Compound guide · Metabolic & GLP-1
NAD+: what it is, its legal status and the evidence
A cellular energy coenzyme sold by injection, nasal spray and IV drip for energy, recovery and aging.
What the evidence shows
Oral precursors raise NAD+ levels in trials with mixed outcomes; no outcomes trial has tested injected or infused NAD+ itself.
Read the full review: NAD+ Injections: What the Human Evidence Actually Shows (2026)
Legal and FDA status
Compounded NAD+ preparations are not FDA-approved products.
Source: NAD+ Injections: What the Human Evidence Actually Shows (2026)
Anti-doping status
NAD+ is a coenzyme built from vitamin B3 and is not a prohibited substance: it is not on the 2026 Prohibited List and not in the Monitoring Program, in any form. The catch is the route, not the molecule. Intravenous infusions of more than 100 mL in a 12-hour window are prohibited under M2 whatever is in the bag, so a clinic NAD+ IV drip is a different question from the subcutaneous injection or nasal spray these telehealth providers ship — those are far below the volume threshold. Check the current List yourself before any infusion.
Read next: every NAD+ guide
Cost and where to get it legally
NAD+ is prescribed through telehealth providers. We compare their published prices and terms:
Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.