Everything We Can Tell You Before NAD+ Opens

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Everything We Can Tell You Before NAD+ Opens

On Friday I sent you a letter about the NAD+ Injector Pen, and then I read every reply. 

It'll be available this week!

Start with the problem it exists for. By 40, your NAD+ can run up to 50% lower than it did at 20. That is the fuel behind your energy, your repair and your metabolism, and almost nobody screens for it. It keeps falling from there.

One of you wrote: "I would love to try this, however by not mentioning the price, it will probably be out of my price range." Another simply wrote: "Tennessee. Price?" A third asked whether it was safe alongside heart medication. Dozens of you typed nothing but the name of your own state, which told me the most useful thing of all.

So this is the answer post. Everything I can put in writing before a physician actually meets you is here.

Have not read Friday's letter yet? Start there. It is where I walk through the protocol properly: how the molecule works, why we make it the way we do, and what a physician is actually deciding when they set your dose. This post assumes you have read it.

Read: We Built What the FDA Wouldn't →

What this actually is

It's a prescription protocol, not a product off a shelf. That one fact explains almost everything below, including the parts that frustrate you.

NAD+ is the molecule your cells use to turn food into energy. You can support it slowly by mouth. Or a physician can raise it directly. The pen is the second road, and the second road needs a prescription.

The specifics, so you're not guessing:

  • 600 mg per vial, at 200 mg/mL
  • An eight week starter protocol
  • Compounded fresh in a licensed 503A pharmacy
  • Intake takes about 90 seconds. The dose takes about 30, against your abdomen or thigh
  • Shipping is free
  • It ships without cold packs. No dry ice, no melting, no race to the fridge. CryoBuffer™ holds it stable and potent at room temperature, and it's the only NAD+ injector on the market that can do that

Delivered under the skin, more than 90% of the dose reaches your bloodstream. That's the standard for small molecules given by subcutaneous injection, and it's the reason the pen does in 30 seconds what a capsule can't do in a month.

"I would love to try this, however by not mentioning the price, it will probably be out of my price range."

That was the most common reply I got. So it goes first.

The same protocol in a concierge longevity clinic runs around $1,500 per session, and you have to drive there. On the other side, a gray-market vial stamped "not for human consumption" costs less than either, and in a minute I'll show you what's actually in those.

We didn't price this to be the cheapest NAD+ you can buy. You can always find cheaper. We priced it to be the cheapest one a physician will put their name on.

Founding patients lock that price for as long as they stay patients. Not launch week. Not a code with an expiry date.

physician

What actually happens after you click, in order

Nobody asked me this one. You should have, so I'm answering it anyway:

  1. You claim your spot and pay.
  2. You fill out the intake. About 90 seconds.
  3. A licensed physician in your state reads your file. Not a form, not a bot. A doctor with a license on the line.
  4. If they approve you, they set your dose, the pharmacy compounds it fresh, and it ships to your door.
  5. If they decide this isn't right for you, you're refunded in full.

Yes, you pay before the doctor reads your file. I'm telling you that here instead of letting you find it at checkout. It works that way because compounding starts the moment a prescription is written, and because it's the only way to hold a spot in the run for you. The refund is what makes that fair. If a physician says no, you're not out a dollar.

A company willing to tell you no is the only kind worth taking a prescription from.

"Is this safe with my heart medication?"

I'm not answering that. Neither should anyone else selling you something.

Several of you asked whether this is safe alongside a medication you already take, whether you personally need it, or how it fits a protocol you already run. Those aren't blog questions. They're questions for the physician who reads your intake, which is exactly why the intake exists.

Anyone who answers that in a marketing email is either guessing or lying, and they're doing it about your heart.

Black Forest NAD+ pen

"Tennessee."

Dozens of you sent nothing but a state name. Here's the straight answer instead of a paragraph of hedging.

We're a medical practice. We can only serve states where our physicians hold a license. Today that's 30 states plus DC.

Twenty-one states are not open yet, and some of them are big ones. California. New York. Illinois. New Jersey. Massachusetts. North Carolina. Michigan. Nevada.

I'm not going to bury that in a footnote. If you're in one of those, you can't begin on launch day. You should hear that from me now instead of finding it at checkout.

If your state is not on the list yet

Join the list anyway, and tell me where you live.

We're filing state by state, and the order we file in is shaped by where the demand actually is. Your reply is a vote. California and New York are the two biggest gaps on that map, and they move next if enough of you write in.

CHECK YOUR STATE →

NAD+ States Map

How we know what's in the vial

Three things get tested on every lot, and you don't have to take my word for any of them.

  • Heat stability. Independently tested to stay potent through shipping without cold packs.
  • Potency. A third-party assay confirms full labeled potency. [Assay name, lab name.]
  • Heavy metals and endotoxin. Screened clean.

A team from the University of Pécs and UC San Diego ran test purchases from six illegal online pharmacies and put what arrived through a lab. The labels claimed 99% purity. The lab measured between 7.7% and 14.37%. Endotoxin turned up in every single sample. Three of the six orders never arrived at all. The sellers sent fake tracking numbers claiming customs was holding the package. (JMIR, 2024)

Every one of those labels said 99%. A number on a label costs nothing to print. That's why ours comes with a lot number and a lab's name attached, and theirs came with a fake tracking number.

That's the alternative. Not a cheaper version of this. A different thing entirely.

What launch day means

When we open, the VIP Early Access list goes first.

That list locks the founding price, and gets first access to every protocol we launch after this one.

It's how compounding works. A run gets filled, and when it's claimed the next one is weeks out. The list is how we decide who gets the first one.

How to get in

Join the VIP Early Access list. No codes, no countdown, no hoops. The list is the whole mechanism.

Here's exactly what you're signing up for:

  • One email confirming you're on the list.
  • Early access, the price and the open time, before anyone else gets it.
  • When we open, your link works hours before the general list.

JOIN THE VIP EARLY ACCESS LIST

American medicine spent twelve years calling this experimental. We spent those years building the way in.

This week you stop reading about it, and start standing at the front of it.

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