NAD+
NAD+, answered in order.
The one people come asking for by name. Energy, mental clarity, recovery, and the long game on aging. Here’s what it is, what people report, where the evidence actually stands, what it costs, and what happens after you order.
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What is it, actually?
Read it in
Same facts, two ways of saying them. Your choice is remembered on every page.
Short versionA molecule every cell in your body already uses to make energy and repair itself — given as a small injection, because levels fall as you get older.
Clinical versionNAD+ (nicotinamide adenine dinucleotide) is a coenzyme — a helper molecule — found in every cell. It shuttles electrons in the reactions that turn food into ATP, the energy your cells actually run on, and it’s the fuel for sirtuins and PARPs, enzyme families involved in cell repair and how cells respond to stress. Levels fall with age, partly because an enzyme called CD38 breaks more of it down. The product here is a compounded injectable NAD+ solution; it isn’t FDA-approved for any condition.
NAD+ stands for nicotinamide adenine dinucleotide, which is a mouthful for a molecule that sits at the center of how your cells turn food into usable energy. It also feeds the enzymes your cells use to repair DNA and manage stress. It’s in every cell you have.
Levels decline with age — that’s well established — and that decline is the reason NAD+ comes up constantly in longevity conversations.
Think about your phone. It can have every app in the world, but if the battery isn’t delivering power, none of them run well. Your cells have their own energy systems, and NAD+ is part of that machinery. That’s an analogy, not a scientific definition, and I’m not going to pretend it’s more precise than it is.
What you’d actually be getting
Injectable NAD+, compounded by a licensed pharmacy against a prescription, in one of two programs: 500mg taken as a small injection Monday to Friday, or 1000mg taken twice a week. A licensed provider decides whether it’s appropriate for you and which program makes sense.
The honest regulatory picture
Injectable NAD+ for energy and healthy aging is an off-label use. The FDA has not approved it for these purposes, the compounded preparation isn’t FDA-approved, and long-term effects aren’t well studied. I’d rather you hear that from me on page one than find it out later and wonder what else I left out.
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Why do people take it?
Short versionEnergy, mental clarity, faster recovery, and the long game on aging — phrased as what people report, not what I promise, and that’s deliberate.
Energy
Less of the running-on-empty feeling. Often the first thing people notice.
Mental clarity
Sharper focus, less brain fog, fewer 3pm walls.
Recovery
Bouncing back faster after training, travel, or a bad week.
Healthy aging
The long-game reason most people start, and the one with the least hard evidence behind it.
I’ve phrased those as what people report rather than what it does for you, because individual experience varies and I’m not in a position to promise you an outcome.
Where the evidence actually stands
The biology is real: NAD+ is essential, it declines with age, and restoring it does interesting things in animal studies. What’s thinner is large, long human trials showing that injecting it produces the benefits people hope for. There are small studies and a lot of individual reports. That’s a reasonable basis for trying something with a mild side-effect profile under a provider’s supervision. It is not a reason to expect a transformation.
It also works best as part of a life that already includes decent sleep, food and movement — not as a substitute for them. If you’re exhausted because you sleep five hours, NAD+ is not the fix, and I’ll tell you that.
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How does it work?
Short versionNAD+ is a coenzyme — it carries electrons in the reactions that turn food into cellular energy, and it’s fuel for the enzymes that repair cells. Injecting it skips the gut.
Clinical versionThe idea is to top up the NAD+ pool inside cells. Injected NAD+ is thought to get there either directly or after being broken into smaller building blocks (NMN and nicotinamide riboside) that cells take up and rebuild. More NAD+ relative to its used form, NADH, supports the mitochondria’s energy chain and gives the repair enzymes more to work with. Honest note: most of the mechanism evidence is from animal studies and from oral-precursor trials; human trials of the injectable route are limited.
Two jobs. First, NAD+ shuttles electrons through the chain of reactions in your mitochondria that produces ATP, the energy currency your cells actually spend. Less NAD+, less efficient energy production. Second, a family of repair and maintenance enzymes — sirtuins and PARPs, if you want the names — consume NAD+ as they work. They’re involved in DNA repair, inflammation control, and the cellular housekeeping that gets sloppier with age.
The idea behind supplementing is simple: top the pool back up so both jobs run better.
Why an injection and not a pill
The over-the-counter products you’ve seen (NR, NMN) are precursors — building blocks your body has to convert into NAD+, and a lot gets lost in digestion. An injection delivers NAD+ itself, under the skin, bypassing the gut. Whether that raises levels inside cells the way people hope is still being studied; what’s clearer is that people tend to report more from injections than from capsules. The provider decides whether it’s appropriate for you.
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When do you take it — and when will you notice?
Short version500mg: a small injection Monday to Friday. 1000mg: twice a week. Some people feel more alert within hours; most of the value builds over weeks.
The schedule
Whichever program the provider approves, the clinical team gives you the specifics — time of day, technique, how fast to inject. Most people do it in the morning. One practical note: injecting slowly matters. Flushing, warmth or a wave of nausea usually means it went in too fast.
When you’ll notice
- HoursSome people feel more alert
Not everyone. Don’t read anything into it either way.
- Weeks 1–2Stamina and mood
The running-on-empty feeling eases for many people. Energy through the afternoon.
- Month 1–2Recovery and general vitality
Training recovery, resilience to bad weeks, the sense of having more in the tank.
- Month 3Refill, and a fair checkpoint
If you’ve given it 90 days alongside decent sleep and food and felt nothing, that’s useful information. Tell the clinical team, and tell me.
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Who is it for? Who isn’t it for?
Short versionAdults 18 to 65 who want more energy and clarity and have realistic expectations. Not for anyone on ED medication without a provider’s sign-off, and not a fix for a sleep or health problem that needs treating.
Points toward yes
- You’re between 18 and 65 — that’s the program’s range
- Energy, focus or recovery have slipped and you’ve already fixed the obvious things
- You’re fine with a small self-injection several times a week
- You’re treating this as a trial with a checkpoint, not a miracle
Points toward wait
- You’re exhausted because of sleep, thyroid, iron, or something a doctor hasn’t looked at yet — get that looked at first
- You’re pregnant or breastfeeding — safety isn’t established
- The price would make you resent it by week three
One thing to flag on your intake
If you take any ED medication — sildenafil, tadalafil, DirectMax, anything in that family — say so. Both NAD+ and those medications affect blood-vessel dilation, so that combination needs a provider’s eyes on it. Don’t guess at it and don’t ask me. Put it on the form.
Side effects
Usually mild: flushing or warmth, mild headache or nausea, tingling at the injection site, or temporary tiredness if it’s given too fast. Heart conditions, blood-pressure issues, and kidney or liver problems all go on the form so the provider can weigh them. The provider screens your history before approving.
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Where does it come from, and where can it ship?
Short versionPrescribed by a licensed provider in your state, prepared by a licensed US compounding pharmacy, shipped cold to your door by FedEx.
Where it’s prescribed
By a licensed provider in DirectMeds’ network, licensed for your state. Chapter 11 is all about them.
Where it’s made
A licensed, FDA-registered compounding pharmacy prepares it against your prescription, under real quality standards. That isn’t the same as the preparation being FDA-approved — it isn’t.
Where it ships
To a street address, by FedEx, with tracking. It ships cold, packed on ice. No PO boxes, and use an address where someone can bring it inside soon after it lands.
Where it’s available
Availability and consult rules vary by state. Email me your state and I’ll check before you pay.
Where it lives at home
In the fridge, per the label. The clinical team tells you how long a vial is good for once opened.
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What does it cost — really?
Short version$89 for your first 90-day shipment of 500mg, then $189 per shipment. Or $160 for 1000mg, then $229. No membership fee, no consultation fee, and the recurring price is locked.
Prescription required, ages 18 to 65. Each shipment is a 90-day supply, so the recurring price works out to about $63 a month for 500mg and about $76 a month for 1000mg.
No membership fee, no consultation fee. The number you see is the medication. The provider review is part of it.
No long-term contract. It renews until you cancel, and you can cancel future shipments any time after your first order. The first-order price and the recurring price are printed side by side above, because you should see both before you decide.
Your recurring price is locked. I’m authorized to guarantee that the recurring price you start at will not go up.
First-order discounts come and go. If today’s number is better than what’s printed here, I’ll tell you when you email me. If it’s worse, I’ll tell you that too.
My link versus the shop. The list prices are $249 and $299; my link gets you the first shipment at $89 and $160, and the locked recurring price after that.
The per-day number is there on purpose. A monthly figure and a daily figure are the same money and feel very different. Both are honest; use whichever one helps you decide clearly.
The six-month option through Affirm — this one goes through me
There’s a second way to pay that isn’t on the order page: prepay six months and let Affirm split it into monthly payments. Because Affirm sets the payment based on your approval, the monthly figure can land well below the standard price — which is why people sometimes see a much lower number advertised and then can’t find it at checkout. It isn’t a discount. It’s financing, and the terms, including any interest, are Affirm’s decision, not mine, so I can’t quote the number in advance.
How to make it happen: email me, say you want the Affirm option, and give me the okay to send you the Affirm link. You fill it out, Affirm shows you your monthly payment, and you decide. Nothing is committed until you say yes. I’m paid the same either way, so I have no reason to steer you one direction or the other — just be honest with yourself about a six-month commitment before you take a lower monthly number.
About the countdown timer on the order page
When you tap my link, the page says “Welcome back” and starts a clock. Ignore the clock. It’s a marketing timer, not a deadline, and it’s the single biggest reason people I’ve talked to abandon an order — they feel rushed and close the tab. The price on my link is the price I quote every day. If you ever come back and it’s different, email me and I’ll get you the number I promised. You are allowed to sleep on this.
If the provider says no, you get every dollar back
You pay before the review, and that sounds worse than it is. If you’re not approved, you’re refunded in full. You are never stuck paying for a medication you were never prescribed.
And the disclosure, because it belongs on the page with the prices: I earn a commission when you order through my link. It doesn’t change what you pay — the pricing on my link is the best available — but you should weigh everything I say against it.
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How do I order?
Short versionTap my link, pick your option, create a login, pay, then fill in the health intake. About ten minutes, all on your phone.
The whole thing takes about ten minutes, and you do it yourself, on your phone, at whatever pace you like. Here’s each step so nothing surprises you.
- Tap my link1 min
It opens the DirectMeds order page for NAD+. My name rides along inside the link — that’s what attaches me to your account as your account manager. The link is in chapter 14, and in the button at the bottom of your screen.
The page it opens says “Welcome back”, shows the first-order pricing for the 500mg and 1000mg programs, and runs a countdown timer you should ignore.
- Pick your option1 min
Choose the 500mg program (Monday to Friday) or the 1000mg program (twice a week). If you’re not sure, the provider will steer you — you’re stating a preference, not locking anything in.
- Create your login and pay2 min
Your email becomes your username for the DirectMeds patient portal, and payment is by card. Nothing on the checkout is a consultation or membership fee; the number is the medication.
- Complete the health intake10 min
In your portal, right after checkout. This is the medical part, and it’s what the provider uses to decide. It includes a quick ID check — a photo of you and a photo of your ID, taken with your phone camera (a QR code opens it) or a webcam. Nothing ships until the intake is submitted. The next chapter walks through every question on it.
- Wait — briefly, and usually quietly1–3 days
A licensed provider reviews your intake. Chapter 10 tells you exactly what that wait looks like, including the part where nobody calls and that’s normal.
Before you start, three things
- Have your photo ID next to you. The intake asks for a picture of it, and hunting for it mid-form is where people stall.
- Use a street address, not a PO box. It ships by FedEx and needs a doorstep where someone can bring it inside soon after it lands.
- Not sure it’s available in your state? Availability and consult rules vary by state. Email me your state before you order and I’ll check.
If anything at all goes sideways — a page won’t load, a card gets declined, you’re not sure it submitted — email me. Fixing it is my actual job, and it usually takes two minutes.
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What’s on the health intake form?
Short versionAbout ten minutes. A photo of you, a photo of your ID, your basics, and your medical history — answered honestly, because it’s the only thing the provider has to go on.
Right after you pay, you complete the health intake. It replaces the office visit: it’s everything a provider would ask you across a desk, and it’s the only thing they have to go on. So it’s worth doing carefully.
What it asks for
- A photo of you — a clear, well-lit selfie. It’s an identity check, not a beauty contest.
- A photo of your government ID — driver’s license or passport. This is the upload that trips people up most; good light, flat surface, no glare.
- Date of birth, height and weight, and your state.
- Your medical history — conditions, past surgeries, allergies, and every medication and supplement you take. Yes, every one.
What to make sure is on it for NAD+
These are the things the provider specifically looks at for this program. None of them are automatic disqualifiers unless I say so — but leaving one off is the one way to make this go badly.
- Any ED medication — sildenafil, tadalafil, DirectMax, or anything similar
- Heart conditions or blood-pressure problems, and what you take for them
- Kidney or liver problems
- Pregnancy or breastfeeding
- Your age — the program runs 18 to 65
- Every medication and supplement, including the NAD precursors you may already take
Honesty is the fast path, not the risky one
People sometimes leave things off because they’re worried about being turned down. Think about what that buys you: if something in your history genuinely rules this out, you get a full refund and you’ve avoided a medication that wasn’t safe for you. If it just needs a closer look, the provider adjusts around it. The form isn’t a test you pass by omitting things. It’s how the provider keeps you safe.
If you get stuck
Nine times out of ten it’s the ID photo. Email me. I’ll walk you through it or sort it from my side. Please don’t leave a paid order sitting because a photo upload wouldn’t cooperate.
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What happens, and when?
Short versionPay and do the intake today. Provider review in a day or three, usually without a call. Ships cold about five business days after approval. Some feel it in hours; most of the value builds over the first month or two.
Here’s the whole thing laid end to end, from the moment you pay. Knowing the shape of it in advance is most of what makes the wait easy.
- Day 0You order and complete the intake
Ten minutes. Have your ID out.
- Days 1–3A licensed provider reviews it
Usually silently. If your state requires a consult or something needs a closer look, they reach out first.
- On approvalThe pharmacy compounds and ships it
About five business days, cold, by FedEx, with tracking. Straight into the fridge when it lands.
- Week 1First injection
The clinical team gives you the how-to. Slow is the technique.
- Weeks 1–2Stamina and mood
Where most people first notice something.
- Month 1–2Recovery and vitality
The slower-building part.
- Month 3Refill ships, honest checkpoint
Renews on the subscription. If it’s done nothing for you, say so — to the clinical team and to me.
If it goes quiet, that’s the process working
Most people never speak to a provider at all. Your intake gets reviewed and approved without a call, and the first thing you hear is that your order has shipped. I’ve had customers cancel a perfectly good order a few hours after paying purely because nothing happened — they were waiting on a phone call that, in their state and with their history, was never going to be needed.
When you should actually get in touch
- You can’t finish the intake, or the site won’t take your ID photo
- You’re not sure whether the order went through
- Something on your card statement doesn’t look right
- It’s been longer than feels reasonable and you want a human to check
That last one is a completely legitimate reason to email me. You don’t need a better excuse than “where is this?”
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Who’s the provider, and what do they decide?
Short versionA licensed clinician in your state who reads your intake and makes the call. Often without a phone call — that’s the normal outcome, not a shortcut.
A licensed clinician in DirectMeds’ network, licensed for your state. They read your intake the way a doctor reads a chart, and they make the decision. I don’t.
What they decide
Whether NAD+ is appropriate for you at all given your history, which program — 500mg daily or 1000mg twice weekly — and whether anything you take (ED medication in particular) changes that answer.
Will you actually talk to them?
Maybe not, and that’s normal. In many states the provider can review your history and approve without ever speaking to you. If something in your history needs a closer look — or if your state requires a consult before prescribing — they reach out first. A call is not a rejection. It’s a clinician doing the job properly.
If they say no
You’re refunded in full, and I’d rather that happen than have you take something that isn’t right for you. You’re welcome to ask what the reason was, and to take it to your own doctor.
After approval
The clinical team takes over the medical side: how to take it, what to expect, side-effect questions, dose changes, and check-ins. If the provider orders bloodwork, that typically lands around the 90-day mark. You reach them through your account, and if you ever can’t find the door, I’ll walk you to it.
Questions that go to them, not me
- Dosing — starting dose, changes, what to do about a missed one
- Whether it’s safe alongside something else you take
- What a symptom or side effect means
- Interpreting labs
- Whether this is right for you at all
I’m not dodging you when I send those over. They have your history in front of them and I don’t, and guessing at it would be a genuinely bad thing to do.
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What do I do as your account manager?
Short versionI’m the person who answers when something goes sideways with your order — intake, billing, “where is it.” Not a doctor, and I’ll say so when a question isn’t mine.
I’m a patient onboarding specialist at DirectMeds. Which is a long way of saying: I’m the person who explains this, and the person who picks up when something goes wrong with your order.
What I’m good for
- Explaining what the medication is and how the program works, in normal language
- Telling you what it costs today, including the renewal price
- Getting you through the intake form when it’s being difficult
- Finding out where your order is
- Billing and account problems — fixing them, or getting you to whoever can, without leaving you on hold
- Making sure you’re on the best price I’m authorized to offer, and that your recurring price stays put
- Setting up the six-month Affirm option, by email, if you want it
What I’m not
A doctor. Anything clinical — dosing, side effects, interactions, whether this is right for you — goes to the provider or the clinical team. I’ll tell you out loud when a question is above my pay grade rather than guess at it.
The one condition
I’m only attached to your account if you order through my link. Order through a different link, or straight from the DirectMeds homepage, and the system assigns you to nobody in particular — I can’t see your order, and I can’t help with an order I can’t see. The link in chapter 14 is the only way I’m on it.
How to reach me
Email. Malcolm@DirectMeds.com. Tell me what you’re trying to do and I’ll give you a straight answer.
Why there’s no phone number on this site
Calls and texts to DirectMeds go to whichever rep is on shift. If that isn’t me, the person who picks up becomes your account manager — and I can’t take that back afterwards. Email lands with me and only me. So: my link to order, my email to reach me. That’s the whole system.
There’s a practical reason too. When I’m on shift I’m on the dialer and can’t always stop to take a call. Email I can answer any time, on or off the clock, and I can submit orders and send links from it 24/7. It’s the fastest way to actually get me.
Cancelling or changing an existing order
That goes through Customer Service rather than through me — the company keeps new orders and account changes separate so they don’t tangle. Tell me what you need and I’ll get you to the right people. You won’t be left holding.
And how I’m paid, one more time: commission on orders through my link. It doesn’t change your price. It’s stated on every page so you can weigh everything else against it.
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What else do people ask?
Short versionThe things people actually ask, including the awkward ones — about NAD+, and about the whole setup.
Everything I get asked about NAD+ that hasn’t already been covered, including the awkward ones. Tap a question to open it.
The medication
Is NAD+ FDA-approved?
Not for energy or healthy aging — that’s an off-label use — and the compounded injectable isn’t an FDA-approved product. A licensed provider decides whether it’s appropriate for you. I say this every time because I’d rather over-tell you than under-tell you.
Is this the same as the NMN or NR capsules I’ve seen?
No. Those are precursors — building blocks your body converts into NAD+, with a lot lost in digestion. This is NAD+ itself, injected under the skin. Different route, different thing, and a provider is involved.
Is it a stimulant? Will I feel wired?
It isn’t a stimulant and it doesn’t work like caffeine. People describe steadier energy rather than a buzz. If you feel flushed or queasy right after a dose, that’s almost always injection speed — slow down next time.
Does it hurt?
It’s a small needle into the fat under the skin. Some tingling or warmth at the site is common. It’s nothing like a blood draw.
Is 1000mg “stronger” than 500mg?
It’s a different schedule — a larger dose twice a week instead of a smaller one five days a week. Which is right for you is the provider’s call. Neither is the “advanced” option.
Can I take it with ED medication?
Only with the provider’s sign-off, because both affect blood-vessel dilation. Put it on the intake form. That is genuinely not a question for me.
Can I stack it with glutathione or peptides?
People often do, and the provider can review the combination. Put everything you take, or plan to, on the form.
How long until I feel something?
Some people feel more alert within hours. Most of the value builds over weeks — stamina and mood in the first couple, recovery and general vitality over a month or two. If 90 days in you feel nothing, that’s real information and you should act on it.
Is there an age limit?
Yes — 18 to 65 for this program.
How the 90-day supply works
Why is it a 90-day supply?
The program ships a full 90-day supply up front after approval, with the cost split into three monthly payments. It saves you placing a new order every month, and the provider can set your dose steps across the whole supply.
Can I just order one month?
No. The initial order is the full 90-day supply, paid monthly. There’s no long-term contract beyond that: you can cancel future shipments any time after your first order.
Why does the price change after the first order?
Where there’s a first-order discount, it’s there to get you started; after that it goes to the regular recurring price, which is printed next to it in chapter 7 and is guaranteed not to rise.
The company
Is this a scam?
No, and I understand why you’re asking. DirectMeds has been operating since 2024 with thousands of reviews. Prescriptions come from licensed providers, medications from licensed compounding pharmacies, and it ships by FedEx with tracking.
What throws people is the order of things: you pay, then you wait, and often nobody calls, because the provider can review your history without needing to. That quiet stretch is the process working normally.
Is it FDA-approved?
Not in the way a branded, mass-manufactured drug is. The active ingredients have established clinical use, but a compounded preparation is not individually FDA-approved or FDA-reviewed before it ships. It’s legal, it’s long-standing, and it’s prepared in FDA-registered pharmacies under real quality standards. But anyone who tells you it’s exactly the same as the brand is overselling.
Is compounded the same as generic?
No. “Generic” has a specific legal meaning and this isn’t it. Compounded means a licensed pharmacy prepares the medication against your prescription, with the same active ingredient as the brand you know. Same ingredient, not an identical product — it can differ in concentration, inactive ingredients, packaging and storage.
Why did I have to pay before a doctor saw me?
Because the model doesn’t charge a separate consultation fee. You pay for the medication and the provider review is part of that. If the provider decides you’re not a good candidate, you’re refunded in full. It’s a fair trade, and worth understanding going in.
Money
Is there a membership or consultation fee?
No. You pay for the medication.
Is it a subscription?
Yes. It renews until you cancel. The first-order price and the renewal price are both in chapter 7, side by side, because you should know both before you decide.
I saw a much lower monthly price somewhere. Why isn’t it at checkout?
Nine times out of ten that’s an Affirm monthly payment on a six-month prepay, not a discount — and it isn’t on the order page because it has to be set up through a rep. Chapter 7 explains it. Email me and I’ll send you the Affirm link with your permission; Affirm shows you your actual monthly figure and you decide.
How does the Affirm option work?
You prepay six months, Affirm finances it and splits it into monthly payments based on your approval. The terms are Affirm’s, including any interest, so I can’t promise a number. I set it up by email: you tell me you want it and give me the okay to send the link. I’m paid the same either way.
Will my price go up later?
The recurring price you start at is the one you keep. I’m authorized to guarantee that. First-order discounts do end after the first order — that’s printed in chapter 7 — but the recurring number doesn’t climb.
It’s more than I can afford right now.
Then wait. I mean that. The program isn’t going anywhere, and a bill that doesn’t fit turns into quitting at month two, which helps nobody. If it’s close, one honest data point: people on appetite medication often find their food and takeout spending drops, because the appetite does. That’s worth factoring in, but it’s a hope, not a line item — don’t budget on it.
Does using your link cost me more?
No. My link carries the best pricing available. I earn a commission on orders through it. I’d rather you know than not.
Does insurance cover it? Can I use my HSA or FSA?
It’s a cash-pay program and isn’t billed through insurance, which is also why there are no prior authorizations or waiting. HSA and FSA cards are accepted, and DirectMeds can provide receipts for reimbursement. If you have a specific question about that, email me and I’ll check rather than guess.
What if I want to cancel?
Changes to an existing account go through Customer Service rather than me. Tell me and I’ll get you to the right people instead of leaving you on hold.
The process
Will I talk to a doctor?
Maybe not, and that’s normal. In many states the provider reviews your intake and approves it without a call. If something needs a closer look, or your state requires a consult, they reach out before approving.
How long until it arrives?
Once the provider approves and the pharmacy fills it, shipping is about five business days by FedEx, with tracking. It can’t go to a PO box.
Is it available in my state?
It varies by program. As of this writing the weight-loss programs aren’t available in Mississippi or Louisiana, and hormone therapy and peptides aren’t available in Alabama or Mississippi. Consult rules vary by state too. Email me your state before you order if you want to be sure.
Do I have to talk to someone every month?
No. Once the first order and intake are done, shipments continue on the subscription. You don’t call anyone to reorder, and nobody needs to call you.
I’m nervous about starting.
That’s a reasonable response to starting a medication, not a problem to be talked out of. Here’s what’s actually protecting you: a licensed provider reviews your full history before anything is prescribed, nothing ships until you’ve completed the intake, the clinical team answers every question you have, and if the provider says no, you’re refunded in full. Nothing happens without your say-so.
I want to talk to my own doctor first.
Good. Do that. Send them this page — it has the ingredients, the risks and the hard stops written out — and ask what they think. A doctor who knows what you’re considering can catch things a form can’t. Nothing here expires while you have that conversation.
I’m comparing other companies.
You should. I won’t badmouth anyone; I’ll just tell you what to compare. Whether the price includes the provider review or there’s a consult or membership fee on top. Whether the recurring price is locked. Whether a licensed pharmacy prepares it. Whether a specific person is attached to your account, or a queue. And whether they’ll put their pricing on a page where you can read it at midnight.
Should I tell my regular doctor?
Yes. I’d encourage it, and I’ll give you whatever you need for that conversation. A good doctor will want to know, and the provider here would rather you have one more set of eyes on it, not fewer.
I got stuck on the intake form.
Email me. It’s the easiest thing in the world for me to fix and it takes two minutes. Don’t leave an order sitting because a photo upload wouldn’t cooperate.
Where can I read reviews?
DirectMeds on Trustpilot. Read the bad ones too; they’re usually about the quiet stretch after paying, which is the thing chapter 10 is for.
Why isn’t there a phone number on this site?
Because calls and texts to DirectMeds go to whichever rep is on shift, and whoever picks up becomes your account manager. If you want me specifically, it’s my link to order and my email to reach me.
If your question isn’t here, email me and ask it. An unanswered question is the main reason people don’t start, and I’d rather spend ten minutes on it than have you guess.
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Ready?
Short versionThis link opens the DirectMeds NAD+ order page with my name attached. It’s the only link that makes me your account manager.
You’ve read the whole thing. If it’s a yes, here’s the link. If it’s a not-yet, that’s a good outcome too — nothing here expires.
Use this exact link
Ordering through it is what makes me your account manager. If you order through any other link, or straight from the DirectMeds site, I won’t be attached to your account — and I can’t help with an order I can’t see.
Same price either way. The only difference is whether you get a specific person. And once you’ve ordered, the way to reach that person is Malcolm@DirectMeds.com — not the main phone line, which goes to whoever is on shift.
One more time, because it matters: the order page will show a countdown. It isn’t real. Take the time you need.
Not ready?
Send this page to yourself and come back at midnight when the doubt shows up. Or email me the thing that’s stopping you. No countdown, no last chance.
You pay before the provider reviews you. If they decide you’re not a good candidate, you’re refunded in full. Subscriptions renew until you cancel. Compounded medications are not FDA-approved. Results vary.