Overview
AgelessRx offers three NAD+ options: Injection, Patches, and Nasal Spray. All three effectively boost your NAD+ levels — but they work differently, feel different, and fit different lifestyles. This guide will help you understand how each one compares so you can talk to your prescriber about which option may be best for you.
Why Not an Oral NAD+ Pill?
Before diving into the comparison, it’s worth explaining why NAD+ isn’t available as a pill. NAD+ has a complex molecular structure that breaks down during digestion, leaving little or none for your body to absorb. That’s why all of our NAD+ options bypass the digestive system. Some people take oral NAD+ precursors (like NR or NMN), but absorption and conversion rates vary widely from person to person, and they don’t deliver as much bioavailable NAD+ as the methods below.
Side-by-Side Comparison
Feature |
Injection |
Patch |
Nasal Spray |
|---|---|---|---|
Form |
Subcutaneous injection |
Transdermal patch |
Intranasal spray |
Dose per use |
20–100mg |
400mg per patch |
~30mg per spray |
Frequency |
1–3× per week |
Once weekly (4 hours) |
1–2× daily or as needed |
Speed of effect |
Steady, consistent |
Steady release over 4 hrs |
Within about an hour |
Main focus |
Whole-body NAD+ |
Whole-body NAD+ |
Brain-focused NAD+ |
TMG required? |
Yes (1,000mg on use days) |
Yes (1,000mg on use days) |
No |
Needles? |
Yes (small insulin needle) |
No |
No |
Starting price |
$99/month |
$160/kit (quarterly) |
$125/month |
NAD+ Injection: Best For…
You might prefer NAD+ Injection if you:
- Want the most direct, fastest-absorbing method
- Are comfortable with small insulin needles
- Want flexibility in dose and frequency (1–3 times per week)
- Are looking for the most budget-friendly starting option ($99/month)
- Want the broadest whole-body NAD+ support
Injections let you self-administer a steady, consistent dose under the skin. Many users find that spacing out smaller doses over the week helps maintain stable NAD+ levels.
NAD+ Patches: Best For…
You might prefer NAD+ Patches if you:
- Want a needle-free option
- Prefer a “set it and forget it” weekly routine (one 4-hour patch per week)
- Want a high single dose (400mg per patch)
- Are comfortable with wearing a patch during daily activities
- Don’t have particularly sensitive skin
Patches use a gentle electric current (iontophoresis) to push NAD+ through your skin. The steady release over 4 hours mimics the pattern of an injection while eliminating needles. Note: patients with sensitive skin may want to consider an alternative method.
NAD+ Nasal Spray: Best For…
You might prefer NAD+ Nasal Spray if you:
- Primarily want mental clarity, focus, and mood support
- Prefer the simplest, most portable option
- Want fast-acting relief (effects within about an hour)
- Want to avoid taking TMG supplements
- Want flexibility to use “as-needed” rather than on a fixed schedule
Intranasal delivery gives NAD+ faster access to your brain than other methods. It’s the only NAD+ option that doesn’t require TMG supplementation, making it the simplest to add to your routine.
Can I Use More Than One?
Yes. Some patients combine methods based on their goals — for example, using a patch once a week for whole-body support and keeping nasal spray on hand for quick mental clarity boosts. Talk to your prescriber if you’re interested in a combination approach.
How to Decide
Your prescriber is the best person to help you choose the right NAD+ option. A few factors they’ll consider with you:
- Your goals (energy, mental clarity, general longevity, recovery, etc.)
- Your comfort with needles
- Your skin sensitivity
- Your schedule and lifestyle
- Your budget
- State availability (Patches and Nasal Spray are currently unavailable in Alabama and Arkansas)
Ready to Get Started?
Explore all three options on the NAD+ Support page, or start a free online visit to talk with one of our US-licensed medical prescribers about what’s right for you.
Learn More
- What Is the Best NAD+ Option?
- Should You Boost NAD+ Directly or Use Precursors (NMN, NR)?
- NAD+ Science & Research
- 101 Video: What Is NAD+?
Manage your subscription, view your orders, or message your care team anytime through your Patient Portal.
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