Reference protocol

Reference protocol: NAD+

With NAD+ the weekly load is the same across the three schedules —210 mg— and what you choose is the split: more gentle injections or fewer, more felt ones (it is an acidic compound and you notice it). To build tolerance, use half the dose of your schedule for the first two weeks.

Our schedule for NAD+ is 210 mg per week, and you choose how to split it: 30 mg daily —18 units at 166.7 mg/ml—, 70 mg three times a week —42 units— or 105 mg twice —63 units—. Always in the morning, never exceeding 3,000 mg per month; cycles of up to 12 weeks.

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First time? Follow the step-by-step guide
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First time? Start here

Your NAD+ vial arrives as a dry powder: you mix it with a special water — that step is called reconstituting — and measure each dose with an insulin syringe. Follow the steps with the numbers for your case.

Which case is yours?

30 mg every morning (18 U) — the gentlest dose, ideal if NAD+ stings you.

Skip to my dose

Step 1 of 6 Get what you need

Your vial, a vial of bacteriostatic water (sold separately), a 1 ml U-100 insulin syringe — ask for it exactly like that at the pharmacy — and alcohol wipes.

Step 2 of 6 Measure the water

The 500 mg vial takes 3 ml of water: 3 full draws to 100. Flip off the plastic cap (the rubber stopper stays on), wipe it with alcohol and let the water run down the inside wall.

Step 3 of 6 Swirl gently, never shake

Swirl the vial slowly until it turns clear — never shake it; some take a few minutes. Then it goes in the fridge (2–8 °C) and is used within 12 weeks — the limit is mainly to keep bacteria out each time the stopper is pierced. Unmixed, keep it refrigerated from the day it arrives too.

Step 4 of 6 Fill to the 18 mark

The numbers printed on the syringe are units (U): 100 U = 1 ml. Your dose of 30 mg is 0.18 ml — draw up to the 18 mark.

First 2 weeks (half dose): 15 mg — up to the 9 mark.

Step 5 of 6 Inject under the skin

Belly area, two fingers away from the navel: alcohol, pinch the skin, insert the full needle and inject slowly. Switch sides each time and use a new syringe.

Step 6 of 6 Your schedule

Used in the morning, on the schedule you choose: daily, 3 or 2 times a week.

Cycle
Up to 12 weeks · 4–6 week washout
Monthly cap
3,000 mg — do not exceed
  1. 15 mg half dose9 Uwk 1–2
  2. 30 mg your dose18 Ufrom wk 3

Summary Done — you have the essentials

Your 500 mg vial yields 16 complete doses of 30 mg (≈ 2 weeks).

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Quick dictionary — the words that stop beginners
  • Reconstitute: mixing the vial's powder with the special water so it becomes a liquid you can measure.
  • Bacteriostatic water: the special water for that mix (regular water will not do); sold separately — one vial covers several mixes.
  • Unit (U): the insulin syringe's measure: 100 units = 1 ml. Go by the printed numbers, not by counting lines (on a 1 ml syringe each line is usually 2 U).
  • U-100 syringe: the standard 1 ml insulin syringe, numbered from 0 to 100 units; sold at any pharmacy.
  • mg and mcg: milligrams and micrograms: 1 mg = 1,000 mcg. Mind the factor of one thousand when reading a dose.
  • Subcutaneous: an injection under the skin (not into muscle or vein), usually in the belly area.
  • Cycle and washout: using the product for a period and then stopping completely for some weeks; when resuming you start again from the starting dose.

Quick facts

ParameterReference
Weekly total210 mg (house schedule)
Equivalent splits30 mg daily · 70 mg ×3/week · 105 mg ×2/week
Time of dayIn the morning; a light meal can reduce adaptation effects
ToleranceFor the first 2 weeks, half the dose of your schedule
Monthly cap3,000 mg — do not exceed
CycleUp to 12 weeks · 4–6 week washout
RouteSubcutaneous (better tolerated) or intramuscular

Three splits, the same weekly load

ScheduleDoseU-100 syringeWeekly load
Daily30 mg18 U210 mg
3 times a week70 mg42 U210 mg
Twice a week105 mg63 U210 mg

The documented reference range sits between 50 and 100 mg per dose; the 105 mg of the twice-a-week schedule slightly exceeds it to keep the load even — we state it openly. If you prefer to stay within the documented range, use the daily or the 3-times-a-week split.

Whatever the split, use half the dose for the first two weeks: NAD+ is acidic and the body appreciates a gradual start. If a dose feels uncomfortable, halve it without guilt.

Reconstitution and syringe units

Our 500 mg vial is reconstituted with 3 ml of bacteriostatic water: it sits at 166.7 mg/ml.

Dose

The buttons follow the protocol's dose steps; the starting dose comes pre-selected.

Fill the syringe up to the 18 mark

18 U0.18 ml · in a U-100 syringe

The syringe: a 1 ml U-100 insulin syringe (numbered 0 to 100 U = 1 ml), sold at any pharmacy. Go by the printed numbers, not by counting lines.

The 500 mg vial covers 16 complete doses (≈ 2 weeks)

Open this calculation in the calculator

The protocol week

Daily: 30 mg in the morning
3 a week: 70 mg per dose
Twice a week: 105 mg per dose
See the full dose-to-units table
DoseU-100 syringeVolumeDoses per vial
30 mg18 U0.18 ml16
70 mg42 U0.42 ml7
105 mg63 U0.63 ml4

Units refer to an insulin U-100 syringe (100 units = 1 ml). Tap a figure to open it in the calculator. The last column shows how many complete doses the vial yields.

NAD+ is acidic, and the higher the concentration, the more it burns on injection. With our water vial (3 ml) it sits at 166.7 mg/ml; if the burning bothers you, a second water vial lets you go down to 100 mg/ml with 5 ml — the volume per dose grows, but the discomfort drops.

Subcutaneous or intramuscular

  • Subcutaneous: slower, more even absorption, less painful, better tolerated. It can leave transient redness or nodules. It is the recommended starting route.
  • Intramuscular: more pronounced effect but with a high risk of burning, muscle stiffness, and histamine-type reactions — flushing, chest tightness, throat tickle, cough. If they appear, go back to subcutaneous and dilute more.

Documented precautions

  • Do not exceed 3,000 mg per month: in the documentation, excess is associated with liver and kidney damage.
  • Do not use during pregnancy or breastfeeding, with active cancer, or while undergoing cancer treatment.
  • Caution with diabetes (documented insulin resistance and elevated glucose), antihypertensives (it potentiates their effect), anticoagulants, and antidepressants.
  • Quercetin and resveratrol multiply NAD+ levels and with them its adverse effects: flushing, nausea, itching, cramps, headache.

In our catalog

The 500 mg vial is on the NAD+ product page. In documented research practice it accompanies MOTS-c in mitochondrial lines, and as energy support in protocols with GLP agonists such as Tirzepatide.

Frequently asked questions

Why the same load across the three schedules?

Because 210 mg per week splits cleanly into 7, 3 or 2 doses (30, 70 and 105 mg): switching schedules changes neither your consumption nor how far the vial goes. You choose between more gentle injections or fewer, more felt ones — NAD+ stings more the larger the dose.

How far does the 500 mg vial go?

About two weeks on any of the three splits: 16 doses of 30 mg, 7 of 70 or 4 of 105. At 210 mg per week you use about 910 mg per month — under a third of the 3,000 mg cap.

Why in the morning?

NAD+ takes part in regulating circadian rhythm and cellular energy: dosed late it can interfere with sleep. The reference places it in the morning, with or without a light meal.

Does the injection hurt?

It is one of the peptides you feel the most because of its acidity, especially intramuscular. Subcutaneous and with more dilution the discomfort drops noticeably: if it burns, reconstitute with more water and review your technique — slowly, and rotating the site.

Reference protocols compiled from documented research practice and adapted to our formats. Research-context documentation (RUO): not medical advice, not a prescription, and no substitute for professional evaluation.