The Best Online NAD+ Injection Providers

Introduction

NAD+ injections have become a key aspect of health for many people, with potential benefits for longevity, metabolism, and healthy aging. NAD+, or nicotinamide adenine dinucleotide, may offer support for fatigue, stamina, and mental clarity. However, while several online platforms offer NAD+ shots, it can be difficult to differentiate which ones are the safest and most reliable. The best online NAD+ injection providers are those that are transparent about who compounds the actual product, which licensed providers work with them, and upfront costs. We reviewed five telehealth providers of compounded NAD+ injections: Shed, Joi + Blokes, bmiMD, Get Thin MD, and Sprout Health. Each provider was reviewed based on several factors for quality, safety, and customer support.

Medical disclaimer: This article is for informational purposes and should not be considered medical advice. NAD+ injections sold through telehealth platforms are compounded products. They are not FDA-approved drugs and should only be used with guidance from a healthcare provider. The FDA has reported adverse effects after injectable NAD+ products, such as severe chills, vomiting, shaking, and fatigue, related to high endotoxin levels.¹

Provider Comparison

Provider	Our Score	Trustpilot	Learn More	BBB	Best for	Get Started
tryshed.com	★ 4.3/5	4.7★ (1,098)²	Read Our Review	B (not accredited)³	Named, licensed compounding pharmacies disclosed	View Offer ↗
joiandblokes.com	★ 4.2/5	4.6★ (1,393)⁴	Read Our Review	No grade (not accredited)	Established health platform that offers different NAD+ formulations	View Offer ↗
bmimd.com	★ 4.0/5	4.4★ (868)⁵	Read Our Review	C+ (not accredited)⁶	Competitive long-term price with pharmacy and testing transparency	View Offer ↗
getthinusa.com	★ 3.8/5	4.6★ (3,469)⁷	Read Our Review	F (not accredited)⁸	Simple bundled pricing with injection or nasal forms	View Offer ↗
joinsprouthealth.com	★ 3.5/5	3.6★ (117)⁹	Read Our Review	F (not accredited)¹⁰	Transparent dosing and pricing	View Offer ↗

What to Consider

There are different factors to consider when choosing an online NAD+ provider. It’s not always about the lowest cost. Since most providers offer the injectable form, it’s important to evaluate how they handle sterile sourcing and clinical oversight.

Licensed Provider Review

A legitimate online NAD+ program typically works with healthcare providers who review whether NAD+ is appropriate for a given patient. That means going over patient answers to a questionnaire or other intake form. Platforms that offer automatic approvals should be a red flag.

Prescription, Compounded-Medication Framing, and Claims

NAD+ injections are compounded prescription products, not FDA-approved drugs.¹¹ That means they have not gone through the same extensive clinical trials as medications that have been studied for safety, effectiveness, and quality. While online platforms may market NAD+ for energy and anti-aging, these benefits have not been established and should not be marketed as drugs that can treat, cure, or prevent any disease.

Pharmacy Sourcing and Sterile Compounding

The compounding pharmacy that makes the NAD+ injections is a key factor to consider. Not only will the best online NAD+ injection providers work with a state-licensed compounding pharmacy, but they will also openly name the pharmacy partner and show their quality testing results and sterile compounding processes. You’ll want to look for a named, state-licensed pharmacy on the platform’s website. If they go into detail about 503A or 503B status and any documented testing for potency and quality, that’s a plus.

Transparency on Dosage Forms and Dosing Plans

The best providers will provide details on the milligrams of NAD+ per vial, the concentration, any supplies that come with the product, and how it will be dosed. Watch for providers that recommend more frequent dosing schedules, which could increase the total dose and costs over time.

Subscription Fees and Total Costs

Prices can be difficult to compare since many online platforms promote discounts for the first month and various subscription plans. It’s important to check what the costs include, such as the actual product, a consultation with a healthcare provider, supplies, and shipping. In addition, some programs may not clearly outline their auto-renewal or refund policies.

Guidance and Ongoing Support

NAD+ providers should make it easy to contact support or get ongoing help with refills and other concerns. Strong customer support can help patients get refill guidance, report side effects, and contact a clinician when questions arise, which may lead to a positive difference between getting the desired results and facing potential ineffectiveness or adverse events.

What Happens After You Order

A typical process for obtaining NAD+ injections online includes filling out an intake form, having a healthcare provider evaluate your medical history, and getting the prescription approved and filled. Platforms that skip the intake step or give an automatic approval should be avoided.

Safety, Legality, and Sourcing

Are online NAD+ injections safe?

NAD+ injections are relatively safe and depend on appropriate clinical review, licensed pharmacy sourcing, sterile preparation, proper storage, and correct use. However, NAD+ injections generally carry more risks than oral supplements. The FDA published warnings about potential adverse events after using NAD+ injections, such as severe chills, shaking, vomiting, and fatigue, due to contamination with endotoxins.¹ These adverse effects were mainly linked to products made with food-grade, not pharmacy-grade NAD+.

Are online NAD+ injections legal, and are they FDA approved?

NAD+ injections may be legally prescribed and dispensed when the prescriber, pharmacy, ingredients, and compounding process comply with applicable federal and state requirements. However, compounded products, including compounded NAD+ injections, are not FDA-approved drugs.¹¹ Although compounded medications may be appropriate when prescribed by a healthcare provider, they are not FDA-approved and have not been put through extensive clinical trials like approved medications. If a provider states their NAD+ injections are FDA-approved, that is an inaccurate claim.

How to spot a risky provider

Warning signs to watch for:

Ships without a prescription or guarantees approval
Will not name its compounding pharmacy or its 503A or 503B status
Shows no sterility, potency, or endotoxin testing results
Heavily promotes treatment, cure, or disease claims
Uses food-grade or research-only NAD+ instead of pharmacy-grade

Provider reviews

1. Shed

Best for: LegitScript certified with named compounding pharmacies

Trustpilot: 4.7★ across 1,098 reviews²

At a glance:

✓ NAD+ injection sourced from named, licensed compounding pharmacies with a displayed LegitScript seal¹²

✓ Priced at $169 per month for a one-month supply injected three times weekly

✓ Established platform, more than 150,000 members, founded in 2022 as ShedRx

✗ Requires a subscription with a two-month minimum commitment, not a single purchase

✗ Limited details on NAD+ since the platform is focused on GLP-1 weight loss

✗ Around 100 BBB complaints closed in the past 12 months (as of July 2026), mainly about billing and cancellations³

Verdict

What works: Shed lists its compounding pharmacies in its terms and shows a LegitScript seal on the front page, which is a factor this product category rewards.

What to know: The $169 per month price is based on an auto-renewing subscription with a two-month minimum, although they also offer NAD+ oral tablets and nasal sprays.

Skip if: You want a single injection kit with no recurring commitment, or a provider with reviews specific to its NAD+ program.

What patients say

Shed’s Trustpilot reviews generally revolve around its GLP-1 product line rather than its NAD+ products. Therefore, it may not be fair to assess the platform based on these reviews for those looking for NAD+ injectables. Still, Shed’s BBB profile shows 102 complaints closed in the last 12 months up to July 2026.³ Its B rating means the company is consistently responding and resolving these complaints. While negative reviews discuss problems canceling subscriptions and trouble contacting support, positive ones highlight an easy signup process.

Pricing

Plan	Cost	Notes
NAD+ injection, subscription	$169/month	One-month supply, injected 3 times per week, two-month minimum
With third-party promo code	~$101.40	Affiliate code, verify at checkout

Pricing as of July 2026.

Shed (formerly ShedRx) is a Utah-based platform launched in 2022 that added NAD+ to a lineup built around GLP-1 medications.¹²The platform also offers a NAD+ nasal spray at $144 per month for a one-month supply and oral NAD+ tablets for $169 per month for a one-month supply. You can get support from the team about any adjustments or other concerns throughout treatment.

What you get: NAD+ injection kit, evaluation by a licensed clinician, online intake, injection instructions, home delivery.

What’s not included: A one-time purchase option, subscription savings for multi-month plans, lab work.

Watch for: Shed’s terms require a two-month minimum, with the plan renewing monthly. That means the first commitment is effectively $338 before you can cancel. Third-party reviewers may have affiliate codes that can lower the first month to almost $100, but these are not prices published directly on the main site, so verify prices at checkout.

Insurance and payment

Insurance: not accepted for compounded NAD+ products
HSA/FSA: Shed allows HSA/FSA funding through its TrueMed partnership
Insurance concierge: not found

Cancellation and refunds

Cancellation method: cancel at least 72 hours before the next billing date after you’ve met the two-month minimum
Refund policy on medication: shipped medication is non-refundable
Refund policy on eligibility denial: membership fee refunded if a provider does not approve you
Auto-renewal terms: renews monthly after the initial commitment

Clinical oversight

Clinicians: a care team including a physician, a nurse, and a health coach is listed on the NAD+ page
Consultation format: short asynchronous intake reviewed by a licensed provider, although a synchronous evaluation may be done in states that require it
Pharmacy partner: Strive Compounding Pharmacy (Arizona), Promise Pharmacy (Florida), and Foothills Professional Pharmacy (Arizona), named in Shed’s terms as accredited U.S. compounding pharmacies.¹³ Shed does not publish a 503A or 503B tier, and third-party write-ups describing them as 503A are unconfirmed
Lab requirements: not routinely required
State availability: available in most states

Our take

Shed earns the top spot since it has the best BBB rating out of the reviewed providers, is LegitScript certified, and offers a decent subscription plan. Still, for those wanting a single-purchase option, Shed might not be the best choice. The complaints and negative reviews on billing concerns might deter some people, but overall, Shed can be a straightforward option, especially for those on long-term NAD+ injections.

Visit Shed

2. Joi + Blokes

Best for: Established telehealth platform that has single-purchase options, 1-to-1 coaching, and a support community.

Trustpilot: 4.6★ across 1,393 reviews

At a glance:

✓ Choice of subcutaneous injection or nasal spray

✓ Offers a one-time purchase option with the ability to save with an ongoing subscription

✓ HSA/FSA accepted through Flex, with a full refund if a clinician declines you

✗ Canceling requires emailing at least 30 days before the next charge

✗ The lowest rate requires a subscribe-and-save plan with a three-month minimum

✗ The one-time purchase option is $500 for a 10-week supply, which may be expensive for some

Verdict

What works: One of the most established providers in this set, with a large review base, two available dosage forms, and HSA/FSA support.

What to know: Joi names its partner pharmacies in its terms but gates the lowest rate behind a subscribe-and-save plan with a three-month commitment.

Skip if: You want a no-commitment plan you can cancel anytime, or a lower-cost way to try NAD+ than the $500 one-time option.

What patients say

Joi + Blokes has over 1,000 reviews on Trustpilot, with most criticisms based on how the platform runs its operations.⁴ Negative reviews discuss delayed shipping, slow email support, and occasional problems with order fulfillment. Its BBB profile is not accredited, with complaints focused on refunds and communication.

Pricing

Plan	Cost	Notes
Injection, one-time	$500	10-week supply, equivalent to $215 per month
Injection, subscription	$172/month	$400 per 10-week supply

Pricing as of July 2026.

The table does not mention two important caveats: subscribing to save requires a three-month minimum, and residents of New York and New Jersey may see different pricing because of state requirements.¹⁵ Joi + Blokes offers a full refund if the provider declines a prescription, though its general refund page states that prescription sales are final. Joi + Blokes also offers an NAD+ nasal spray for $187 as a one-time purchase or $150 per month and free shipping if you subscribe.¹⁴

What you get: NAD+ injection or nasal spray, board-certified clinician review, health coaching, unlimited care-team messaging, home delivery.

What’s not included: Insurance billing and lab work.

Watch for: The lowest monthly rate only applies to subscribing for a minimum of three months. The injectable and nasal spray versions have different prices. It’s important to check the terms for auto renewal and refunds at checkout.

Insurance and payment

Insurance: not accepted for compounded NAD+ products
HSA/FSA: accepted through the Flex payment option
Insurance concierge: not applicable

Cancellation and refunds

Cancellation method: contact the company by email at least 30 days before the next charge, after three months of subscribing
Refund policy on medication: full refund if a clinician declines eligibility; prescription sales otherwise described as final
Refund policy after dispensing: not refundable
Auto-renewal terms: subscriptions automatically renew

Clinical oversight

Clinicians: board-certified clinicians with health coaching and unlimited messaging
Consultation format: online intake and provider review, asynchronous or synchronous
Pharmacy partner: partners include Strive Pharmacy, Pharmacy Hub, Tailor Made Compounding Pharmacy, Cadre Labs, Empower Pharmacy, LillyDirect Self Pay Pharmacy Solutions, and Partell Pharmacy¹⁵
Lab requirements: lab testing recommended but not required for NAD+
State availability: 50 states per Joi + Blokes

Our take

Joi + Blokes may be a good option for people looking for an established platform with injectable and nasal spray options, in addition to personalized coaching and HSA/FSA support. However, the subscription plan may not be as flexible as other platforms with its 30-day notice requirement, and the one-time purchase option may be costly for some.

Visit Joi + Blokes

3. bmiMD

Best for: Low annual pricing plans with pharmacy transparency

Trustpilot: 4.4★ across 868 reviews⁵

At a glance:

✓ $89 per month on a 12-month plan, equal to $1,068, which is one of the lowest long-term prices in this review¹⁶

✓ Names one of its compounding pharmacies and offers the option to choose an alternate compounding pharmacy

✓ Shows medication quality testing information, including potency, sterility, endotoxin, and pH testing¹⁶

✗ Key details are spread across multiple pages, and its pages contradict each other on state availability

✗ Multi-month plans require paying the full total cost upfront

✗ Some third-party reviews suggest billing problems and shipment issues

Verdict

What works: One of the lowest annual subscription prices in this comparison, alongside a named compounding pharmacy and quality testing information on the product page.

What to know: The subscription fee for multiple months needs to be paid as the total for that time period, and NAD+ products may not be available in every state.

Skip if: You want a flexible month-to-month plan without paying upfront for longer-term discounts.

What patients say

bmiMD’s Trustpilot score is 4.4★ out of nearly 1,000 reviews, while its BBB rating is C+ with the profile not accredited.^5,6 The most serious concerns involve billing and shipping issues, such as unexpected charges and at least one report of medication shipped without adequate cold packing in hot weather. Positive feedback focuses on fast onboarding and same-day consults.

Pricing

Plan	Monthly cost	Total upfront
12 month subscription	$89/month	$1,068
6 months subscription	$99/month	$594
3 months subscription	$109/month	$327
1 month subscription	$119/month	$119

A nasal spray is available but priced $10 higher at every tier, from $99 per month on a 12-month plan up to $129 for a single month. There is also a notice on the site stating that prices will increase after early August 2026. Subscription orders include free shipping and direct access to a clinician via messaging.¹⁶

What you get: Wide variety of subscription options, free shipping, clinician access, clear language about potency, sterility, and endotoxin testing.

What’s not included: Routine lab testing, insurance billing, or a dedicated insurance concierge.

Watch for: bmiMD’s pages conflict on state availability. The main page says the platform works in all 50 states, while the NAD+ product page says it’s available in all states except Alabama, Arkansas, California, Kentucky, Louisiana, Mississippi, North Carolina, North Dakota, and South Carolina.¹⁷

Insurance and payment

Insurance: self-pay model, no insurance billing
HSA/FSA: eligible, payable by card at checkout
Insurance concierge: not found

Cancellation and refunds

Cancellation method: through the account portal or by email, with the terms stating a 48-hour-before-processing window
Refund policy on medication: all sales described as final once the pharmacy processes the order
Refund policy on eligibility denial: authorization hold released if you are not eligible, though a cancellation fee may apply after approval
Auto-renewal terms: billed upfront per commitment and renewed based on the subscription selected

Clinical oversight

Clinicians: 24/7 clinician access, online care, and unlimited provider messaging listed
Consultation format: online telehealth intake with a same-day consultation offered
Pharmacy partner: Precision Compounding Pharmacy, which is described as a licensed 503A compounding pharmacy; the operating entity is Medccm Inc.⁶
Lab requirements: not required
State availability: pages conflict; verify at checkout

Our take

bmiMD is a strong option for people who want the lowest long-term price and who value transparency on compounding pharmacies and quality testing. However, it’s important to verify the terms and fine print, since the multi-month plans need to be paid as one total payment upfront. In addition, the NAD+ products may not be available in all states.

Visit bmiMD

4. Get Thin MD

Best for: Bundled pricing with injectable or nasal NAD+ options

Trustpilot: 4.6★ across 3,469 reviews⁷

At a glance:

✓ Entry pricing advertised from $129 per month with consult, prescription, supplies, and shipping bundled¹⁸

✓ Injection and nasal spray both available online

✓ Names a Chief Medical Officer and displays a HIPAA badge

✗ Relies heavily on longevity marketing rather than established clinical evidence

✗ For many, the target NAD+ dosing schedule is 3 to 5 times weekly

✗ The $129 rate is the price per month when purchasing a multi-month plan, not the $199 month-to-month rate

Verdict

What works: Bundles the consult, pharmacy compounding, and 1-to-1 coaching into one advertised monthly price, while offering injectable and nasal NAD+ options with a named medical leader.

What to know: The $129 entry price on the product page is what you’ll pay after committing to several months; otherwise, the monthly rate is $199, and the injection is dosed 3 to 5 times per week, which may be more frequent than competitors.

Skip if: You’d rather avoid commitment pricing or a loading protocol that requires injections several times per week.

What patients say

Get Thin MD’s Trustpilot score sits at 4.6★ with over 3,000 reviews, but its BBB rating is F, with 17 of its 21 complaints going unanswered (as of July 2026).^7,8 Positive reviews mention an easy intake process, quick shipping, and fast responses from the care team. The BBB complaints involve disputes with billing and some negative reviews about customer service.

Pricing

Plan	Monthly cost	Notes
NAD+ injection, monthly subscription	$199/month	Standard rate
NAD+ injection, multi-month subscription	From $129/month	Requires a multi-month plan
Promotional pricing (Summer Sale)	Save $150	Verify at checkout

Pricing seems to be inconsistent across different pages of the site. $129 per month refers to the price for a 3-month commitment on the main page, but it’s described as the price for a 12-month commitment on the actual product page. Confirm what price you’re locking in when purchasing. In any case, the price includes the online medical evaluation, prescription, pharmacy fulfillment, and shipping. Keep in mind the dosing for the injection starts at 0.2 mL up to five times weekly during a loading phase and is then increased by 0.2 mL per week to a maximum of 1 mL.¹⁸

What you get: Online medical evaluation, prescription if approved, compounded NAD+ injection or nasal spray, pharmacy fulfillment, injection supplies, free shipping.

What’s not included: Lab work, HSA/FSA information, third-party testing results for sterility and potency.

Watch for: Check how many months the $129 price is advertised for, and note that the 3-to-5-times-weekly protocol may increase the total dose and cost relative to competitors.

Insurance and payment

Insurance: self-pay, not required
HSA/FSA: not mentioned on the site
Insurance concierge: not found

Cancellation and refunds

Cancellation method: cancel anytime, effective within 36 hours, before the next billing date
Refund policy on medication: shipped medication is non-refundable
Refund policy on eligibility denial: full refund of the current cycle if a provider disqualifies you
Auto-renewal terms: billed on a recurring basis until canceled

Clinical oversight

Clinicians: named Chief Medical Officer Dr. Robert Darling, with an online medical visit and physician approval before a state-licensed pharmacy fills the prescription
Consultation format: online medical visit with asynchronous review, plus phone support 8 am to 10 pm EST daily
Pharmacy partner: named partners include Triad Rx (Alabama), Precision Medicine (New York), RedRock (Utah), and Beaker (Texas), which are claimed to be FDA-registered and state-licensed, although no compounding-specific accreditation is published
Lab requirements: not required, recommended
State availability: available in most states, depending on state regulations

Our take

Get Thin MD may be a good option for those who want to pay a single advertised price for the choice of an injection or nasal spray. With a named medical officer and pharmacy partners, the platform is transparent on who is overseeing the process and actually compounding the product. However, some of the marketing may overstate the evidence for NAD+ products, and their weekly protocol may be considered intensive compared to other platforms.

Visit Get Thin MD

5. Sprout Health

Best for: Clear product details and information

Trustpilot: 3.6★ across 117 reviews⁹

At a glance:

✓ Offers a 1000 mg (5 mL) vial and a complete home injection kit²⁰

✓ States they use state-licensed compounding pharmacies and shows a LegitScript seal

✓ Free initial consultation, with no charge if a clinician finds you ineligible

✗ Sprout Health Partners LLC received an FDA warning letter in September 2025 over compounded GLP-1 marketing¹⁹

✗ BBB rates the profile F and not accredited, the lowest grade in this comparison article¹⁰

✗ Reviews repeatedly discuss a cancellation process that fails, leading customers to file disputes with their credit card companies

Verdict

What works: The product page shows clear information on what exactly you’re getting, including a 1000 mg vial and a complete injection kit.

What to know: The operating company is relatively new, the BBB rating is low, and they don’t provide in-depth information about partner compounding pharmacies.

Skip if: You prefer a provider that publishes detailed pharmacy classifications, accreditation information, and product-testing documentation.

What patients say

Sprout has mainly negative feedback, with few positive reviews on Trustpilot and BBB. They have a Trustpilot score of 3.6, with just over 100 reviews.⁹ The number of reviews is due to the company being one of the newest platforms in this comparison. Their BBB record shows an F rating due to complaints with billing and cancellation.¹⁰ Some customers complain about unresponsive customer support or not receiving the product they purchased.

Pricing

Plan	Monthly cost	Notes
Monthly subscription	$249/month	$199 for the first month
3-month subscription	$225/month	$175 for the first month

The first month starts at $175 or $199, depending on the subscription you purchase. Then, the following months are auto-renewed at the standard rates. For the monthly plan, a month is considered four weeks, which may lead to 13 charges per year, rather than 12. Each shipment includes a 1000 mg sterile preservative-free NAD+ vial, syringes, alcohol swabs, and a sharps container.²⁰

What you get: 1000 mg NAD+ vial, complete home injection kit, licensed provider review, product made by a licensed compounding pharmacy.

What’s not included: Lab work, a nasal spray form option, third-party testing results for sterility and potency.

Watch for: The promotional $199 monthly price automatically renews at $249 every four weeks, and customer reviews express trouble canceling well before the renewal date.

Insurance and payment

Insurance: not accepted for compounded NAD+
HSA/FSA: not stated on the site
Insurance concierge: not found

Cancellation and refunds

Cancellation method: through the online customer portal
Refund policy on medication: all prescription medications are non-refundable
Refund policy on eligibility denial: no charge if a clinician finds you ineligible
Auto-renewal terms: renews every 4 weeks at $249 (monthly plan)

Clinical oversight

Clinicians: ongoing licensed provider support listed
Consultation format: free initial consultation reviewed asynchronously, with live review only if your state requires it
Pharmacy partner: Foothills Pharmacy and Promise Pharmacy, named in Sprout’s terms as state-licensed compounding pharmacies; 503A or 503B status not disclosed²¹
Lab requirements: none required
State availability: excludes Alabama, Arkansas, California, Kansas, Louisiana, Mississippi, New Mexico, and North Dakota; Massachusetts is served

Our take

Sprout Health can be a potential option for people who value transparency in the product they’re getting and who live in one of the states the platform serves. However, it may be hard to overlook the company’s regulatory record involving an FDA warning letter. While the warning letter may have been resolved by the company, there are still negative reviews and complaints about billing and cancellations.

Visit Sprout Health

Conclusion

There is no single best online NAD+ injection provider, since the one you choose will depend on what you’re looking for and what you value the most. Shed led our rankings with its strong BBB rating, named compounding pharmacy partners, and reasonable pricing. Joi + Blokes is an established platform that stands out for its injectable and nasal forms, as well as its one-time fee option. bmiMD was the only platform in this list that explicitly showed its quality testing processes on the product page alongside a variety of pricing options. Get Thin MD has reasonable bundled pricing, and Sprout Health has strong product transparency, although it ranked lowest with its customer reviews. Whichever platform you choose, it’s important to look closely at the intake process, who is actually compounding the product, and the customer support behind the whole operation.

FAQs

Can you buy NAD+ injections online without a prescription?

No. An NAD+ injection is a compounded prescription product, and you’ll need to be assessed by a licensed healthcare provider who will determine whether it is appropriate before prescribing it. Any site that sells NAD+ injections without a prescription is a red flag.

How do you store NAD+ injections at home?

Most compounded NAD+ injection vials should be kept in the refrigerator and away from light. However, it’s important to follow the storage instructions supplied by the compounding pharmacy. If a shipment arrives hot or warm, contact the pharmacy before using it.

What happens if you miss a NAD+ injection dose?

If you miss a dose, continue your regular schedule instead of doubling up. If you’re not sure, consult your healthcare provider for instructions, especially if you just started treatment and are taking a loading dose.

Can you travel with NAD+ injections and supplies?

Yes, it’s possible to travel with NAD+ injections and supplies. Make sure to keep the medication in its original labeled packaging and keep a copy of your prescription. You’ll also want to bring a cold pack to keep it cold. TSA allows injectable medications in carry-on luggage, but TSA rules only apply to U.S. airport security screening.²² TSA does not determine airline policies, customs requirements, or restrictions in other countries.

What’s the difference between subcutaneous and intramuscular NAD+ injections?

A subcutaneous injection goes into the layer of fat just under the skin, while intramuscular injections go into the muscle. Most at-home NAD+ injections come as subcutaneous injections due to their ease of use, but some platforms may prescribe an intramuscular injection.

How do NAD+ injections compare to NAD+ IV therapy?

Injections are typically given at home under the skin, while IV therapy is administered in a clinic. IV sessions generally offer a higher dose and can take longer to administer. Consult a healthcare provider to determine which is best for you.

What are the common side effects of NAD+ injections?

NAD+ injections may cause common side effects like redness, swelling, or bruising around the injection site. Some people may also report flushing or nausea. In severe cases, NAD+ injections have been known to cause severe chills, shaking, vomiting, and fatigue. The FDA has linked some of these serious reactions to excessive endotoxin exposure or concerns about ingredients used in sterile compounding.¹

Can NAD+ injections be combined with GLP-1 medications?

Many telehealth platforms may offer NAD+ products and GLP-1 medications. However, there are limited studies discovered on combining the two, and it’s important to follow a healthcare provider’s instructions when combining medications.

References

FDA reminds compounders to use ingredients suitable for sterile compounding, FDA (2024)
Shed reviews, Trustpilot (2026)
Shed business profile, BBB (2026)
Joi + Blokes reviews, Trustpilot (2026)
bmiMD reviews, Trustpilot (2026)
bmiMD (Medccm, Inc.) business profile, BBB (2026)
Get Thin MD reviews, Trustpilot (2026)
Get Thin MD business profile, BBB (2026)
Sprout Health reviews, Trustpilot (2026)
Sprout Health business profile, BBB (2026)
Human drug compounding: 503A and 503B, FDA (2025)
Shed NAD+ product page, Shed (2026)
Shed terms of service, Shed (2026)
Joi + Blokes NAD+ product page, Joi + Blokes (2026)
Joi + Blokes terms and conditions, Joi + Blokes (2026)
bmiMD NAD+ product page, bmiMD (2026)
bmiMD NAD+ dosing and state availability, bmiMD (2026)
Get Thin MD NAD+ product page, Get Thin MD (2026)
Warning Letter to Sprout Health Partners LLC, FDA (2025)
Sprout Health NAD+ page, Sprout Health (2026)
Sprout Health terms and conditions, Sprout Health (2026)
TSA Cares: Disabilities and Medical Conditions, TSA (2026)