“The 2pm wall is gone. I didn't realize how much I'd normalized it until the baseline showed me why.”
RX Cellular Energy & Longevity
NAD+
Boost energy, sharpen focus, support cellular resilience, and regain youthful vitality with one of the most powerful ways to restore NAD⁺ as you age.
DELIVERY MODALITY Clinician-guided
Choose your treatment plan
$143 / month $159/mo
Important Safety Information US Board Certified Physicians in all 50 states
HSA / FSA eligible
FREE Vitality Assessment
Free expedited shipping
WHAT NAD+ DOES The currency your
The currency your
cells run on.
NAD⁺ is the coenzyme behind cellular energy, repair, and resilience. Restore it, and the work shows up across five domains — measured, not just felt.
01
Cognitive Clarity
NAD⁺ supports the mitochondrial energy chain that fuels sustained cognitive output. Brain fog isn't a personality trait — it's a biology signal.
02
Sleep Architecture
NAD⁺ shows up in sleep depth, not duration. Members report waking less and recovering more through the night.
03
Mitochondrial Energy
Mitochondria need NAD⁺ to produce ATP. Your cells run on this currency — and it declines steadily with age.
04
Cellular Repair
NAD⁺ is a substrate for DNA repair enzymes — the sirtuins and PARPs. The work compounds when it's sustained.
05
Recovery
Endurance athletes notice it first: same workout, faster recovery, deeper sleep, sharper next-day output.
Why Trellis
From initial contact to Rx delivery in under a week.
A personalized longevity protocol — assessment, clinician review, baseline labs, and your first shipment — 100% online, without the membership, or the markup.
92%
of patients see significant biomarker improvements within 90 days
Confirmed on your 90-day re-test, not self-reported
3.4weeks
average time saved getting from assessment to a supervised protocol
No scheduling, clinic visits, or insurance hassles
$4,000
average patient savings per year
No membership. No consult costs. Pure results.
Patient stories
Verified patients, in their own words.
Select reviews on what changed once they completed their first NAD⁺ protocol.
“My splits held, but my recovery came back. The re-test made the trend impossible to argue with.”
“I finally have a clear read on what's shifting — and a clinician reading it with me.”
“Two markers back in range by the 90-day re-test. That's the only proof I needed.”
Compare delivery methods
Not all NAD⁺ is absorbed equally.
| NAD⁺ InjectionTrellis · at home | IV DripIn-clinic | Oral PillsNAD⁺ precursors | |
|---|---|---|---|
| Effectiveness | Highest bioavailability — bypasses the gut entirely | High, but clinic-bound and dose-capped | Low — heavy first-pass metabolism |
| Cost | $$ — per-protocol, no membership | $$$$ — $200–500 per clinic infusion | $ — cheap, but largely wasted |
| Time | ~2 min at home, on your schedule | 45–60 min appointment + travel | Seconds — but low yield |
| Convenience | 100% at home, shipped to your door | Requires booking & clinic visits | Easy to take, hard to absorb |
World-class quality
Every batch, tested for purity before it ships.
Your NAD⁺ is compounded in a US state-licensed, cGMP-compliant pharmacy — then verified against four independent standards before it ever reaches your door.
USP <797> sterile compounding suite Every batch quality tested for
Potency
±10% concentration tolerance
Sterility
USP <797> compliance
pH balance
Irritation-safe acid/base balance
Endotoxicity
USP <85> compliance
Compounded in the USA. State-licensed, cGMP-compliant pharmacy.
THE SCIENCE
What NAD⁺ actually is.
Nicotinamide adenine dinucleotide (NAD⁺) is a coenzyme present in every cell of your body — the substrate your mitochondria use to convert nutrients into the energy your cells run on. It's also a co-factor for DNA repair, cellular signaling, and metabolic regulation. NAD⁺ declines with age, and that decline shows up as the things people describe as "feeling older": lower energy, worse recovery, foggier mornings.
NAD⁺ questions.
Straight answers on routes, results, safety, and sourcing — no hype.
Why injectable or patch instead of oral?
Oral NAD⁺ precursors face heavy first-pass metabolism — most of the dose is broken down before it reaches your cells. The injection bypasses the digestive system entirely; the patch delivers transdermally over hours. Both routes prioritize bioavailability over the convenience of a pill. The choice between injection and patch is a clinician-guided one, based on your goals and tolerance.
What's the difference between the injection and the patch?
The injection is subcutaneous and delivers the highest yield in about two minutes at home. The patch is needle-free and releases NAD⁺ transdermally over several hours — ideal if you'd rather skip needles or want a steadier, travel-friendly routine. Effectiveness is comparable when dosed correctly; your clinician helps you choose.
Who is this protocol appropriate for — and who isn't it for?
It's for adults seeking biomarker-informed longevity work — executives and endurance athletes managing cognitive and recovery demands, perimenopausal members navigating hormonal shifts, and members rebuilding baselines after diagnosis or stress events. It's not appropriate if you're pregnant or nursing, have an active cancer diagnosis without oncologist clearance, or have advanced kidney or liver disease. Your clinician will review your full health context before approving anything.
How quickly will I notice the work?
Many patients report sharper mornings and steadier afternoon energy within the first few weeks. The honest answer is that it varies — which is why we anchor every protocol on a baseline and re-test at 90 days, so the change is visible in your biomarkers, not just felt.
Is NAD⁺ safe? What are the side effects?
NAD⁺ injections are well-tolerated in most adults. The most common side effects are mild and transient: brief flushing during or after injection, headache, or nausea — typically managed by adjusting the injection rate or timing. Rare but reported: chest tightness or palpitations, usually resolved by slower administration. We don't pretend the protocol is risk-free — but for adults with normal cardiovascular and metabolic function, the safety profile is well-characterized in the clinical literature. Your clinician reviews your full health context before approving.
Can I use HSA / FSA for NAD⁺?
Yes. NAD⁺ protocols are HSA/FSA-eligible for most US plans, and we provide an itemized superbill on request.
Is NAD⁺ covered by insurance?
Longevity protocols generally aren't billed to insurance, which is part of why we removed the membership and consult markups. You pay per protocol, monthly — and most members offset the cost using HSA/FSA dollars.
How is Trellis's NAD⁺ different from an IV clinic?
Same active compound — without the appointment, the travel, or the $200–500 per infusion. Your protocol ships to your door, you self-administer in minutes, and a clinician monitors your biomarkers between doses. No clinic chair required.
Do I need to commit to a subscription, or can I order once?
No membership and no tiers. Plans differ only by duration — monthly, 3-month, or 6-month — and you can pause or stop anytime. Longer plans simply lower your per-month cost.
What if my biomarkers don't shift in 90 days?
That's exactly what the baseline and re-test are for. Your clinician designs the protocol to move specific markers toward range, reviews the 90-day re-test, and adjusts dose, route, or cadence from the trend. The plan follows your data.
How is NAD⁺ compounded, and where does it come from?
It's compounded in a US state-licensed, cGMP-compliant pharmacy and quality-tested every batch for potency (±10%), sterility (USP <797>), pH, and endotoxicity (USP <85>) before it ships.
Can I take NAD⁺ alongside other medications or supplements?
Often, yes — but it depends on your full medication and supplement list, which your clinician reviews during intake. Flag everything you take; they'll confirm there are no interactions before approving your protocol.
Is this approved by the FDA?
NAD⁺ is prescribed and compounded by an FDA-regulated, state-licensed compounding pharmacy. Compounded medications are not FDA-approved as finished products the way mass-manufactured drugs are; they're prepared per prescription for an individual patient under clinician supervision.
Which states is this available in?
Services are available in all 50 US states through affiliated medical providers and pharmacy partners operating in accordance with applicable state licensure requirements. Please note that certain medications, formulations, or fulfillment options may vary depending on state-specific pharmacy regulations and dispensing restrictions.
Who are the clinicians and pharmacy behind my care?
The designated medical group for these services is Arora Health & Aesthetics, LLC (Medical Director: Dr. Sean Arora, NPI 1841729449), headquartered at 300 Lenora Street, Seattle, WA 98121 — arora-health.com. Prescriptions are fulfilled by VialsRX, a state-licensed compounding pharmacy in Houston, TX. For compliance inquiries, contact medicalcompliance@arorahealthgroup.com.
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