NAD+ IV vs oral — which is right for me?
IV NAD+ delivers full-dose loading; oral and intranasal precursors (NR, NMN) support steady-state maintenance. Many candidates combine an IV loading phase with oral/intranasal maintenance under provider review.
Full answer
IV NAD+ delivers NAD+ directly and is often used for loading and acute reset; the experience can be intense and is dose- and rate-dependent. Oral NAD+ precursors (nicotinamide riboside, nicotinamide mononucleotide) support steady-state NAD+ over time with high patient convenience. Intranasal NAD+ offers rapid mucosal absorption with moderate convenience. Many candidates combine an IV loading phase with oral/intranasal maintenance. The selection is driven by goals, tolerability, time, and budget, under synchronous provider video review.
Educational. Not a substitute for individualized provider review.
- NAD+ pathway — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-06-03