Step 1
Medical intake
Answer a guided set of questions covering your medical history, current medications, goals, and treatment preferences.
A few minutes
NAD+ is required by hundreds of enzymatic reactions, and published work reports that its tissue concentrations decline with age across multiple organ systems.
NAD+ Nasal Spray
NAD+ Nasal Spray
From $149/mo*
Duration
The same coenzyme as the injection, delivered as a nasal spray. Needle-free and self-administered, for people who want to stay on a protocol without injections.
Supports
Get Started
EnergyFocusConvenient at-home use
HSA/FSA reimbursable
No Membership Required
Licensed US Pharmacies
Compounded NAD+ is not FDA-approved. Dispensed on prescription following a medical evaluation.
Fast, discreet shipping
Unlimited follow-up with licensed physicians
NAD+ is required by hundreds of enzymatic reactions, and published work reports that its tissue concentrations decline with age across multiple organ systems.
WHY THE NASAL ROUTE
No needles. No clinic visit.
Covarrubias et al., Nature Reviews Molecular Cell Biology (2021)
Mean
Individual variation
Illustrative of population-level findings. Published human data on intranasal NAD+ is very limited.
HOW IT WORKS
The same coenzyme, without the needle.
Nasal tissue is thin and well supplied with blood vessels, and does not expose compounds to the digestive enzymes that break NAD+ apart when swallowed. The coenzyme's role once in circulation is unchanged: carrying electrons through energy production and serving as substrate for sirtuin and PARP enzymes.
Avoids digestive breakdown
Absorption through nasal tissue means NAD+ is not first degraded by gastrointestinal enzymes.
Same cellular role
NAD+ functions identically regardless of route — energy production, DNA repair enzyme support, and cellular stress response.
Self-administered daily
No supplies, no sharps, no appointment. Dosing schedule is set at intake.
An emerging route
Published human data on intranasal NAD+ is limited. Your provider will discuss what is and is not established before you start.
HOW PEPTRA WORKS
From intake to your door in three to seven days
Prescription medicine from board-certified physicians, shipped to your door.
Step 2
Doctor review
A U.S.-licensed, board-certified physician reviews your intake and recommends a medication, if appropriate.*
Within 72 hours
Step 3
Fast shipping
Approved medications ship directly to your door in discreet packaging.
2-5 business days
Step 4
Unlimited messaging
Your doctor is available via chat any time for additional support. Video consults available.
Up to 12 months
Prescription medicine from board-certified physicians, shipped to your door.
*Some states may require a synchronous audio and/or video consultation prior to a prescription being approved.
WHY PEPTRA MEDICINE
Precision medicine protocols to support longevity
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Proactive care
Doctor-led treatment plans designed around your goals. No wait lists. No insurance required.
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Transparent pricing
No membership fees, no hidden costs. You pay only after a doctor prescribes treatment.
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Board-certified doctors
Access to specialist physicians, licensed in your state. Unlimited messaging for up to 12 months.
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Curated by longevity experts
Every protocol is built by medical experts, based on longevity research from Our founder's science team.
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COMMON QUESTIONS
Questions, answered
What is NAD+ nasal spray?
How do I use the nasal spray?
How does it compare to the NAD+ injection?
Disclaimer: This page is intended for educational purposes only and is not intended to provide medical advice, diagnosis or treatment. Medication eligibility and prescriptions are determined solely by licensed medical providers based on clinical appropriateness. Not all individuals will qualify for medication-based treatment. Always consult a licensed healthcare professional before beginning any wellness program.