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IV NAD+ Therapy in Vero Beach, FL

Medically reviewed by Dr. Alita Sikora, MD, Board Certified in Physical Medicine and Rehabilitation | Last medically reviewed: September 4, 2026
Home » Services » Hormone-Optimization-Wellness » IV NAD

What Is IV NAD+ Therapy?

Nicotinamide adenine dinucleotide (NAD+) is a naturally occurring coenzyme involved in cellular energy metabolism and other biological processes. IV NAD+ therapy administers a compounded NAD+ preparation directly into the bloodstream through an intravenous line.

Although NAD+ has important biological functions, this does not establish that intravenous NAD+ improves energy, cognition, recovery, or healthy aging. Clinical evidence for IV NAD+ wellness treatments remains limited, and compounded IV NAD+ is not FDA-approved to treat a specific medical condition.

What Is IV NAD+ Therapy?
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    What Does the Evidence Say About IV NAD+ Therapy?

    What Does the Evidence Say About IV NAD+ Therapy?

    Researchers have studied NAD+-related compounds because NAD+ participates in cellular metabolism. However, evidence that IV NAD+ improves fatigue, focus, metabolism, athletic recovery, or healthy aging remains limited.

    A 2026 systematic review found no eligible clinical-outcomes trials evaluating intravenous or intramuscular NAD+ itself for anti-aging or wellness indications. It concluded that the clinical effectiveness of NAD+-boosting approaches for these purposes remains inconclusive, particularly for treatments administered by injection or infusion.

    Patients should understand this uncertainty and discuss established evaluation and treatment options for their symptoms before deciding whether to pursue IV NAD+ therapy.

    Conditions Supported with IV NAD+ Therapy

    IV NAD+ Therapy may be used for:

    Fatigue or low energy

    May support cellular energy production for improved stamina and vitality.

    Brain fog or poor concentration

    May support mitochondrial function, which some patients associate with sharper focus and mental clarity.

    Stress or burnout

    May support pathways involved in resilience and mood balance.

    Healthy aging support

    May aid cellular repair and help counter age-related declines in energy and recovery.

    Athletic recovery or performance challenges

    May support muscle repair and metabolic efficiency during training or recovery.

    Post-illness or general wellness optimization

    May help replenish NAD+ levels that influence overall immune and metabolic function.

    We use IV NAD+ therapy to support patients seeking enhanced energy, cognition, recovery, and long-term cellular health.

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    How IV NAD+ Therapy Works

    NAD+ is an essential coenzyme found in every cell of the body, playing a key role in energy production. IV NAD+ therapy administers this nutrient directly into the bloodstream, bypassing digestion and allowing for higher cellular availability.

    During the infusion, NAD+ circulates throughout the body, where it may assist cellular repair processes, support mitochondrial health, and enhance cognitive and physical energy.

    Safety and Considerations

    NAD+ infusions are generally well tolerated, but a few considerations can help you prepare for treatment.

    • Infusion sensations: Flushing, chest tightness, nausea, headache, or lightheadedness may occur, especially if NAD+ is infused too quickly. Slowing the rate often helps.
    • Longer sessions: Infusions may take several hours depending on the dose.
    • Compounded preparation: IV NAD+ is compounded rather than manufactured as an FDA-approved product. Compounding is legal and widely used in medical practice, but the FDA does not review compounded preparations for safety, effectiveness, or quality before use.
    • Not FDA-approved for a condition: NAD+ infusions are offered as an elective wellness option, not as an FDA-approved treatment for a specific condition.
    • Health history matters: Share your medications and relevant health conditions, including pregnancy or kidney or liver concerns, before treatment.
    Safety and Considerations

    Our NAD+ Treatment Process

    IV NAD+ therapy is administered in our Vero Beach office by our IV therapy team. The process typically includes:

    1

    Consultation

    We review your symptoms, health history, and goals to determine an appropriate treatment plan.

    2

    Preparation

    An IV line is placed, and the NAD+ solution is prepared for your infusion.

    3

    Infusion

    NAD+ is administered slowly to support comfort and tolerance throughout treatment.

    4

    Duration

    Infusion time depends on the dose. Our 500 mg infusion takes approximately four hours, while our 2,000 mg infusion takes approximately 12 hours.

    5

    Recovery

    Most patients can resume normal activities afterward, although temporary fatigue may occur.

    6

    Treatment Plan

    We may recommend a series of infusions based on your goals, response, and ongoing needs.

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    When to Expect Results

    When to Expect Results

    Responses to IV NAD+ therapy vary based on individual needs.

    Typical timeline:

    • Early changes: Within 24–72 hours.
    • Noticeable improvements: After 1–3 infusions.
    • Full benefits: After completing a recommended series.
    • Maintenance: Periodic infusions may be recommended to sustain results
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    Candidates for IV NAD+ Therapy

    IV NAD+ therapy may be appropriate for adults who have:

    • Persistent fatigue, brain fog, or stress-related depletion
    • An interest in a non-stimulant approach to improving cellular energy
    • Goals related to healthy aging, recovery, or cognitive function
    • Willingness to sit for a longer infusion, since sessions run several hours depending on dose

    We will review your health history, symptoms, and goals to determine whether IV NAD+ therapy is a safe and effective option for you.

    Candidates for IV NAD+ Therapy

    Why Choose Sikora Integrative Medicine

    Our IV NAD+ care combines experienced clinical support, personalized protocols, and clear guidance throughout treatment.

    What sets us apart:

    Why Choose Sikora Integrative Medicine
    • Experienced IV care: Amber, RN coordinates IV protocols and has advanced training in functional lab testing.
    • Physician-led practice: Dr. Alita Sikora, MD, is board certified in Physical Medicine and Rehabilitation and has practiced in Vero Beach since 2007.
    • Personalized protocols: NAD+ dosing is tailored to your symptoms, tolerance, energy needs, and goals.
    • Flexible treatment options: IV infusions and NAD injections allow care to be matched to individual needs.
    • Integrative evaluation: Hormones, stress, sleep, and micronutrient status may also be considered when planning care.
    • Clear, comfortable care: Our team explains the infusion process and provides treatment in an attentive IV lounge.
    • Recognized care: Dr. Sikora is a Patients’ Choice 5-Year Honoree and Castle Connolly Regional Top Doctor 2020.
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    Other Hormone Optimization & Wellness Programs We Offer

    Our wellness program blends multiple integrative therapies, which may include:

    Other Hormone Optimization & Wellness Programs We Offer

    Frequently Asked Questions

    Where can I get NAD+ IV therapy in Florida?

    Sikora Integrative Medicine offers IV NAD+ therapy in Vero Beach, including 500 mg and 2000 mg infusions and NAD injections. Treatments are provided in the IV lounge and coordinated by Amber, RN, with physician-led care from Dr. Alita Sikora, MD. Services are available to Florida residents.

    How long does an NAD+ infusion take?

    It depends on the dose. Our 500 mg infusion runs about four hours and our 2000 mg infusion runs about twelve.

    What does an NAD+ infusion feel like?

    Most people feel flushing, warmth, or chest tightness at some point, and some experience nausea or headache. These sensations are dose and rate related rather than dangerous, and they usually ease within minutes when the infusion is slowed. Tell your nurse if you feel uncomfortable and the rate can be adjusted.

    How many NAD+ sessions do I need, and how often?

    Most patients start with a short series of infusions, then move to periodic maintenance based on how they respond. The interval is set during your consultation rather than fixed in advance.

    Does IV NAD+ work better than oral NAD supplements?

    IV delivery bypasses digestion, so absorption is not limited by gut uptake. Whether that produces a difference you notice depends on the individual, and it is one of the things we discuss during your consultation.

    How much does IV NAD+ therapy cost?

    NAD+ is offered at two dose levels, with current pricing published on our IV therapy page.

    Can I drive after NAD+ therapy?

    Most individuals can resume their normal activities, but some prefer to take a brief rest before driving.

    Does insurance cover IV NAD+ therapy?

    Most insurance plans do not cover IV NAD+. Financing through M Lend Financial is available.

    Book Your Consultation

    If you are exploring IV NAD+ therapy for energy, focus, recovery, or healthy aging support, Sikora Integrative Medicine can help you review your goals and determine whether treatment may be appropriate for you. Our team can also discuss available infusion or injection options and what to expect from your plan.

    Financing through M Lend Financial is available for eligible services.

    Schedule a consultation

    Disclaimer: This information is provided for educational purposes only and is not intended to be medical advice. It should not be used to diagnose, treat, or cure any condition. Always consult your healthcare provider for personalized guidance. Services are available exclusively to Florida residents.

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    Vero Beach, FL 32960

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