Founding-member pricing · First month of NAD+ therapy from $3.30/day · Ends Sunday
★★★★★ 4.9 · Peptivo members nationwide

NAD+ Therapy The coenzyme your cells forget to make.

Clinician-prescribed NAD+ compounded in U.S. pharmacies and shipped to your door. Restore the energy, focus, and recovery your body ran on before it stopped making enough of the fuel behind them.

From $3.30 /day · first month, cancel anytime
  • Real U.S. licensed clinicians
  • Compounded in certified pharmacies
  • Free overnight delivery
  • No insurance required
Peptivo member at golden hour
Peptivo NAD+ vial
Delivered 1–2 days overnight from a certified U.S. pharmacy
Real prescriptions ● Real clinicians ● Real pharmacies ● Real results ● Real prescriptions ● Real clinicians ● Real pharmacies ● Real results ●
Mitochondria illustration
By age 50
-50%
NAD+ levels can drop by half compared to your twenties.
The Science

Every cell runs on a battery. Yours are losing charge.

Nicotinamide adenine dinucleotide — NAD+ — is the coenzyme that powers mitochondrial ATP production. Without enough of it, cells can't repair, energize, or regulate the way they did a decade ago.

  • 01

    It fuels ATP

    Every joule of energy in your body flows through NAD+-dependent pathways.

  • 02

    It activates sirtuins

    The enzyme family tied to DNA repair, metabolic health, and healthy aging.

  • 03

    It declines with age

    Levels can drop by half by 50 — long before you feel the "sudden" change.

What members notice

The reset you can feel by week three.

Members most often report changes across energy, focus, and recovery within the first two to four weeks — followed by longer-term shifts in sleep, skin, and workout output.

Steady daytime energy

Support natural ATP output without the crash cycle of caffeine or stimulants.

Sharper mental focus

Members most often report a clearer, more resilient headspace within the first two weeks.

Faster recovery

Support the repair pathways that quiet soreness after training.

Deeper sleep

Balanced circadian signaling for rest that actually restores you.

Skin resilience

Sirtuin activation supports the enzymes tied to healthy aging.

Three ways to take it

Prescribed the way that fits your protocol.

Your Peptivo clinician recommends the format based on your goals, lifestyle, and health history. All three are compounded in U.S. state-licensed pharmacies.

Most prescribed Peptivo NAD+ injection

Subcutaneous

Injection · Weekly
  • Highest bioavailability
  • 500mg or 1000mg dosing
  • Clinical gold standard
Try NAD+
Needle-free Peptivo NAD+ nasal spray

Nasal Spray

Daily · Travel-friendly
  • Fast mucosal absorption
  • No injection required
  • Discreet, portable
Try NAD+
Gentlest Peptivo NAD+ sublingual drops

Sublingual

Daily · Under-the-tongue
  • Simple daily protocol
  • Steady, gentle support
  • Easy to combine
Try NAD+
Peptivo member outdoors
How Peptivo works

From intake to your first dose in under a week.

01

Complete your medical intake

A 15-minute health questionnaire covering your goals, history, and current medications. Reviewed by a U.S.-licensed clinician within 24 hours.

~15 minutes
02

Clinician-prescribed protocol

Your Peptivo clinician selects the format and dosing that fits your goals and health profile — subcutaneous, nasal, or sublingual.

Within 24 hours
03

Compounded and shipped

Your prescription is compounded in a certified U.S. pharmacy and shipped overnight — temperature-controlled and traceable.

1–2 business days
04

Ongoing clinician support

Message your care team anytime through the Peptivo patient portal. Adjust dosing, pause, or cancel — no membership required.

Anytime
How Peptivo compares

Two ways to buy NAD+. Only one is built for you.

Skip the guesswork of research peptides and the low-dose disappointment of supplements. Get a prescription formula that actually reaches your cells.

Peptivo NAD+
Clinician-prescribed subscription
  • Prescription-strength NAD+Compounded in a U.S. 503A/503B pharmacy for high bioavailability.
  • Licensed clinician on your case15-minute intake, ongoing portal access, dose adjustments as you go.
  • From $3.30/day, all-inclusiveConsult, prescription, medication, free overnight shipping — one price.
  • Cancel anytime, no lock-inFounding-member pricing locked as long as you stay a member.
Start with Peptivo
The Alternative
Research peptides · Oral supplements · Med-spa drips
No Rx Low absorption Unregulated
Prescription oversightNot included
Pharmacy sourcingResearch or retail
BioavailabilityVaries · ~2–5% oral
Ongoing clinicianNone
Typical cost$50–1,500+/session
Cancel anytimen/a
★★★★★ 4.9 average · verified Peptivo members

What members say after 90 days.

Between work and two kids I was running on fumes by mid-afternoon. Around week three that dip softened, and now my energy holds through dinner and bedtime.

Nicole T.
Age 42 · Nashville, TN
Verified

The brain fog I’d written off as ‘just being 44’ lifted about a month in. I get through my morning work block without re-reading the same paragraph three times.

Dana K.
Age 44 · Portland, OR
Verified

Within the first few weeks I was falling asleep faster and staying asleep. I wake up rested, and having a real clinician review my plan made me comfortable starting.

Priya S.
Age 39 · Seattle, WA
Verified

I run and do strength work, and the day-two soreness used to cost me sessions. Recovery changed first, then my energy during workouts caught up.

Rachel F.
Age 36 · Boston, MA
Verified

I wanted something clinically supervised rather than a supplement off a shelf. Three months in I feel more like myself, more energy, sharper, sleeping better.

Elena R.
Age 51 · San Diego, CA
Verified

My mood surprised me most. Stressful days don’t leave me fried and irritable by evening, and my appetite feels more even so I’m not chasing sugar at 4 p.m.

Monica A.
Age 48 · Miami, FL
Verified
Founding-member pricing

Transparent per-day pricing. No insurance.

Every plan includes your clinician consult, prescription, compounded medication, and free overnight shipping. Cancel anytime.

Monthly
Flexible month-to-month protocol.
$4.97 /day
$149 billed monthly
  • Clinician consult included
  • Compounded NAD+ prescription
  • Free overnight shipping
  • Cancel anytime
Choose Monthly
3-Month
Commit a quarter, save every day.
$4.30 /day $4.97
$129/mo · save $60
  • Everything in Monthly
  • $20/month savings
  • Priority clinician review
  • Pause or cancel anytime
Choose 3-Month
Answers

Everything you'd ask a good clinician.

Still have questions? Message the Peptivo care team directly — real clinicians, not a chatbot.

Contact Peptivo care

support@peptivo.app
What is NAD+ and why does it matter? +

Nicotinamide adenine dinucleotide (NAD+) is a coenzyme in every cell of your body. It powers mitochondrial energy production and activates enzymes tied to DNA repair, metabolism, and healthy aging. Levels decline naturally with age.

How do I choose between injection, nasal, and sublingual? +

Your Peptivo clinician recommends the format based on your goals, lifestyle, and health history. Subcutaneous injection offers the highest bioavailability, nasal is needle-free with fast absorption, and sublingual is the gentlest daily option.

Do I need insurance? +

No. Peptivo is a direct-pay telehealth service. Your consult, prescription, and shipping are all included in one transparent per-day price.

How long until I notice results? +

Most members report noticeable shifts in energy and focus within two to four weeks. Longer-term effects on sleep, skin, and recovery typically build over the following months.

Is NAD+ safe? +

NAD+ is well tolerated by most adults. Mild flushing or transient warmth at the injection site are the most common reports. Your clinician reviews your full history and medications before prescribing.

How is my medication shipped? +

Every prescription is compounded in a U.S. state-licensed pharmacy and shipped directly to you, temperature-controlled, in 1–2 business days.

Can I cancel anytime? +

Yes. Manage refills, pause, or cancel anytime from your Peptivo patient portal. No membership required.

Where is Peptivo available? +

Peptivo is available across the United States, except Mississippi and Louisiana, where local telehealth regulations apply.

Founding-member pricing ends Sunday

Start your first month at $3.30/day.

A 15-minute intake. A U.S. clinician. A compounded prescription at your door in 1–2 days.

Try NAD+ now