NAD⁺ Injections

NAD⁺ (nicotinamide adenine dinucleotide) is a naturally occurring coenzyme found in every living cell in the body. It plays a critical role in cellular energy production, mitochondrial function, DNA repair, metabolism, and overall cellular health and longevity.

NAD⁺ is essential for helping your cells convert nutrients into usable cellular energy (ATP), making it a key component of mitochondrial optimization and efficient cellular function. Because of this, NAD⁺ is commonly associated with improved energy levels, mental clarity, exercise recovery, and overall wellness.

It also supports important cellular repair processes and activates proteins called sirtuins, which are involved in healthy aging, DNA repair, and cellular regeneration.

As we age, natural NAD⁺ levels gradually decline. Lower NAD⁺ levels have been associated with:

• Fatigue and reduced energy
• Slower metabolism
• Brain fog or decreased mental clarity
• Reduced cellular repair
• Increased oxidative stress and inflammation
• Slower recovery from exercise or illness

At Jacobson Cosmetic Surgery, NAD⁺ wellness injections are administered intramuscularly, allowing for rapid absorption while bypassing the digestive system.

Patients commonly seek NAD+ injections to support:

• Cellular recovery and repair
• Mitochondrial optimization
• Cognitive support and mental clarity
• Recovery and athletic performance
• Healthy aging and longevity support
• Natural energy production
• Metabolic and overall wellness support

Many patients also choose to combine NAD⁺ with Vitamin B12 for additional support with energy, metabolism, focus, and cellular health.

At Jacobson Cosmetic Surgery, NAD⁺ injections are offered in two dosing options:

• 0.5 mL injection — $75
• 1.0 mL injection — $125

We also offer a package option:

• Package of 5 (1.0 mL injections) — $500

Many patients begin with weekly 0.5 mL injections for the first month before transitioning to monthly 1.0 mL maintenance injections to support ongoing cellular recovery, mitochondrial optimization, energy production, cognitive support, recovery and performance, and healthy aging.

Your provider will help determine the appropriate dosing schedule based on your wellness goals, metabolism, recovery needs, and overall treatment plan.

Most patients begin with once-weekly NAD⁺ injections to help build and support consistent NAD⁺ levels within the body.

At Jacobson Cosmetic Surgery, many patients start with:

• 0.5 mL once weekly for the first 4 weeks

After this initial loading phase, patients often transition to:

• 1.0 mL once monthly for maintenance

This approach is designed to help support:

• Cellular recovery and repair
• Mitochondrial optimization
• Energy production
• Cognitive support and mental clarity
• Recovery and performance
• Healthy aging and overall wellness

Treatment frequency can vary depending on your energy levels, metabolism, activity level, wellness goals, and how your body responds to therapy. Some patients prefer more frequent treatments initially during periods of stress, recovery, travel, exercise training, or fatigue before transitioning to maintenance dosing.

Most patients tolerate NAD⁺ injections very well. The injection itself only takes a few minutes and is administered intramuscularly, typically in the arm or gluteal area.

Many patients notice a temporary “rush,” warming sensation, or flushing feeling shortly after the injection. Some describe feeling:

• Warmth in the face or chest
• A brief increase in energy or alertness
• Mild tingling
• A temporary metallic taste
• Mild pressure or cramping sensation

These sensations are usually short-lived and are thought to reflect the rapid cellular and metabolic activity triggered by NAD⁺ as it supports mitochondrial function and cellular energy production.

Some patients may also experience mild temporary side effects such as:

• Injection site soreness
• Redness or swelling
• Headache
• Nausea
• Mild muscle cramping

These effects are generally mild and resolve quickly.

At Jacobson Cosmetic Surgery, dosing is individualized to help maximize comfort while supporting goals related to cellular recovery, cognitive support, recovery and performance, mitochondrial optimization, and healthy aging.

There is essentially no downtime following NAD⁺ injections, and most patients return immediately to normal daily activities, work, errands, or exercise after their appointment.

The injection itself takes only a few minutes and is administered intramuscularly, typically in the arm or gluteal area.

You may be a good candidate for NAD⁺ therapy if you are interested in supporting overall wellness, cellular recovery, energy production, cognitive function, and healthy aging.

Many patients seek NAD⁺ therapy to help support:

• Low energy or fatigue
• Brain fog or reduced mental clarity
• Recovery from exercise or physically demanding lifestyles
• Mitochondrial optimization and cellular health
• Longevity and healthy aging goals
• Metabolic wellness and vitality
• Recovery and performance support

Ideal candidates are generally healthy adults who are non-smokers or committed to maintaining healthy lifestyle habits.

NAD⁺ therapy works best when combined with:

• Balanced nutrition
• Regular exercise
• Proper hydration
• Quality sleep
• Stress management
• Overall healthy lifestyle choices

Because NAD⁺ supports cellular and metabolic processes rather than acting as a stimulant, results are often most noticeable when treatments are part of a broader wellness approach.

During your consultation at Jacobson Cosmetic Surgery, your provider will review your health history, wellness goals, and treatment expectations to determine whether NAD⁺ therapy is appropriate for you.