NAD+ dosage, explained
There is no universal NAD+ dose. It is individualized and physician-directed, with the starting amount and any step-up schedule written on your prescription.
Quick answer
There is no universal NAD+ dose. The honest answer to "how much NAD+ should I take" is that the right amount is individualized and physician-directed, typically started conservatively, with any step-up schedule set by your physician at approval from your goals, health history and tolerance. NAD+ is a compounded, physician-prescribed medication, so the specific amount and schedule are set by your physician for you, not chosen from an internet number. This article explains the process of how dosing is determined, not a dose to self-administer. Individual results vary, and NAD+ may support general wellness goals rather than treat any specific condition.
How much NAD+ should I take?
If you have searched this, you have probably found confident-sounding numbers. Be skeptical of them. A single "take this much" figure pulled from a supplement page or a forum ignores the most important fact about dosing: the right amount depends on the person. What is reasonable for one individual may be inappropriate for another, which is exactly why a compounded, physician-prescribed medication is dosed by a physician after reviewing your health history, not standardized into a one-size-fits-all number.
So the genuinely correct answer is not a number at all. It is a process: a licensed physician assesses you, starts conservatively, and reassesses you about every 90 days before treatment continues. That process is what this article walks through.
What is titration?
Titration is the medical practice of starting at a lower, conservative amount and stepping up gradually on a set schedule. Instead of jumping to a fixed number, your physician writes that schedule into your prescription at approval; a check-in questionnaire about every 30 days and a physician reassessment about every 90 days determine whether treatment continues or changes.
Titration exists precisely because people differ. It lets the physician find a plan that fits you specifically, rather than forcing your body to match a generic figure. It is also a safety practice, starting conservatively and adjusting deliberately is generally gentler than beginning at an arbitrary amount someone read online.
What factors does a physician weigh when setting a dose?
Individualized dosing is a clinical judgment that accounts for several things at once. The factors a physician typically weighs include:
- Your goals, what you are hoping the plan may support.
- Your health history and current medications, what is safe and appropriate for you.
- Your tolerance, how comfortably you handle the plan, especially early on.
- Your response over time, what the physician observes as the plan continues.
- The clinical context, the physician's judgment tying it all together.
No reputable source can turn that list into a single public number, because the inputs are personal. That is the point: the right dose is the output of an evaluation, not a value you can look up.
Why a one-size-fits-all internet dose is the wrong frame
Searching for "the NAD+ dose" treats a personalized medical decision like a product spec. That framing is the actual error. A number that ignores your history, your medications, your tolerance, and your response is not a shortcut, it removes the very judgment that makes dosing appropriate and safe.
This is also why Kesbury Health does not publish a self-dose. The specific amounts and schedules belong inside an individualized physician plan, not in a public article where they could be mistaken for instructions. A trustworthy answer to a dosing question points you toward an evaluation, not away from one.
How often? Your physician sets your schedule
Frequency, how often you administer NAD+, works the same way as the amount: it is part of your individualized, physician-set plan, not a universal rule. Some plans space administration out differently than others based on the same factors above (goals, history, tolerance, response). The right cadence for you is set by your physician at approval, and the physician changes it only when a reassessment shows a change is clinically indicated.
Why dosing belongs with a physician who follows your plan
The biggest advantage of a physician-directed plan over a self-managed supplement is continuity. Dosing is set by a physician who then reassesses you: a check-in questionnaire about every 30 days and a physician reassessment about every 90 days before treatment continues. With that oversight, the Kesbury Health care team can start conservatively, answer questions, and order follow-up labs when appropriate. An unmonitored, buy-it-online approach gives you a number and leaves you alone with it. A physician-directed approach gives you a plan that adapts to you. Individual results vary, and NAD+ may support general wellness goals rather than treat any specific condition. In an emergency, call 911.
Frequently asked questions
How much NAD+ should I take?
There is no universal NAD+ dose. The right amount is individualized and physician-directed, typically started conservatively, with any step-up schedule set by your physician at approval from your goals, health history and tolerance. Because NAD+ is a compounded, physician-prescribed medication, the specific amount is set by your physician for you, not chosen from an internet number. Individual results vary.
What does it mean to titrate a NAD+ dose?
Titration means starting at a lower, conservative amount and stepping up gradually on a set schedule. Your physician writes that schedule into your prescription at approval; a check-in questionnaire about every 30 days and a physician reassessment about every 90 days determine whether treatment continues or changes. It is both a personalization practice and a safety practice.
How often should you do NAD+ injections?
Frequency is part of your individualized, physician-set plan rather than a universal rule. Your physician sets your schedule at approval from your goals, health history and tolerance, and changes it only when a reassessment shows a change is clinically indicated.
Why doesn't Kesbury Health just publish a standard NAD+ dose?
Because a single public number ignores the inputs that make dosing appropriate and safe, your history, medications, tolerance, and response. Those belong inside an individualized physician plan, not in an article where they could be mistaken for instructions. The right dose is the output of an evaluation, not a value you look up.
Can I figure out my own NAD+ dose?
No. NAD+ dosing is a clinical judgment that a licensed physician makes after reviewing your health history, and it is reassessed about every 90 days before treatment continues. Self-selecting a dose removes the oversight that makes a plan appropriate for you.
Get a dose that's set for you, not the internet
Start the Kesbury Health evaluation. A licensed physician reviews your goals and health history, and if NAD+ is clinically appropriate, they set a personalized, physician-directed plan and reassess it about every 90 days, no guesswork from a one-size-fits-all number.
Kesbury Health is a LegitScript-certified telehealth longevity practice. NAD+ is a compounded medication prescribed only after physician review. This page is educational and is not individualized medical advice. Individual results vary.
References (primary sources)
- Covarrubias AJ, Perrone R, Grozio A, Verdin E. NAD+ metabolism and its roles in cellular processes during ageing. Nature Reviews Molecular Cell Biology. 2021;22(2):119-141. (PubMed)
- Rajman L, Chwalek K, Sinclair DA. Therapeutic Potential of NAD-Boosting Molecules: The In Vivo Evidence. Cell Metabolism. 2018;27(3):529-547. (PubMed)
Keep reading