Introduction
You've read the science. You've seen the claims. NAD+ IV therapy promises increased energy, better focus, improved sleep, and anti-aging benefits. But what actually happens when you commit to a full protocol?
I decided to find out. For 30 days, I followed a NAD+ IV therapy protocol—an initial loading phase followed by maintenance treatments. Here's my completely honest account of what happened, what I felt, and whether I think it was worth the significant investment.
My Starting Point
Before diving in, here's where I was:
Age: 42
General health: Good, no major conditions
Lifestyle: Desk job, exercise 3-4x/week, moderate diet
Sleep: 6-7 hours, often feeling unrested
Energy: Afternoon slump most days, relying on coffee
Mental clarity: Good in mornings, foggy by afternoon
Previous NAD+ experience: None
I wasn't in crisis—just feeling the effects of age and a demanding life. The kind of "fine but not great" that many people in their 40s accept as normal.
The Protocol
My provider recommended:
Week 1-2 (Loading Phase):
- 4 treatments
- 500mg NAD+ per treatment
- Every 3-4 days
Week 3-4 (Maintenance):
- 2 treatments
- 500mg NAD+ per treatment
- Weekly
Total: 6 treatments over 30 days
Total cost: Approximately $3,000
Yes, it's a significant investment. That's part of what I wanted to evaluate.
Week 1: The Loading Phase Begins
Treatment 1 (Day 1)
Duration: 3.5 hours
During treatment:
The infusion started slowly. About 20 minutes in, I felt a strange chest tightness and mild nausea. My provider slowed the drip rate, and the sensation passed. This is apparently common—NAD+ infused too quickly causes discomfort.
For the remaining 3 hours, I mostly felt… normal. Maybe slightly more alert. I worked on my laptop, answered emails, and listened to a podcast.
After treatment:
Felt tired that evening. Went to bed early. Slept deeply—unusually so.
Day 2:
Woke up feeling genuinely refreshed. Not euphoric, but noticeably clearer than usual. Energy was steady through the afternoon without my typical slump. Could be placebo. Too early to tell.
Treatment 2 (Day 4)
During treatment:
Knowing what to expect, I was more relaxed. Less chest tightness this time. Felt a subtle "brightness" during the infusion—hard to describe, like the lights got turned up slightly.
After treatment:
More energy than after the first treatment. Sleep that night was excellent again.
Days 5-7:
Energy remained elevated. I noticed I wasn't reaching for afternoon coffee. Focus during work improved—fewer rabbit holes, more sustained attention. Still could be placebo, but the consistency was encouraging.
Treatments 3 & 4 (Days 8 & 11)
The pattern continued. Each treatment felt easier than the last. My body seemed to adapt to the NAD+.
Notable changes by end of Week 2:
- Consistent energy throughout the day
- Better sleep quality (sleeping through the night)
- Improved mood—less irritable
- Sharper mental clarity
- Workouts felt stronger
Week 2: Something Shifted
Around Day 10, something changed. The effects stopped feeling like "maybe placebo" and started feeling undeniable.
Energy: I had the sustained energy I remembered from my 30s. Not jittery, not caffeinated—just consistently available.
Sleep: Falling asleep faster, waking up less, feeling more rested with the same hours.
Mental clarity: The afternoon brain fog was gone. I could focus on demanding tasks at 4 PM as well as at 10 AM.
Physical performance: My workouts improved noticeably. More endurance, faster recovery, less soreness.
Mood: Generally more positive. Small annoyances bothered me less.
I started to believe this wasn't placebo.
Week 3: Maintenance Phase
Treatment 5 (Day 15)
Transitioning to weekly maintenance felt natural. The treatment itself was routine now—I knew what to expect and used the time productively.
Effect: Maintained the improvements from the loading phase. Felt like "topping off" rather than building.
Days 16-21:
Consistent energy, good sleep, clear focus. I had almost forgotten what my "baseline" used to feel like.
Week 4: Wrapping Up
Treatment 6 (Day 22)
My final treatment of the initial protocol.
Days 23-30:
I deliberately tracked my experience more carefully as the "official" protocol ended:
- Energy: Still significantly better than my starting point
- Sleep: Quality remained improved
- Focus: Sustained, though perhaps slightly less sharp than peak
- Mood: Continued positive
- Physical: Gym performance still elevated
By Day 30, I was about 8 days out from my last treatment. Effects were still present but perhaps 80% of peak rather than 100%.
The Honest Assessment
What Improved (Definite)
✅ Energy levels — Most significant change. Consistent throughout the day without afternoon crashes.
✅ Sleep quality — Deeper, more restorative sleep. Falling asleep faster, waking less.
✅ Mental clarity — Reduced brain fog, especially in afternoons. Better sustained focus.
✅ Workout recovery — Less soreness, faster bounce-back between sessions.
✅ Mood — Generally more positive, less irritable.
What Didn't Change (Honest)
❌ Weight — No direct impact on body composition (didn't expect this).
❌ Skin appearance — Maybe slightly better? Hard to attribute specifically to NAD+.
❌ Any "miraculous" transformation — I didn't suddenly look or feel 25 again.
What I'm Uncertain About
🤷 Long-term benefits — Will these effects persist with maintenance? Build over time?
🤷 How much was NAD+ vs. other factors — I was also sleeping more, exercising consistently.
🤷 Optimal maintenance frequency — Weekly? Monthly? Still figuring out.
The Cost-Benefit Analysis
Total investment: ~$3,000 for 30 days
What I got:
- 30 days of improved energy, sleep, and focus
- Better workout performance
- Improved quality of life
Per-day cost: $100/day
Was it worth it?
For me, yes—with caveats.
The improvements in energy and mental clarity directly impacted my work productivity and personal life. I was more present with family, more effective at work, and generally happier.
But here's the honest truth: This level of investment isn't sustainable for most people long-term. A $3,000 "loading phase" followed by $500-800/month for maintenance is a significant commitment.
What I'm Doing Now
After the initial 30 days, I've settled into:
- Monthly NAD+ IV: One 500mg treatment per month (~$500)
- Daily NMN supplement: 500mg oral NMN for daily support (~$100/month)
- Continued lifestyle focus: Sleep, exercise, nutrition
This combined approach costs about $600/month—still significant, but more sustainable than frequent IV treatments.
Who I'd Recommend This For
Good candidates:
- People feeling age-related decline in energy/focus
- Those who've optimized basics (sleep, diet, exercise) and want more
- Professionals whose productivity justifies the cost
- Anyone curious enough to try the loading phase once
Maybe not for:
- Those on tight budgets
- People who haven't addressed sleep, diet, exercise first
- Anyone expecting a miracle transformation
- Those unwilling to commit to some form of maintenance
The Bottom Line
NAD+ IV therapy delivered real, noticeable benefits for me. The improvements in energy, sleep, and mental clarity were significant enough to continue some form of NAD+ support.
Was it worth $3,000 for the initial month? Given my circumstances, yes. Would I recommend everyone rush out and do this? No—it depends entirely on your health, finances, and goals.
What I can say with certainty: NAD+ isn't snake oil. The effects were real and meaningful. Whether the cost is worth it is a personal calculation only you can make.
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Frequently Asked Questions
How long did the effects last after stopping?
Effects began to diminish about 7-10 days after my last loading phase treatment. I now maintain with monthly IV treatments and daily NMN supplements.
Did you experience any side effects?
During infusions, I experienced mild chest tightness and nausea when the drip rate was too fast. This was easily managed by slowing the infusion. No lasting side effects.
Would you do the loading phase again?
If my levels dropped significantly (from illness, stress, etc.), I would consider another loading phase. For now, maintenance seems sufficient.
How does this compare to just taking NMN supplements?
The effects from IV were faster and more noticeable. NMN supplements alone might achieve similar results over longer timeframes, but the IV loading phase gave me a clear baseline to work from.
What would you do differently?
I'd track metrics more carefully from the start—sleep data, workout performance, cognitive tests. My assessment was subjective. Objective data would have been valuable.

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