Phase 01
Optimization Assessment
A structured intake captures symptoms, goals, recovery patterns, lifestyle context, and pathway history for provider interpretation.
Active
SYS · 01Everyday cellular wellness
Support for energy, recovery, and everyday clarity.
NAD+ supports the cellular systems behind how you feel, train, think, and recover.
Access pathway
Provider-reviewedVitality Membership
NAD+ is not sold directly. Membership is how you enter care — a licensed provider reviews your history and determines eligibility and whether any treatment is clinically appropriate for you.
Licensed provider reviewIndividualized recommendationsNo treatment guaranteed
NAD+ · Optimization Pathway
Telehealth-only · provider-reviewed eligibility · individualized provider recommendations.
The NAD+ collection
Four modalities.
One optimization architecture.
Injectable is available to anyone. Nasal, topical, and transdermal are dispensed under Vitality access — engineered as a cohesive system, all provider-reviewed.
- Injectable
Foundational format · available to anyone
- NasalVitality
Vitality Membership only · daily-use rhythm
- TopicalVitality
Vitality Membership only · transdermal cream system
- TransdermalVitality
Vitality Membership only · sustained-release patch
Why people explore
Why people explore NAD+ pathways.
NAD+ pathways are commonly explored within broader conversations around energy, recovery, cognitive clarity, and proactive wellness support.
- Cellular energy support
Often explored by people looking to feel less depleted and more supported throughout the day.
- Recovery routines
Frequently discussed as part of broader recovery-focused and wellness-oriented lifestyles.
- Mental clarity
Commonly explored within conversations around focus, cognitive sharpness, and daily performance.
- Long-term wellness
Often considered by people interested in proactive optimization and longevity-minded wellness support.
A quieter beginning
Most people don't arrive with a diagnosis. They arrive with a feeling that something is off — and a desire to understand it precisely.
LongevityAll adultsProvider-reviewed
Optimization, not medicalization
How the NAD+ pathway is followed
- Metabolic trendlines
Glucose, lipids, inflammation considered over time.
- Recovery patterns
Sleep, training load, and recovery integrated.
- Integration
Considered alongside hormonal and peptide pathways.
Continuity architecture
Designed for long-term optimization, not isolated prescribing.
Provider oversight, biomarker interpretation, fulfillment, recalibration, and continuity review operate together through one coordinated optimization framework.
0105· Optimization Assessment
Optimization intelligence engine
Your pathway is interpreted through interconnected systems.
Hormonal optimization is not built from isolated numbers. Recovery, thyroid function, metabolic context, performance signals, and longitudinal trendlines are interpreted together through provider-guided continuity.
01
Hormonal Performance
Testosterone, Free Testosterone, thyroid signaling, recovery physiology, and endocrine balance interpreted together.
02
Recovery & Metabolic Function
Sleep quality, energy regulation, metabolic efficiency, organ-system context, and physiologic resilience.
03
Longitudinal Trendlines
Optimization pathways evolve through ongoing provider interpretation, recalibration, and continuity monitoring.
04
Provider Intelligence Layer
Clinical decisions incorporate biomarkers, symptom patterns, recovery signals, physiologic context, and continuity architecture together.
Continuity architecture
Optimization pathways are interpreted longitudinally through provider-guided biomarker context, continuity review, and physiologic trend analysis.
Access Treatment Options Through VitalityProvider-guided · Longitudinal
What to expect from the NAD+ pathway
A supportive option for people exploring cellular energy, recovery, and wellness routines.
NAD+ is commonly explored by people looking for support around energy, recovery, cognitive clarity, and overall wellness. It is framed as a provider-reviewed wellness pathway — not a guaranteed outcome or required long-term protocol.
Simple, supportive, provider-reviewed.
Step 1 → Step 4
- Step 1
Start with the assessment
Share your goals, health history, and wellness priorities so the pathway can be reviewed appropriately.
BASELINE ◐ - Step 2
Provider-reviewed next steps
Your information is reviewed to determine whether this pathway may be appropriate for you.
ENERGY ↑ - Step 3
Home delivery if appropriate
If approved, your NAD+ treatment option is shipped directly to your home with clear instructions.
SLEEP ↓ DEEPER - Step 4
Ongoing wellness support
Some people choose to continue NAD+ as part of a broader wellness routine, depending on goals, response, and provider-reviewed guidance.
RECOVERY ◯
Provider-reviewed support
Wellness pathways should feel supported, not transactional.
All pathways are reviewed by a licensed provider to help ensure the experience is appropriate for your health history, goals, and broader wellness context.
- Layer01
What to know
Some people may experience mild or temporary effects as their body adjusts. Experiences vary by individual and should always be discussed with your provider if questions arise.
- Layer02
Optional deeper insight
Biomarker testing may be explored by people interested in additional physiological context, but testing is not required for NAD+ pathways.
- Layer03
Ongoing communication
If your goals, experience, or questions change over time, your provider can help guide next-step recommendations and continuity considerations.
Important — If you experience anything unexpected or concerning, contact your provider directly. For emergencies, contact your local emergency services immediately.
Continuous interpretationAdaptive recalibrationLongitudinal continuity
Trust & support
Designed to feel simple, supported, and professionally reviewed.
Quiet, professional infrastructure behind every step.
Pathway · Operating quietlyEnd-to-end · Provider-supervisedE2E · Supervised
Provider oversight
- AssessmentIntake
- Provider reviewLicensed
- OptimizationPathway live
- ContinuityOngoing
- RecalibrationAdaptive
Continuity loop · not a re-purchase moment
- Provider-reviewed pathways
Licensed clinicians, jurisdiction-aware.
- Direct pharmacy fulfillment
Provider-issued prescription shipped from the fulfillment pharmacy to your home.
- Synchronous consultations
Live video consultation with a licensed provider in your state.
- State-based eligibility
Care delivered only where permitted.
- Pay-as-you-go
Purchase a single 30-day supply or continue month-to-month — no subscription, no auto-ship.
- HIPAA-compliant software
Health information, assessment responses, and provider notes handled under HIPAA-aligned infrastructure — never sold, never used for advertising.
Access pathway
Access is through Vitality Membership
NAD+ is not sold directly. Membership is how you enter provider-reviewed care and discuss whether it fits your physiology.
- 01Join Vitality
Membership opens access to provider-reviewed optimization pathways and biomarker intelligence.
- 02Provider review
A licensed provider in your state reviews your history and determines clinical appropriateness.
- 03Individualized plan
If appropriate, your provider builds a plan around your physiology — not a preselected product.
Important
- Treatment options are subject to provider review.
- Eligibility and treatment recommendations are individualized.
- Membership does not guarantee that a particular medication or treatment will be prescribed.
- A licensed provider determines clinical appropriateness.
Ecosystem architecture · Continuity infrastructure
Optimization
without restarting the process.
One provider relationship. One biomarker history. One evolving optimization system — adapting across protocols, pathways, and recalibration windows without a reset.
- Biomarker continuity01
Longitudinal biomarker intelligence
Your optimization history, biomarker trendlines, and recalibration context stay connected across evolving protocols and provider review cycles.
- Pathway expansion02
Cross-pathway optimization access
Recovery, peptide, metabolic, performance, and longevity pathways operate within the same continuity ecosystem and provider relationship.
- Protocol recalibration03
Adaptive optimization continuity
Delivery formats, dosing cadence, and optimization pathways evolve alongside biomarker interpretation and provider-guided recalibration.
- Provider continuity04
One evolving provider relationship
No restarting intake forms, rebuilding history, or repeating optimization conversations as your pathway evolves over time.
Continuous biomarker memoryAdaptive protocol routingPersistent provider relationship
Common questions
Everything people usually want to know before getting started.
Clear answers around provider review, delivery, and ongoing support.
Choose your starting point
Three doors. One ecosystem.
Begin where it serves you. Each path moves at your pace — and none of them are a subscription.
Primary · Ready to begin
Join Vitality Membership
Membership opens provider-reviewed evaluation. Eligibility and treatment recommendations are individualized by a licensed provider.
Join Vitality MembershipSecondary · Exploring
Explore Vitality
Cross-pathway access — modalities, continuity, and provider relationship under one ecosystem.
Explore Vitality MembershipTertiary · Optimize with data
Understand your baseline
Optimization begins with signal. Biomarker interpretation and provider review are arranged through Vitality Membership — never as a standalone purchase.
Access Treatment Options Through VitalityProvider-reviewedHIPAA-compliant softwareNo subscription requiredHSA / FSA eligible
Important
- Treatment options are subject to provider review.
- Eligibility and treatment recommendations are individualized.
- Membership does not guarantee that a particular medication or treatment will be prescribed.
- A licensed provider determines clinical appropriateness.
Biomarkers Tracked on This Pathway
Explore the Spine Around This Pathway
Recommended Next Step
Explore Vitality Membership