Medically supervised NAD+ injections — about a minute a week at home after training, or walk into our Puyallup or Federal Way clinic and a medical assistant will give your shot free if you’re needle-shy. Same molecule patients chase in $300–$800 IV lounges, without the chair time. Online shops ship a box. We show up with actual humans.
Prescribed only when appropriate. NAD+ is not FDA-approved for any specific indication. Compounded preparations are not FDA-reviewed for safety, efficacy, or quality before distribution. Results vary.
NAD+ is not FDA-approved for any specific medical indication. Compounded NAD+ preparations do not undergo FDA review for safety, efficacy, or quality prior to distribution. This page is informational and is not a substitute for medical advice. Individual results vary.
NAD+ is the coenzyme your cells use to make energy and run repair pathways. Published research shows levels can drop substantially by midlife — which is why so many adults in their 40s–60s describe fog, flat energy, and slower bounce-back. We don’t guess on the internet. We evaluate you in clinic and only prescribe if it’s a fit.
They’re not looking for another mystifying supplement bottle. They want clearer thinking, steadier energy, and a protocol they can actually stick with — backed by a local clinic, not a tracking number.
After consult, if NAD+ is appropriate, you’re trained for a weekly home injection or you walk in and our medical assistant does it free. That combination — medical oversight + human backup — is the whole offer.
A lot of our weight-loss patients want more day-to-day drive and mental clarity while they stay consistent. NAD+ is not a weight-loss drug — it doesn’t replace your GLP-1 — but many patients in our care ask about stacking it with the same team they already trust.
You’re already a patient. Skip the stranger-internet peptide shopping. Book a quick add-on consult and we’ll review whether it fits your medications and goals.
Tiny injection into fatty tissue (same idea as insulin). ~1 minute weekly at home after we train you — or come in and a medical assistant injects you free if needles freak you out. IV lounges want hours and hundreds per drip. Online shops leave you alone with a box. We built the middle path that patients finish.
| Feature | SubQ InjectionOUR METHOD | IV Infusion | Oral Supplements |
|---|---|---|---|
| Absorption (approx.) | ~80%* | ~100% | Significantly lower |
| Time per dose | ~1 minute | Often 3–4 hours | Seconds |
| Where it’s done | Home weekly — or free MA shot in clinic | IV clinic only | Anywhere |
| Typical cost context | From about $24/week if on $99 plan** | Often $300–$800 / session | Varies widely |
| Clinical supervision | Yes — PNWMG prescriber & team | Yes | Usually none |
| Needle-shy / in-person help | Yes — MA can inject free at clinic | Staffed IV session (paid visit time) | None — you’re on your own |
| Practical for ongoing use | Designed for sustainable routines | Time & cost limit many people | Easy, lower ceiling |
*Approximate bioavailability discussed for subcutaneous route — not a guarantee of clinical effect. **Only if prescribed; pricing shown for orientation. IV comparisons are typical market ranges, not a guarantee of competitor pricing. Routes and experiences are not interchangeable.
The cellular biology is well published. What you feel is personal — some patients notice the fog lift first, others notice energy or recovery. We don’t hype miracles. We run a real protocol and tell you straight when it’s not a fit.
NAD+ sits in the pathways that make ATP — cellular fuel. Many patients come in wanting energy that doesn’t feel like caffeine theater. Individual response still varies.
When someone on our protocol tells us they notice a change, clearer thinking is the phrase we hear first and most. Not everyone gets there. The ones who do talk about it.
NAD+ fuels enzymes involved in DNA repair biology. That’s foundational science — one reason people pursue NAD+ as part of a longer healthy-aging plan, not a one-week fad.
Sirtuins (key cellular stress-response proteins) need NAD+ to do their job. We talk healthy aging and cellular support — not fountain-of-youth nonsense.
Patients who train, work long days, or just feel wiped by Thursday often care about bounce-back. Sleep, protein, and your full plan still matter — NAD+ is one more lever.
NAD pathways show up throughout metabolic research. This is not diabetes treatment and not a glory-drug claim — it’s cellular support beside the rest of your care plan.
Book a real open slot. 15 minutes that can open a weekly protocol — home or free in-clinic shot — from $99/mo if prescribed. Styku body scan included. Cancel anytime.
Book → we decide fit → weekly NAD+ at home or free MA shot in clinic. No 4-hour IV chair. No lonely internet unboxing.
Grab a live open time — or call. We review goals, history, and meds. Straight answer: good fit or not. Puyallup or Federal Way.
If you’re a fit, choose ongoing prefilleds ($99/mo) or a one-time vial ($299). Both include a monthly Styku 3D body scan + full report — normally a $99/mo value alone. We train you before anything goes home.
One small shot weekly. Home after training — or walk into clinic and our MA injects you free. Check-ins. Cancel the monthly plan anytime. You’re not stuck.
Hate needles? Come to Puyallup or Federal Way and a medical assistant gives your weekly injection free — every time if you want. Try finding that from an online peptide store. You won’t.
No IV lounge markup. No mystery subscriptions. Pricing applies only after a licensed prescriber says NAD+ is appropriate for you — then you choose the path that fits.
PNWMG protocol orientation (if prescribed): Weeks 1–2 often 150 mg once weekly; then 100 mg once weekly for the remainder of the cycle / maintenance. On the $99/mo ongoing plan, those first two 150 mg weeks are included at no additional charge. Your prescribed dose and schedule may differ after clinical review. Storage: always refrigerate (typically 36–46°F); do not freeze; protect from light. Follow multi-dose vial discard guidance after first puncture. Prefilled syringes stay refrigerated until use.
NAD+ biology shows up in journals like Cell, Nature, and Science. That’s why serious clinics pay attention. Published pathway science is not FDA approval of our compounded product — and it’s not a promise about your personal results — but it’s a lot stronger than influencer vibes.
NAD+ helps shuttle electrons in pathways that generate ATP — the energy currency cells use. Depletion is one reason scientists study energy metabolism and aging.
SIRT-family proteins involved in stress response and gene regulation depend on NAD+. This is foundational cell biology still being translated into clinic practice.
PARP enzymes use NAD+ as they participate in DNA repair responses. Basic science does not mean every person feels a discrete “repair” effect from supplementation.
CD38 is a major NAD+-consuming enzyme. Activity can rise with age and inflammation in researched models — one reason levels fall over decades.
Important: journal science ≠ FDA approval of compounded NAD+ for any disease. We don’t treat, cure, or prevent conditions with marketing claims — we evaluate you and prescribe only when appropriate.
Real themes from our clinics — not stock marketing. Individual results vary. Never guaranteed. Ask us for current Google reviews when you book.
“About a month in, the brain fog lifted at work. The weekly shot is literally a minute after they trained me — or I just come in.”
“I was needle-shy, so I come in and a medical assistant gives my weekly shot — free. No online shop does that. When I’m ready, they already trained me for home too.”
“I was already in their weight-loss program. Asking about NAD+ with the same team made it feel like medical care, not a random internet peptide site.”
Shops sell vials. We run a medical relationship — training, free MA shots, monthly Styku, humans who answer the phone.
Book Your Consult — See Open Times
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See live open slots in Puyallup or Federal Way and book online in under two minutes. We’ll tell you if NAD+ is a fit. If it is, you’ll leave with a clear plan — monthly membership or vial, home or free MA shot, Styku included.
Call or text either line and say you’d like an NAD+ consult. Our clinic team can also place the appointment for you.
www.pnwmedicalgroup.com