Pre & Post Treatment Care

• Baseline bloodwork is required within the last 6 months prior to starting treatment
• Stay well hydrated the day before and day of your appointment
• Eat a light meal or snack before your visit (do not come in fasted)
• Avoid alcohol for at least 24 hours prior to your injection
• Continue your regular medications unless otherwise directed
• Wear comfortable clothing that allows easy access to your abdomen or upper arm

Please notify your provider before your appointment if you:

• Are feeling unwell, dehydrated, or dizzy
• Have a history of sensitivity to injections
• Are pregnant or breastfeeding
• Have any new or significant medical conditions

First visit only:

• Plan to remain in the office for at least 10 minutes after your initial injection for monitoring

What to Expect

You may experience mild, temporary side effects such as:

• Nausea
• Headache
• Fatigue
• Dizziness
• Mild redness or tenderness at the injection site

These symptoms are typically short-lived and resolve within 1–3 days.

How to Minimize Side Effects

• Stay well hydrated
• Eat balanced meals with adequate protein
• Avoid alcohol for 24 hours after your injection
• Use over-the-counter pain relief if needed (unless contraindicated)
• Resume normal activity as tolerated

Injection Site Care

• Mild redness, swelling, or tenderness is normal
• You may apply a cold compress if needed
• Avoid excessive touching or irritation of the area

Dosing & Titration Schedule

Your dose will be gradually increased based on your tolerance and response:

• 5 units (10 mg) twice weekly
• 10 units (20 mg) twice weekly
• 15 units (30 mg) twice weekly
• 20 units (40 mg) twice weekly
• 25 units (50 mg) twice weekly

• Initial phase: typically 2–3 injections per week for up to 12 weeks
• After 12 weeks, a 2–3 month break is required
• Maintenance may include monthly injections or periodic cycles depending on your goals

When to Contact Us

Please contact the office if you experience:

• Nausea: Often reported with higher dosesSevere swelling
• Headache: mild to moderate
• Fatigue or Drowsiness: Temporary tiredness may occur post-infusion
• Flushing and Warmth: A sensation of warmth or skin flushing
• Muscle Cramps or Tension: Some individuals report mild muscle discomfort or cramps
• Chest Pressure: A feeling of chest tightness or pressure can occur but is generally mild
• Increased Heart Rate: Mild tachycardia or a rapid heartbeat may be felt during treatment
• Anxiety or Restlessness: In some cases, people feel temporary anxiety or restlessness, possibly due to the stimulating effect of NAD+ on the brain and body

At-Home Injection Patients (if applicable)

• Store medication in the refrigerator and protect from light
• Always use clean injection technique
• Follow your prescribed dosing schedule exactly
• Attend monthly follow-ups for monitoring