NAD+ Therapy: The Cellular Energy Treatment That's Rewriting the Anti-Aging Playbook
What if the key to feeling 25 when you're 45 wasn't a cream, a supplement, or a procedure on your face — but a molecule that lives inside every single cell of your body? Meet NAD+ (nicotinamide adenine dinucleotide), the coenzyme that's become the obsession of longevity scientists, biohackers, and anyone who's ever Googled "why am I so tired all the time."
At SkinArtMD at Metrotown, we offer physician-supervised IV NAD+ therapy — delivering this critical molecule directly into your bloodstream for maximum absorption and cellular impact. It's not a quick fix. It's a cellular reboot.
What Is NAD+?
NAD+ is a coenzyme found in every living cell. It's essential for hundreds of metabolic processes, but its most important roles include:
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Energy production: NAD+ is a critical player in the mitochondrial electron transport chain — the process that converts food into ATP (cellular energy). Without sufficient NAD+, your cells literally cannot produce adequate energy.
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DNA repair: NAD+ activates enzymes called sirtuins (often called "longevity genes") and PARPs (poly-ADP-ribose polymerases) that repair damaged DNA. This is crucial for preventing cellular aging and reducing cancer risk.
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Cellular signaling: NAD+ influences how cells communicate, regulate inflammation, and respond to stress.
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Circadian rhythm regulation: NAD+ levels fluctuate with your sleep-wake cycle and help regulate your internal clock.
The NAD+ Decline Problem
Here's the issue: NAD+ levels decline by approximately 50% every 20 years after age 20. By the time you're 40, you have roughly half the NAD+ you had at 20. By 60, you're operating at about 25%.
This decline correlates directly with:
- Decreased energy and stamina
- Slower recovery from exercise and illness
- Cognitive decline (brain fog, poor focus)
- Accelerated skin aging
- Increased susceptibility to age-related diseases
- Weight gain and metabolic slowdown
- Poor sleep quality
When researchers realized that many hallmarks of aging could be traced back to declining NAD+ levels, NAD+ therapy became one of the most exciting areas in longevity science.
How IV NAD+ Therapy Works
Why IV Delivery?
You can take oral NAD+ precursors (NMN, NR) — and they help. But IV NAD+ therapy delivers the molecule directly into your bloodstream, bypassing the digestive system entirely. This means:
- 100% bioavailability (vs. estimated 20-30% for oral supplements)
- Immediate cellular access — NAD+ reaches your mitochondria, brain, and organs directly
- Higher therapeutic doses — IV allows concentrations impossible to achieve orally
- Faster results — many clients feel the effects during or immediately after their first infusion
What Happens During an NAD+ Infusion
- Setup: You relax in a comfortable treatment chair. An IV line is placed (just like any standard IV)
- The infusion: NAD+ solution is delivered slowly over 2-4 hours (depending on dose). The slow drip rate is important — too fast can cause temporary flushing, chest tightness, or nausea
- During treatment: Most clients read, work on laptops, watch shows, or simply rest. You're fully awake and comfortable throughout
- After treatment: The IV is removed, and you can go about your day. Many clients report a noticeable energy boost within hours
Treatment duration: 2-4 hours per session Typical protocol: 2-4 loading sessions over 1-2 weeks, then monthly maintenance
What You Might Feel During the Infusion
NAD+ infusions are unique in that many clients feel the molecule "working" in real-time:
- Mild warmth or flushing — this is the NAD+ being distributed through your bloodstream
- Gentle chest or abdominal sensation — temporary and resolves by slowing the drip rate
- Mental clarity emerging — many clients describe a "fog lifting" sensation during the infusion
- Energy building — a gradual sense of cellular "waking up"
These sensations are normal and actually indicate the NAD+ is being actively utilized by your cells. Our team adjusts your drip rate throughout for maximum comfort.
The Science: Why NAD+ Therapy Is Taken Seriously
NAD+ therapy isn't wellness hype — it's grounded in Nobel Prize-winning research:
Key Research:
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Dr. David Sinclair (Harvard Medical School) demonstrated that boosting NAD+ levels reversed cellular aging markers in mice, making them biologically younger. His landmark 2013 paper in Cell showed that raising NAD+ levels in old mice restored mitochondrial function to levels seen in young mice within one week.
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A 2019 clinical trial published in Nature Communications showed that NAD+ precursor supplementation improved muscle function, reduced inflammation, and improved walking speed in elderly participants.
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Sirtuin activation: NAD+ is the required substrate for all seven mammalian sirtuins. Without adequate NAD+, these "longevity enzymes" simply cannot function. Research consistently shows that sirtuin activation extends lifespan across multiple species.
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DNA repair: A 2017 study in Science demonstrated that NAD+ supplementation improved DNA repair capacity in aged mice, reducing DNA damage to levels comparable to young mice within one week.
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Neurological protection: Multiple studies have shown NAD+ supplementation protects neurons from degeneration, with potential implications for Alzheimer's, Parkinson's, and general cognitive decline.
Benefits of NAD+ Therapy
Energy and Performance
- Dramatic improvement in sustained energy (not jittery caffeine energy — smooth, cellular energy)
- Enhanced exercise performance and recovery
- Reduced fatigue and afternoon slumps
- Improved stamina and endurance
Cognitive Function
- Mental clarity and reduced brain fog
- Improved focus and concentration
- Better memory and recall
- Enhanced creativity and problem-solving
Anti-Aging and Cellular Health
- Activation of sirtuins (longevity enzymes)
- Enhanced DNA repair capacity
- Improved mitochondrial function
- Better cellular stress resilience
Metabolic Health
- Improved metabolic rate
- Better blood sugar regulation
- Support for healthy body composition
- Enhanced nutrient utilization
Sleep and Recovery
- Improved circadian rhythm regulation
- Deeper, more restorative sleep
- Faster recovery from physical exertion
- Enhanced immune function during recovery
Mood and Well-Being
- Reduced anxiety and improved stress resilience
- Better mood stability
- Enhanced sense of vitality and well-being
- Some clients report reduced cravings (NAD+ is used in addiction recovery protocols)
The SkinArtMD NAD+ Experience
Your Protocol
At SkinArtMD Metrotown, your NAD+ therapy journey begins with:
- Consultation: We discuss your health goals, review medical history, and determine the optimal protocol
- Loading phase: Typically 2-4 sessions over 1-2 weeks to restore depleted NAD+ stores
- Maintenance phase: Monthly infusions to maintain optimal levels
- Monitoring: Regular check-ins to assess your response and adjust as needed
- Pricing: Competitive rates discussed during your complimentary consultation, with package options for loading and maintenance protocols
Who Gets NAD+ at SkinArtMD?
Our NAD+ clients include:
- Executives and entrepreneurs battling burnout, brain fog, and decision fatigue
- Athletes seeking cellular-level recovery and performance optimization
- Professionals over 35 noticing energy decline, slower recovery, and cognitive changes
- Biohackers and longevity enthusiasts implementing evidence-based anti-aging strategies
- Post-illness recovery — rebuilding cellular energy after COVID, chronic fatigue, or prolonged stress
- Wellness-focused individuals seeking the most advanced cellular rejuvenation available
NAD+ vs. Oral Supplements: The Comparison
| Factor | Oral NMN/NR | IV NAD+ Therapy |
|---|---|---|
| Bioavailability | ~20-30% | ~100% |
| Onset of effects | Weeks to months | Hours to days |
| Therapeutic dose | Limited by absorption | High-dose possible |
| Cellular access | Indirect (converted to NAD+) | Direct |
| Convenience | Daily pill | Clinic visits |
| Clinical evidence | Growing | Established |
| Best for | Maintenance / mild decline | Significant restoration / acute benefit |
Our recommendation: IV NAD+ loading sessions to rapidly restore levels, followed by oral NMN/NR supplementation for daily maintenance between infusions. This combination delivers the best of both approaches.
Combine with Your Longevity Strategy
NAD+ therapy is powerful on its own, but transformative when combined with:
- Peptide therapy — BPC-157 and CJC-1295 complement NAD+ for comprehensive cellular optimization
- IV vitamin therapy — ensure your body has the cofactors (B vitamins, magnesium) needed for NAD+ utilization
- Exercise — NAD+ amplifies the mitochondrial benefits of consistent training
- Intermittent fasting — fasting naturally upregulates NAD+ production; IV therapy supercharges this effect
- Quality sleep — NAD+ supports circadian rhythm; good sleep hygiene maximizes the therapy's impact
FAQs
Q: Is NAD+ therapy safe? A: Yes, when administered by trained medical professionals at appropriate doses and drip rates. NAD+ is a molecule your body naturally produces — we're simply replenishing it. Side effects are generally limited to temporary flushing or mild discomfort during the infusion, which we manage by adjusting the drip rate.
Q: How long does a session take? A: Typical sessions run 2-4 hours, depending on the dose. We recommend bringing something to do — a book, laptop, or your favorite Netflix series. Many clients treat it as dedicated self-care time.
Q: When will I feel a difference? A: Many clients notice improved mental clarity and energy during or immediately after their first infusion. Cumulative benefits (improved sleep, sustained energy, skin improvements) build over the loading phase and beyond.
Q: How often do I need treatment? A: We typically recommend 2-4 loading sessions over 1-2 weeks, followed by monthly maintenance infusions. The exact protocol is tailored to your goals, baseline health, and response to treatment.
Q: Can I combine NAD+ with other IV therapies? A: Absolutely. We often combine NAD+ infusions with vitamin cocktails, glutathione, or other IV nutrients for synergistic benefits. Your protocol is customized during consultation.
Q: Is there anyone who shouldn't do NAD+ therapy? A: NAD+ therapy is generally well-tolerated, but we advise caution for pregnant or breastfeeding individuals, those on certain medications (discussed during consultation), and those with specific medical conditions. A thorough medical review is always conducted before beginning any protocol.
Book Your NAD+ Consultation
Ready to experience what cellular-level energy actually feels like? Book your complimentary consultation at SkinArtMD at Metrotown. We'll discuss your goals, explain the protocol in detail, provide competitive pricing for your personalized plan, and determine if NAD+ therapy is the missing piece in your health optimization strategy.
Your cells have been running on empty. Time to refuel.
SkinArtMD at Metrotown — Modern aesthetic medicine and longevity wellness in Burnaby, BC. Serving Burnaby, Vancouver, New Westminster, Coquitlam, and Metro Vancouver.



