IM or subcutaneous
$50
$100
$200
Sabeen Munib, MD
Overview
What We Offer, and What We Do Not
NAD+ is a coenzyme found in every cell, central to how the body converts nutrients into usable energy and to several DNA repair pathways, and its levels fall with age. At Spectrum we offer NAD+ as an intramuscular or subcutaneous injection administered by Sabeen Munib, MD, priced by dose from $50, and we do not offer it as an intravenous drip.
That is worth stating early, because most of what is written about NAD+ online describes an IV infusion. An IV session runs an hour or more and requires a chair and a clinician for the duration. We have not allocated that capacity yet, and would rather say so than run it thinly. If an infusion is what you are looking for, raise it at your consultation.
This page also sets out what the evidence does and does not support. NAD+ is one of the more aggressively marketed treatments in wellness, and a lot of what is claimed for it runs well ahead of the research.
Why Patients Choose Spectrum
A Medical Practice That Will Talk You Out of It
NAD+ sits in a corner of wellness where claims outrun evidence more than almost anywhere else. You will find clinics describing it as reversing aging, curing fatigue and repairing neurological damage. None of that is supported, and a practice willing to say so is a better guide than one willing to sell it.
Sabeen Munib, MD has practiced cosmetic dermatology in the Irvine area for more than fifteen years and administers these injections personally. Spectrum is a medical practice that sees medical patients daily, so when persistent fatigue turns out to need a workup rather than a wellness injection, that conversation can happen here.
We price by dose rather than by package, and we stop a course that is not doing anything. Both of those cost us revenue, which is rather the point.
15+
3
100%
$50
Dosing
How the Dose Is Chosen
NAD+ is dose sensitive, both for how it feels and for what it costs. We start low.
50 mg
Establish tolerance
100 mg
A standard maintenance dose
200 mg
Higher dose where tolerated
The course
Decide whether to continue at all
Sell a package first
Dosing by response means you can stop after one injection. A pre-paid course of ten creates an incentive to keep going regardless of whether it is working, which is the wrong incentive in a category this uncertain.
What NAD+ Does in the Body
NAD+ is a coenzyme that carries electrons in the reactions that turn food into ATP, the molecule cells actually spend as energy. It is also a required substrate for sirtuins and for PARP enzymes, which are involved in DNA repair and in regulating how cells respond to stress.
NAD+ levels decline with age, and in laboratory models restoring them produces measurable effects on cellular function. That biology is real and is why the molecule attracted interest in the first place.
What the evidence supports, and what it does not
The gap is between cell biology and clinical outcome. Most human research on raising NAD+ has used oral precursors such as nicotinamide riboside and nicotinamide mononucleotide, and those studies generally show that blood NAD+ levels can be raised. Whether that translates into how a person feels or functions has been much harder to demonstrate, and trials have often been small, short and inconsistent.
Direct NAD+ injection has less high-quality human evidence again. It is offered here as a wellness treatment on that basis, not as a treatment for any diagnosed condition, and not as something with an established outcome. If you see a clinic claiming otherwise, the claim is ahead of the research rather than the research being ahead of us.
Which Fits Which
When This Is Reasonable and When It Is Not
Read down the left column to what sounds like your situation.
Combined Approaches
What It Is Often Asked About Alongside
Candidacy
Who This Suits, and Who Should Not Have It
Most healthy adults can have an NAD+ injection. The more useful question is whether it is likely to do anything for you, and whether something else should be ruled out first.
How Dr. Munib decides
She takes a history first, including medications, existing diagnoses and whether any symptom you are hoping to address has been investigated. Where a symptom has a testable cause, that is pursued before a wellness injection. Where you are well and simply want to try it, the conversation is about dose, cost and realistic expectation.
Often reasonable
Healthy adults, no unexplained symptoms, realistic expectations, and willingness to stop after a short course if nothing changes.
Not appropriate
Pregnancy or breastfeeding, an unexplained symptom that has not been investigated, or an expectation that it will treat a diagnosed condition. If you specifically want an intravenous infusion, that is not something we run at present.
Timeline
What to Expect and When
Response to NAD+ is highly variable and subjective. These timelines describe what patients commonly report and are not a claim about what you will experience.
Risks
Side Effects and Limits
NAD+ injection is generally well tolerated. These are the things worth knowing before you book.
Flushing and chest tightness
The most common effect, occurring during or shortly after administration and related to dose and speed. It settles quickly. It is why we start at a lower dose rather than the highest one available.
Injection site reaction
Soreness, redness or a small lump at the site can follow any intramuscular injection and usually resolves within a day or two.
Nausea, headache or lightheadedness
Reported by some patients, more often at higher doses. Tell us if it happens, because the dose or the rate can be adjusted.
Spending money on an uncertain benefit
The most likely downside is not physical. Human evidence for injected NAD+ is limited, and a proportion of people will notice nothing at all. Pricing by dose rather than by package exists so that finding this out costs $50 rather than several thousand.
What is known, what is not, and what it costs are discussed before treatment rather than afterwards.
What this is not
NAD+ is offered as a wellness treatment. It is not FDA approved to treat any medical condition, and it is not a treatment for chronic fatigue syndrome, neurodegenerative disease, addiction or aging itself, whatever is claimed elsewhere.
If you have a symptom that concerns you, the right first step is an assessment rather than an injection. That assessment can happen in this practice.
Aftercare
Cost
What It Costs
NAD+ is priced by dose rather than by package. 50 mg is $50, 100 mg is $100, and 200 mg is $200, or $450 for a package of three. There is no requirement to buy a course in advance and no membership needed to access these prices.
We price this way deliberately. A pre-paid course creates pressure to keep going whether or not it is working, and in a category where response varies this much, that is the wrong incentive. Starting at $50 means finding out whether NAD+ does anything for you is a small decision rather than a large one.
New patients: 15% off your first treatment.
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The Question Most People Arrive With
Why Injections Rather Than an IV Drip, For Now?
Most NAD+ content online describes an intravenous infusion, so it is reasonable to arrive expecting one. The argument for IV is that it delivers a larger dose directly into the bloodstream over an hour or more, and it is fair to say that route gets more of the molecule into circulation than an intramuscular injection does.
We do not run infusions at present, and the reason is capacity rather than principle. An infusion occupies a chair and a clinician for the length of the appointment, and doing that properly takes resource we have not committed yet. So we offer the injection, which is a short appointment, and we are clear that it is not the same thing.
Business is not static, and this is a service we may add. What we will not do in the meantime is let you book expecting an infusion and hand you an injection instead. If the infusion is what matters to you, tell us at consultation and we will give you a straight answer about whether the injection is likely to serve your goal.
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Patient reviews
What Patients Say
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Questions
Frequently Asked Questions
Not yet. We offer NAD+ as an intramuscular or subcutaneous injection rather than as an intravenous drip. An infusion occupies a chair and a clinician for an hour or more, and we have not allocated that capacity yet rather than run it thinly. If an infusion is specifically what you are after, say so at your consultation. We will tell you honestly whether the injection is likely to meet your goal, and this is a service we may add.
NAD+ is nicotinamide adenine dinucleotide, a coenzyme present in every cell. It is genuinely central to how cells convert nutrients into energy and to several DNA repair pathways, and NAD+ levels decline with age. That much is established cell biology. Whether supplementing it by injection produces a reliable clinical benefit in healthy adults is a separate and much less settled question, which is covered below rather than glossed over.
NAD+ is priced by dose at Spectrum: 50 mg is $50, 100 mg is $100, and 200 mg is $200, or $450 for a package of three. Most people are advised a short series rather than a single injection, and the plan is priced before it begins.
They are two forms of the same molecule. NAD+ is the oxidized form and NADH the reduced form, and cells cycle between the two constantly as they move electrons during energy production. Products are marketed under both names. The distinction matters far less to the outcome than dose, route and whether the treatment is appropriate for you at all.
NAD+ is usually given as a short course rather than a single visit, often weekly at first and then spaced according to response. Dr. Munib sets the interval from how you respond rather than from a fixed package, and will stop the course if you are not noticing a difference rather than continuing to sell sessions.
An intramuscular injection is brief. NAD+ specifically can cause a flushing or tight sensation during and shortly after administration, which is well recognised and is dose related. Higher doses are more likely to produce it, which is one reason we start conservatively rather than at the top of the range.
No. NAD+ is offered here as a wellness treatment, not as a treatment for any diagnosed disease, and it is not FDA approved for treating any condition. Claims that it reverses aging, cures fatigue or treats neurological disease are not supported by the current evidence. If you have symptoms that need a diagnosis, that is a medical visit rather than an injection.