stability.
Some individuals notice changes within days or weeks, while others experience more gradual effects. Response depends on baseline NAD+ levels, overall health, and consistency of use.
NAD+ therapy is commonly used alongside GLP-1 therapy as a supportive option, particularly for individuals focused on energy, metabolic support, and overall cellular health while undergoing weight management.
NAD+ does not replace GLP-1 therapy and is not required. Whether the two therapies are appropriate together depends on individual health factors and is determined during medical intake.
NAD+ and glutathione are commonly paired because they support different but complementary cellular processes.
NAD+ plays a role in cellular energy production and metabolic function, while glutathione is a key antioxidant involved in protecting cells from oxidative stress. Because these roles are distinct, some individuals choose to use NAD+ and glutathione together as part of a broader, provider-guided approach to cellular support.
This combination is optional and determined based on individual health factors.
NAD+ therapy may be used alongside other treatments as part of a broader, provider-guided wellness approach. Commonly paired options may include:
Combination therapy is not required and is only offered when appropriate based on medical evaluation.
When prescribed and monitored by a licensed medical provider, NAD+ therapy is generally well tolerated. As with any medical treatment, potential risks and side effects should be reviewed during your evaluation.
Some individuals may experience mild side effects such as injection-site discomfort, flushing, or temporary fatigue. More significant side effects are uncommon but possible. Any unexpected symptoms should be reported to your provider.
NAD+ is not FDA-approved as a drug to diagnose, treat, cure, or prevent disease. However, licensed medical providers may prescribe NAD+ through compounding pharmacies as part of a personalized care plan. Telezen MD operates within applicable telehealth and pharmacy regulations.
NAD+ therapy is not appropriate for everyone. Eligibility depends on medical history, medications, and individual health factors reviewed during intake.
Yes. A completed medical intake and provider review are required before NAD+ therapy can be prescribed. Treatment is only provided if a licensed clinician determines it is appropriate.
NAD+ levels naturally begin to decline in early adulthood, often starting in the late 20s to early 30s. Many individuals explore NAD+ therapy in their 30s, 40s, and beyond as part of a proactive approach to cellular health.
Age alone does not determine candidacy. Suitability is based on individual health factors and medical review.
No therapy works the same for everyone. Individual response to NAD+ therapy varies based on biology, lifestyle, and health history. Your provider will help set appropriate expectations during your evaluation.
NAD+ therapy is available only to patients who qualify following an online medical consultation with a licensed healthcare provider. Any potential benefits described are based on published scientific research and clinical observations and are not guarantees of individual outcomes. Results may vary.
Physicians may prescribe compounded medications when clinically appropriate to meet individual patient needs. Compounded medications are not reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety or efficacy. The statements on this page have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease.
This information is provided for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional regarding any medical condition or treatment. If you experience any adverse effects while using this therapy, contact your healthcare provider immediately.
Product packaging, labeling, and appearance shown on this website are for illustrative purposes only. Actual packaging may vary depending on the compounding pharmacy, prescription requirements, and clinical determination.
Below is a selection of peer-reviewed scientific studies exploring the role of NAD+ in cellular energy, aging, and metabolic function. These studies are provided for informational purposes and to support ongoing scientific research into NAD+ biology.
1. NAD+ and Sirtuins in Aging and Disease
Cell Metabolism – Imai & Guarente
https://pmc.ncbi.nlm.nih.gov/articles/PMC4112140/
2. NAD+ Metabolism, Signaling, and Cellular Function
Nature Reviews Molecular Cell Biology
https://www.nature.com/articles/s41580-020-00313-x
3. Roles of NAD+ in Aging and Age-Related Disease
Frontiers in Molecular Biosciences
https://www.frontiersin.org/articles/10.3389/fmolb.2023.1186039/full
4. Declining NAD+ Induces a Pseudohypoxic State During Aging
Cell Reports
https://www.cell.com/cell-reports/fulltext/S2211-1247(16)31604-3
5. NAD+ and Mitochondrial Communication in Aging
Trends in Cell Biology
https://www.cell.com/trends/cell-biology/fulltext/S0962-8924(16)30107-3
6. Dietary Supplementation Increases NAD+ Levels in Humans
Nature Communications
https://www.nature.com/articles/s41467-018-03421-7
7. Nicotinamide Riboside Supplementation in Healthy Adults
American Journal of Clinical Nutrition
https://academic.oup.com/ajcn/article/108/2/343/5031744
8. Clinical Trials Investigating NAD+ and Precursors
U.S. National Library of Medicine – ClinicalTrials.gov
https://clinicaltrials.gov/search?cond=&term=NAD%2B
9. Nicotinamide Riboside Improves Metabolic Function in Animal Models
Scientific Reports (Nature)
https://www.nature.com/articles/srep26933
10. NAD+ Supplementation and DNA Repair in Preclinical Models
Proceedings of the National Academy of Sciences (PNAS)
https://www.pnas.org/doi/10.1073/pnas.1416585111