Hormone Optimization

NAD+ IV Therapy: The Anti-Aging Treatment Elite Athletes and Executives Swear By

October 29, 2025
7 minutes

In boardrooms across Silicon Valley and training facilities where Olympic athletes prepare, a cutting-edge treatment has become the not-so-secret weapon for those demanding peak performance: NAD+ IV therapy. This isn't about chasing fleeting trends or quick fixes - it's about understanding cellular biology at its most fundamental level and leveraging science to optimize how your body functions.

If you're someone who refuses to accept declining energy, diminishing mental clarity, or the conventional narrative that you simply need to "accept aging," you're in the right place. NAD+ therapy represents the intersection of longevity medicine, performance optimization, and the kind of proactive health management that separates those who merely age from those who age extraordinarily well.

Understanding NAD+: The Molecule at the Center of Cellular Energy

Before we explore NAD+ IV therapy benefits, it's essential to understand what NAD+ actually is and why it matters so profoundly for your health, energy, and longevity.

Nicotinamide adenine dinucleotide (NAD+) is a coenzyme found in every cell of your body. Think of it as a critical currency in your cellular economy - without adequate NAD+, your cells simply cannot produce energy efficiently, repair DNA, regulate inflammation, or maintain the countless biochemical processes that keep you functioning optimally.

NAD+ plays several vital roles:

  • Energy Production: NAD+ is essential for mitochondrial function, converting the food you eat into ATP (adenosine triphosphate)—the energy currency your cells actually use. Without sufficient NAD+, this conversion process becomes inefficient, leaving you feeling exhausted regardless of how much you rest.
  • DNA Repair: Your DNA sustains damage constantly from environmental stressors, inflammation, and normal metabolic processes. NAD+ activates enzymes that repair this damage, helping maintain genetic integrity and cellular health.
  • Sirtuin Activation: NAD+ activates sirtuins, a family of proteins directly linked to longevity, metabolic regulation, and the cellular stress response. Sirtuins influence everything from inflammation to how efficiently your body uses insulin.
  • Cellular Communication: NAD+ helps regulate cellular signaling pathways that control inflammation, immune function, and metabolic health.

The challenge? NAD+ levels decline significantly as you age.

The Age-Related Decline: Why Your NAD+ Levels Drop

Research has documented that NAD+ levels can decrease by as much as 50% between youth and middle age. This isn't a minor shift; it's a fundamental change in your cellular metabolism that correlates directly with many hallmarks of aging.

Several factors contribute to NAD+ decline:

  • Natural aging processes that reduce NAD+ biosynthesis
  • Increased activity of CD38, an enzyme that consumes NAD+ (and becomes more active with age)
  • Chronic inflammation that depletes NAD+ stores
  • DNA damage that requires NAD+ for repair, creating a vicious cycle
  • Metabolic stress from poor diet, lack of exercise, or chronic disease
  • Mitochondrial dysfunction that both contributes to and results from low NAD+

This decline in NAD+ creates a cascade effect throughout your body. As cellular energy production becomes less efficient, you experience fatigue. As DNA repair slows, cellular aging accelerates. As metabolic regulation falters, you become more susceptible to insulin resistance, cardiovascular issues, and cognitive decline.

For high-performers - whether you're an executive navigating complex decisions, an athlete pushing physical limits, or simply someone committed to optimizing your healthspan - this NAD+ decline represents a biological bottleneck that limits your potential.

NAD+ IV Therapy Benefits: Energy, Cognition, and Longevity

This is where NAD infusion therapy enters the picture. By delivering NAD+ directly into your bloodstream through intravenous administration, this treatment bypasses digestive processes and provides a direct boost to your cellular NAD+ availability.

Enhanced Cellular Energy Production

The most immediately noticeable NAD+ IV therapy benefit for many people is a significant increase in energy levels. Unlike caffeine or other stimulants that mask fatigue without addressing root causes, NAD+ therapy supports energy production at the mitochondrial level.

Clinical reports indicate that patients often experience:

  • Sustained energy that lasts days or even weeks following treatment
  • Improved physical stamina and exercise capacity
  • Faster recovery from physical exertion
  • Reduced reliance on stimulants to maintain energy throughout the day

For athletes, this translates to enhanced performance, improved endurance, and accelerated recovery between training sessions. For executives and professionals, it means sustained mental and physical energy to navigate demanding schedules without the afternoon crashes that compromise productivity.

Cognitive Enhancement and Mental Clarity

Perhaps one of the most compelling aspects of NAD therapy is its impact on cognitive function. Research has shown that NAD+ infusion can improve multiple domains of cognitive performance.

A controlled study examining NAD+ IV therapy in healthy adults found improvements in:

  • Attention and reaction time
  • Memory function
  • Reasoning and spatial processing
  • Information processing speed and accuracy
  • Overall cognitive function and proficiency

For those whose livelihoods depend on mental acuity - making complex decisions, solving problems creatively, or maintaining focus during lengthy meetings - these cognitive benefits represent a tangible competitive advantage.

Many patients report experiencing a mental clarity that feels like "lifting a fog" they didn't fully realize had settled over their thinking. Complex problems become easier to navigate. Focus becomes more sustainable. Mental fatigue diminishes.

Longevity and Cellular Health

While enhanced energy and cognition provide immediate benefits, the long-term implications of NAD+ optimization may be even more significant.

Studies have demonstrated that maintaining adequate NAD+ levels can:

  • Improve cardiovascular function and reduce blood pressure
  • Enhance metabolic health and reduce risk of metabolic syndrome
  • Support healthy aging across multiple organ systems
  • Improve muscle function and preserve muscle mass with age
  • Enhance organ protection and regeneration after injury
  • Support neurological health and potentially slow neurodegenerative processes

While human longevity research is still evolving, the preclinical evidence is compelling enough that NAD+ therapy has become a cornerstone of many evidence-based longevity medicine protocols.

Additional Therapeutic Applications

Beyond performance optimization and anti-aging, NAD infusion has shown promise in several clinical contexts:

  • Addiction recovery and withdrawal symptom management
  • Mood regulation and relief from anxiety or depression
  • Support during metabolic dysfunction or chronic illness recovery
  • Neuroprotection in early cognitive decline

It's worth noting that while anecdotal reports are abundant and preliminary research is encouraging, large-scale clinical trials on some of these applications are still ongoing.

Who Benefits Most from NAD+ IV Therapy?

While NAD+ therapy can theoretically benefit anyone experiencing age-related NAD+ decline, certain individuals tend to experience the most dramatic results:

High-Performance Athletes

Professional and elite amateur athletes use NAD infusion to:

  • Maximize training capacity and performance output
  • Accelerate recovery between training sessions or competitions
  • Maintain peak physical condition as they age
  • Support injury recovery and tissue repair

Corporate Executives and Entrepreneurs

Leaders navigating high-stakes decisions and demanding schedules benefit from:

  • Sustained mental clarity and cognitive performance
  • Enhanced energy without reliance on stimulants
  • Improved stress resilience and recovery
  • Better sleep quality and overall vitality

Individuals Focused on Longevity and Optimization

Those committed to proactive aging often incorporate NAD therapy because:

  • It addresses cellular aging at a fundamental level
  • It complements other longevity interventions effectively
  • It provides measurable improvements in how they feel and function
  • It represents a science-based approach to healthspan extension

People Experiencing Age-Related Decline

If you've noticed your energy, mental sharpness, or physical capacity diminishing despite maintaining healthy habits, NAD+ therapy may help address the underlying cellular processes contributing to these changes.

Anyone in Demanding Recovery Situations

Whether recovering from intense physical exertion, managing chronic stress, or supporting your body through significant life transitions, NAD infusion can support cellular repair and regeneration.

What to Expect During NAD+ IV Treatment

Understanding the treatment experience helps you prepare mentally and physically for your NAD infusion.

Pre-Treatment Preparation

When considering NAD+ therapy for a patient, Dr. Cordovez will:

  • Conduct an initial health assessment to ensure you're an appropriate candidate
  • Review your medical history and current medications
  • Discuss your specific goals and concerns
  • Provide guidance on hydration and preparation before treatment

The Infusion Process

NAD+ IV therapy is generally administered slowly over an extended period - but time can vary between patients, depending on the dose and protocol, as well as how the treatment is tolerated. Here's what to expect:

Duration: Most treatments last between 2-4 hours for standard doses. Higher doses may require longer infusion times.

Setting: You'll be in our comfortable IV Lounge, relaxing in a reclining chair. Our aim is to create a calming environment where you can work, read, watch content, or simply rest during the infusion.

The Experience: NAD+ generally must be administered slowly to minimize side effects. Some people experience mild discomfort during infusion, including:

  • Tightness in the chest or abdomen
  • Mild nausea
  • Cramping sensations
  • Headache

These sensations are typically manageable and can often be alleviated by slowing the infusion rate. Patients are able to adjust the infusion drip speed based on individual tolerance, and discomfort usually resolves immediately after the infusion ends.

Importantly, you remain awake and alert throughout the treatment, and many people find the experience quite manageable, especially when they understand that temporary discomfort is supporting significant cellular benefits.

Post-Treatment Effects

Most people don't experience an immediate energy surge right after treatment.

Instead, the benefits typically unfold over the following hours and days:

  • Many people notice improved sleep quality the night following treatment
  • Energy levels often begin improving within 24-48 hours
  • Cognitive clarity frequently sharpens over the first few days
  • Benefits typically peak within 3-7 days and can last weeks

Some people experience mild fatigue immediately following their first treatment as their cells begin utilizing the available NAD+ for repair processes. This typically resolves quickly.

Treatment Frequency and Protocols

NAD+ therapy isn't one-size-fits-all (as with any treatment offered here at Be Well). Treatment protocols vary based on your individual goals, current health status, and how your body responds.

Intensive Initial Protocols

For performance optimization or addressing significant NAD+ depletion, we may recommend:

  • 4-6 consecutive days of NAD infusion (also known as a “loading dose”) to achieve substantial cellular NAD+ repletion
  • Daily doses typically ranging from 500-1000mg, though this can vary
  • This intensive approach is common for addiction recovery protocols or when addressing acute health challenges

Maintenance Protocols

Once you've completed an initial intensive series, maintenance typically involves:

  • Monthly infusions to sustain elevated NAD+ levels
  • Bi-weekly treatments for those with higher demands or more significant depletion
  • Quarterly infusions combined with oral NAD+ precursor supplementation

Performance and Longevity Optimization

High-performers often develop personalized protocols such as:

  • Pre-competition or pre-major event intensive protocols
  • Quarterly intensive series (3-5 consecutive days)
  • Integration with other longevity interventions

Important Considerations

The optimal frequency depends on several factors:

  • Your age and baseline NAD+ status
  • Your performance demands and goals
  • How your body metabolizes and responds to treatment
  • Whether you're supplementing with oral NAD+ precursors between infusions
  • Your overall health status and lifestyle factors

Working with experienced practitioners like Dr. Cordovez who understand NAD+ metabolism and can tailor protocols to your individual needs is essential for safe and optimal results.

The Science Continues to Evolve

NAD+ therapy sits at the fascinating intersection of well-established biochemistry and emerging clinical applications. While we understand NAD+'s fundamental role in cellular function, research into optimal therapeutic protocols is ongoing.

Current evidence suggests:

  • NAD+ infusion is generally safe and well-tolerated when administered properly
  • Cognitive benefits can be measured and replicated in controlled settings
  • Many reported benefits are biologically plausible given NAD+'s cellular roles
  • Individual responses vary, and more research is needed to predict who will benefit most dramatically

It's worth noting that while IV NAD+ has gained significant popularity, the majority of published research has focused on oral NAD+ precursors (like nicotinamide riboside and NMN). Both approaches have merit, with IV administration potentially offering more immediate effects and oral supplementation providing ongoing daily support.

Is NAD+ IV Therapy Right for You?

If you're committed to optimizing your performance, maintaining peak cognitive function, and approaching aging proactively rather than reactively, NAD+ therapy deserves serious consideration. This isn't about chasing miracle cures or quick fixes; it's about understanding cellular biology and leveraging evidence-based interventions to support your body's fundamental processes.

The ideal candidates for NAD infusion are those who:

  • Demand sustained high performance from their bodies and minds
  • Experience unexplained energy decline despite healthy lifestyle habits
  • Are committed to science-based longevity strategies
  • Want to maintain cognitive sharpness and physical vitality as they age
  • Understand that optimal health requires addressing cellular function, not just managing symptoms

Dr. Leah Cordovez understands that high-performers often need more than conventional approaches to health. As a triple board-certified physician with expertise in integrative medicine, Dr. Cordovez recognizes that achieving peak performance and longevity requires addressing health at every level - from cellular metabolism to lifestyle optimization.

Whether you're exploring NAD+ therapy specifically or seeking comprehensive approaches to optimize your vitality, energy, and longevity, the key is working with a physician who understands both the science of cellular aging and the practical demands of high-performance living. Contact our friendly practice today to find out whether NAD+ is a suitable treatment for you.

How NAD+ is Shaping The Future of Longevity Medicine

NAD+ IV therapy represents something larger than a single treatment - it exemplifies a fundamental shift in how we think about health optimization. Rather than waiting for decline and then managing symptoms, this approach asks: what if we could support cellular function proactively? What if we could maintain the biological processes that define vitality rather than accepting their deterioration?

For athletes pushing the boundaries of human performance, executives navigating increasingly complex demands, and individuals committed to not just living longer but living better, NAD+ therapy offers a science-based solution that addresses aging and performance at their cellular roots.

You don't have to accept declining energy, diminishing mental clarity, or reduced physical capacity as inevitable consequences of aging. With cutting-edge interventions like NAD+ therapy, combined with comprehensive approaches to nutrition, exercise, stress management, and metabolic health, you can approach each decade not with resignation but with optimism about what's possible when you give your cells what they need to thrive.