NAD+ is a coenzyme every cell uses to turn food into energy, and levels fall with age. Peptides are short chains of amino acids that act as signalling molecules. Both are legitimately interesting and both are heavily oversold — so this page explains what the science supports, where the FDA rules currently sit, and how we decide what we will offer.
First things first
What Is NAD+ and Why Does It Matter?
NAD+ — nicotinamide adenine dinucleotide — is a coenzyme found in every living cell. Its main job is in the mitochondria, where it is essential to converting what you eat into usable energy. It is also involved in DNA repair and in the enzymes that regulate how cells age.
Levels decline with age. That is well established, and it is the foundation of a great deal of longevity research.
Where honesty is required is the next step. That levels fall, and that topping them up reverses the consequences of ageing, are two different claims. The first is solid. The second is an active research question, with promising animal work and human trials still catching up.
What patients consistently report is improved energy and mental clarity. That is worth having. It is not the same as a proven anti-ageing intervention, and we will not describe it as one.
The part nobody else will tell you
Why Peptides Are Complicated Right Now
Peptides sit in a genuinely unsettled area of regulation, and any clinic presenting them as routine is glossing over something you deserve to know.
Most of the peptides discussed online — BPC-157 among them — are not FDA-approved for any indication. For several years many sat on the FDA's Category 2 list, meaning they raised enough safety or quality concern that compounding them was effectively off the table.
In April 2026 the FDA announced it would remove twelve of those peptides from that list, with formal review continuing through the year. That is a genuine shift, and it is being reported in some quarters as though the door is now open.
It is not that simple. Coming off a do-not-compound list is not the same as being approved, and it is not the same as a clear pathway to prescribe. The position is still moving.
What that means for you here: we offer what can be properly sourced and appropriately prescribed at the time you are seen, and we will tell you exactly what that is. If something you have read about is not something we can offer responsibly today, we will say so rather than find a way around it.
Be wary of anywhere selling peptides online without a consultation. Unregulated sourcing is the real risk here — not the molecules themselves so much as what is actually in the vial.
Who this suits
What People Come In For
- EnergyFlat and depleted, with bloodwork already checked
- Mental ClarityFocus and sharpness that have dropped off
- RecoverySlower to bounce back from training or illness
- Longevity InterestAlready investing in sleep, training and nutrition
- Not: A ShortcutThis works alongside the basics, not instead of them
- Not: Undiagnosed FatigueBloodwork first — thyroid and iron explain more than NAD+ does
What to expect
Your Appointment
- First, an evaluationHistory, current medications and supplements, and bloodwork where it is warranted. North Carolina requires a provider evaluation before infusion or injection regardless.
- NAD+ is slow on purposeInfused too quickly it causes chest tightness, flushing and a wave of nausea. Given slowly it is well tolerated. This is the single most important thing about administering it.
- Expect to be here a whileA proper NAD+ infusion is not a fifteen-minute appointment. Bring something to do and do not schedule it before something you cannot be late for.
- AfterwardsNo downtime. Most people describe a lift over the following day or two rather than immediately.
If you feel the tightness, tell us. We simply slow the rate and it passes. Nobody should push through it quietly.
Before you book
Questions We Get Asked Most
What does NAD+ actually do?
NAD+ is a coenzyme in every cell, essential to converting food into usable energy in the mitochondria, and involved in DNA repair and the enzymes regulating cellular ageing. Levels decline with age, which is well established. Whether topping them up reverses the consequences of ageing is still an open research question, and we will not claim otherwise.
Does NAD+ therapy hurt?
Not if it is given slowly. Infused too fast, NAD+ causes chest tightness, flushing and nausea — unpleasant but not dangerous, and it resolves as soon as the rate is reduced. Telling us the moment you feel it is the right thing to do.
How long does an NAD+ infusion take?
Considerably longer than a standard vitamin drip, because the rate has to be slow to be comfortable. Plan a proper block of time rather than fitting it into a lunch break.
Are peptides like BPC-157 legal?
The position is unsettled. Most discussed peptides are not FDA-approved for any indication. Many sat on the FDA's Category 2 do-not-compound list, and in April 2026 the FDA announced it would remove twelve of them, with review continuing. Coming off that list is not the same as approval or a clear route to prescribe. We offer only what can be sourced and prescribed appropriately at the time you are seen.
Can I just buy peptides online?
You can, and we would advise against it. The real risk is not usually the molecule but what is actually in the vial — purity, dosing accuracy and sterility are not guaranteed outside a regulated supply chain, and there is nobody to tell if something goes wrong.
Will NAD+ fix my fatigue?
Possibly, but it should not be the first thing you try. Thyroid dysfunction, iron deficiency, vitamin D deficiency, sleep apnoea and hormonal change explain far more persistent fatigue than low NAD+ does, and several are simply reversible. We run bloodwork first for that reason.
How often would I need it?
It varies with what you are addressing and how you respond. Some people do an initial series and then occasional maintenance. If you have had a fair run and feel no different, we will say so rather than keep booking you in.
Ready when you are
Start Today
NAD+ and peptide therapy start with an evaluation and, where it is warranted, bloodwork — because the common causes of fatigue are worth ruling out first. Payment collects when you book and your consent and intake go out automatically.