What is NAD+?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell of the human body. It has a central role in cellular respiration — the process by which cells produce energy (ATP) from food. Without enough NAD+, cells find it harder to provide the energy needed for normal functioning.
In addition to its role in energy production, NAD+ takes part in DNA repair processes, the work of enzymes linked to ageing and the regulation of numerous cellular functions. This is why in the past few years it has been intensively studied in the context of vitality, recovery and healthy ageing.
The level of NAD+ naturally declines with age, but also under the influence of chronic stress, insufficient sleep and unhealthy habits. Intravenous administration is one way to replenish this coenzyme for the body, as it is thereby delivered directly into the bloodstream.
At Medical Time we view a NAD+ infusion as a form of metabolic support for the body, not as a medicine for a specific disease nor as a miracle against ageing. It is administered only after a consultation with a doctor, who assesses whether it is suitable and in what dose, with realistic expectations.
Who a NAD+ infusion is for and its indications
A NAD+ infusion is most often considered by people who feel a chronic lack of energy, mental “fog” and slower recovery, as well as those who want to support vitality during periods of increased strain. It is not a substitute for diagnostics, but in carefully selected individuals it can be a useful complement.
The situations in which this infusion is most often considered are:
Persistent fatigue, a drop in concentration or sleep disturbances always deserve a medical assessment too, as conditions such as anaemia, thyroid disease or depression, which are treated specifically, may lie behind them.
- chronic fatigue and a sense of lack of energy with no clear cause
- mental “fog”, weaker concentration and a drop in focus
- periods of increased physical and mental strain and stress
- slow recovery after demanding periods or illness
- a wish to support vitality within the concept of healthy ageing
- increased strain in recreational athletes and the need for faster recovery
Composition and how it works
The main ingredient of the infusion is NAD+ in a form suitable for intravenous administration, diluted in saline. At the doctor's assessment, the therapy is sometimes supplemented with B group vitamins, which support energy metabolism.
When it reaches the bloodstream, NAD+ supports the body in several ways:
- takes part in producing cellular energy (ATP) from nutrients
- supports cell renewal and repair processes
- is linked to the work of enzymes that affect cell ageing
- supports the normal functioning of the nervous system and mental clarity
- contributes to an overall sense of vitality and easier tolerance of exertion
Why NAD+ is given slowly
A NAD+ infusion, unlike many others, is given markedly slowly — often over more than an hour, sometimes longer. The reason is simple: rapid administration can cause discomfort, such as a feeling of pressure in the chest, a wave of heat or nausea. When the pace is slowed, these reactions are kept to a minimum.
This is why NAD+ is not given in a hurry and never outside medical supervision. The pace is adjusted to how you tolerate it, and the staff are with you throughout the administration.
What the procedure looks like — course, duration and medical supervision
Before the infusion there is a consultation with a doctor, who checks your health status, existing conditions, therapy and allergies, and on that basis determines the dose and pace of administration. If needed, basic laboratory tests are recommended.
The infusion is received comfortably, in a lying or half-seated position, as the administration is longer than with other infusions. A nurse places a thin venous cannula into a vein in the arm, and the solution is delivered very slowly, drop by drop. The pace is adjusted to how you tolerate it.
The infusion itself usually takes 1 to 2 hours, and longer with higher doses. Throughout, the staff monitor how you are feeling and slow the administration if needed. When it is finished the cannula is removed, and a short rest is recommended before leaving.
At Medical Time a NAD+ infusion is always given in controlled, medical conditions, with trained staff and a doctor available throughout the procedure — which is especially important precisely because of the slow, longer administration.
Safety and side effects
A NAD+ infusion, when given slowly and under supervision, is generally well tolerated. Most adverse reactions are linked to too-rapid administration and disappear as soon as the pace is slowed.
Possible side effects, most often during administration itself, are:
- a feeling of pressure or tightness in the chest with faster administration
- a wave of heat, facial flushing or a feeling of restlessness
- nausea, stomach cramps or a feeling of bloating
- dizziness or a mild headache during administration
- mild discomfort or a bruise at the puncture site
- very rarely: a more pronounced reaction requiring the administration to be stopped and assessed — which is why supervision is mandatory
Why a medical assessment matters
NAD+ therapy is relatively new and still being studied, so it is fair to say that the scientific evidence for all its claimed benefits is not yet complete. This is why we approach it with realistic expectations and a careful assessment of each patient.
We are guided by the principle that an infusion should help, not harm. If the assessment shows it is not suitable for you, we will tell you honestly and suggest a better alternative.
Contraindications — when the infusion is not recommended
There are conditions in which a NAD+ infusion is not given, or is given only with particular caution and an adjusted dose. That is why a consultation with a doctor before administration is mandatory.
Particular caution, or refraining from the infusion, applies especially to:
- known hypersensitivity to the infusion ingredients
- more serious heart disease and unstable conditions of the heart and blood vessels
- more serious kidney and liver disease requiring special management
- pregnancy and breastfeeding — administration only with the explicit assessment and consent of a doctor
- an active, undiagnosed condition that primarily requires targeted treatment
Why receive a NAD+ infusion at Medical Time
At Medical Time we approach a NAD+ infusion responsibly and with realistic expectations. This means a medical assessment before administration, careful dosing and, especially important, a slow pace of administration with continuous supervision, in the controlled conditions of a hospital in Belgrade.
Alongside the infusion, everything that goes with it is available in one place — laboratory tests, a medical examination and further consultations if it turns out that a condition requiring targeted treatment lies behind the fatigue.
- a medical assessment before every infusion and an adjusted dose
- a slow, controlled pace of administration for better tolerance
- trained staff and supervision throughout the longer procedure
- a comfortable setting for administration that can last up to two hours
- laboratory and medical examination available in the same place
- an honest approach and realistic expectations about the effects
Price — NAD+ infusion
The price of a NAD+ infusion depends above all on the chosen dose, as NAD+ is administered in various amounts, and on the length of the administration itself. The price is also affected by whether it is received once or in a series, and by any additional tests and medical examination before administration. You receive the exact price and an appointment quickly, by phone or through the contact form.
- NAD+ infusion — lower dose (introductory)
- NAD+ infusion — higher dose at the doctor's assessment
- Series of infusions (protocol) with a consultation
For the current price and an appointment call 062-399-888 or contact us.
Frequently asked questions about the NAD+ infusion
NAD+ is a coenzyme present in every cell, essential for producing energy and for cell-renewal processes. Its level declines with age, and an infusion replenishes it as support for energy, mental clarity and vitality.
Unlike other infusions, NAD+ is given very slowly, so the administration usually takes 1 to 2 hours, and longer with higher doses. The slow pace is deliberate, as it reduces possible discomfort.
Rapid administration of NAD+ can cause a feeling of pressure in the chest, a wave of heat or nausea. When the pace is slowed, these reactions are kept to a minimum, so the infusion is deliberately given slowly and under supervision.
The experience is individual. Some people report more energy and clarity in the days after the infusion, while in others the effect is milder. NAD+ therapy is a newer field and works best with realistic expectations, healthy habits and enough sleep.
When given slowly and under supervision, it is generally well tolerated. Most adverse reactions are linked to too-rapid administration and disappear as soon as the pace is slowed. A medical assessment is needed before administration, especially in heart disease.
That depends on your condition and goal, as well as on the doctor's assessment. Some receive it once, while others are recommended a series of infusions within a protocol. The dynamics are always determined by the doctor.
It is recommended to be well hydrated before the infusion and not to come hungry, as this helps you tolerate the longer administration better. You receive exact instructions from the doctor when booking.