Niagen 500 mg IV The NAD+ upgrade.
The next evolution of NAD+ therapy — a 500 mg IV of pharmaceutical-grade Niagen® (nicotinamide riboside) that lifts intracellular NAD+ 20% higher than conventional NAD+ IV, in a session that is 75% shorter. No flushing. No chest pressure. No four-hour drip. $1,200 per session, $3,200 for a package of four.
500 mg sessions only — no reduced-dose tier. Results vary. Niagen IV is a wellness and longevity service, not a treatment for any disease.
What is a Niagen 500 mg IV?
Niagen is a patented, pharmaceutical-grade form of nicotinamide riboside chloride (NRCl) — a small vitamin B3 molecule that enters your cells directly and converts into NAD+, the coenzyme every mitochondrion needs to produce energy. At TrufaMED, Niagen is delivered exclusively as a 500 mg IV in our Surfside lounge under physician oversight. Sessions run about sixty minutes — roughly three hours shorter than a comparable NAD+ IV — with a side-effect profile that is, for most patients, simply no side effects at all.
The numbers patients feel on the drip.
Clinical evaluation of 500 mg Niagen IV versus conventional NAD+ IV shows three endpoints that matter: higher NAD+ uptake, shorter sessions, and a cleaner tolerability profile. These are the reasons our physicians moved Niagen to the top of the longevity menu.
Clinical evaluation of 500 mg IV Niagen measured intracellular NAD+ approximately 20% higher at the 3-hour mark versus baseline — the research endpoint most closely tied to the cellular-energy experience patients report.
A full conventional NAD+ IV takes three to four hours to deliver safely. A 500 mg Niagen IV is complete in roughly one hour — a 75% reduction in chair time without giving up the NAD+ pathway benefit.
The first clinical study of intravenous nicotinamide riboside (ChromaDex, 500 mg IV) reported no attributable adverse events. In our patient experience, the most common “side effect” of Niagen IV is the absence of any side effects at all.
TrufaMED only administers Niagen at 500 mg. We do not offer reduced-strength sessions. Every Niagen IV is drawn from pharmaceutical-grade stock, prepared by a registered nurse, and delivered in our boutique IV lounge — never rushed, never under-dosed.
- Dose: 500 mg Niagen® (nicotinamide riboside chloride)
- Route: Intravenous drip only — no IM, no subcutaneous, no take-home
- Session length: approximately 60 minutes chair time
- Setting: TrufaMED IV lounge, Surfside flagship
- Complimentary: red light therapy runs during every in-clinic session
- Oversight: physician-supervised, RN-administered
How Niagen becomes NAD+.
Nicotinamide riboside chloride (NRCl) is a patented, pharmaceutical-grade form of vitamin B3 and one of the most direct dietary precursors to nicotinamide adenine dinucleotide (NAD+) — the coenzyme every cell uses to generate ATP, activate sirtuins, and run PARP-mediated DNA repair.
NAD+ levels decline with age. By the 40s, tissue NAD+ concentrations have fallen substantially from their 20-year-old baseline, a shift that correlates with measurable decreases in mitochondrial efficiency, stem-cell function, and cellular stress response.
Direct NAD+ IV therapy works — but it works the hard way. NAD+ itself is a large molecule that struggles to cross cell membranes and is partially catabolized extracellularly. That is why a conventional NAD+ IV runs three to four hours and is often accompanied by flushing, chest pressure, or nausea.
Niagen is fundamentally different. Nicotinamide riboside is small enough to pass through cell walls directly, where your own cellular enzymes (NRK1, NRK2, and NMNAT) convert it to NAD+ in-situ. The pathway is already there — Niagen just provides the substrate. The practical consequences are the three numbers above: higher NAD+ elevation, shorter session, cleaner tolerability.
This is the reason a growing number of longevity clinics have switched from NAD+ IV to Niagen IV as their default NAD+-pathway protocol. It is also the reason TrufaMED now runs Niagen at 500 mg as its flagship longevity IV.
- Patented B3 molecule — Niagen® is a patented, pharmaceutical-grade form of nicotinamide riboside chloride
- Small-molecule advantage — NR is significantly smaller than NAD+, enabling direct cellular uptake via nucleoside transporters
- In-cell conversion — NRK1 and NRK2 kinases phosphorylate NR to NMN; NMNAT enzymes then produce NAD+ inside the cell
- Mitochondrial fuel — NAD+ is the primary electron carrier in the mitochondrial electron transport chain that generates ATP
- Sirtuin activation — SIRT1, SIRT3, and SIRT6 — the longevity-associated enzymes — are NAD+-dependent
- DNA repair cofactor — PARP enzymes consume NAD+ to repair oxidative and genotoxic damage to DNA
- Measurable endpoint — Clinical evaluation showed ~20% higher NAD+ vs baseline at 3 hours post-infusion
- Tolerability — No attributable adverse events in initial 500 mg IV Niagen clinical study
Side by side, the numbers tell the story.
Both Niagen IV and NAD+ IV elevate cellular NAD+. The path, the session, and the experience are meaningfully different. Here is exactly how they compare.
| Factor | NAD+ IV | Niagen 500 mg IV |
|---|---|---|
| Active molecule | NAD+ itself — large coenzyme | Nicotinamide riboside — small B3 precursor |
| Cellular uptake | Limited membrane permeability; partially catabolized before reaching the cell | ✓ Direct entry via nucleoside transporters; in-cell conversion |
| NAD+ elevation at 3 hrs | Baseline reference | ✓ ~20% higher than baseline |
| Typical session length | 180–240 minutes | ✓ ~60 minutes (75% shorter) |
| Tolerability | Flushing, chest pressure, nausea at standard infusion rates | ✓ No attributable adverse events in 500 mg IV evaluation |
| Patient experience | Long, sometimes intense — pacing required | ✓ Calm, short, return-to-day friendly |
| Ideal use case | Periodic high-dose cellular reset | Monthly to biweekly longevity maintenance |
| TrufaMED pricing | NAD+ IV $999 | Niagen 500 mg $1,200 single · $3,200 package of 4 |
Comparison reflects TrufaMED clinical experience and published Niagen IV evaluations (ChromaDex, 500 mg IV). Individual response varies. “75% faster” is based on standard 240-minute NAD+ IV protocol versus ~60-minute 500 mg Niagen IV session.
What Niagen 500 mg IV can support.
Niagen is used in longevity medicine to support the downstream physiology of cellular NAD+ — the pathways that underlie energy, repair, and healthy aging. Individual response varies.
Sustained Cellular Energy
NAD+ is the electron shuttle at the center of the mitochondrial electron transport chain. Elevated intracellular NAD+ is the biochemical basis of the energy and stamina patients describe after a Niagen session.
Healthy Aging & Longevity
NAD+ powers sirtuins — the SIRT1/SIRT3/SIRT6 enzymes implicated in cellular longevity signaling. Niagen is a cornerstone of evidence-informed longevity protocols alongside HBOT and periodic lab monitoring.
DNA Repair & Cellular Resilience
PARP enzymes consume NAD+ to repair DNA strand breaks after oxidative and UV damage. Maintaining intracellular NAD+ is a mechanism tied to cellular resilience under environmental and metabolic stress.
Cognitive Clarity & Focus
Neuronal NAD+ status is implicated in mitochondrial bioenergetics for alertness and mental endurance. Executives, founders, and performance-oriented patients commonly incorporate Niagen into weekly or biweekly routines.
Metabolic & Cardiovascular Support
NAD+ participates in over 500 enzymatic reactions, including lipid oxidation and glucose metabolism. Niagen is often paired with physician-supervised metabolic optimization and cardiovascular wellness protocols.
Tissue Repair & Recovery
Stem cell function, tissue regeneration, and inflammation resolution are all NAD+-dependent. Athletes and recovery-focused patients pair Niagen with amino acid IV therapy and HBOT.
We still offer NAD+ IV. Here is why.
Niagen does not replace NAD+ IV — it joins it. The two therapies elevate NAD+ through different mechanisms and serve different clinical moments. Many TrufaMED longevity patients run both on a coordinated schedule, each for the role it does best.
Niagen 500 mg IV
The default NAD+-pathway session. Shorter, cleaner, easier to schedule on a monthly or biweekly cadence. Best for patients building a consistent longevity routine and for first-time NAD+-pathway users who want a gentler introduction.
- ~60-minute session
- Direct cell-wall entry; in-cell conversion to NAD+
- ~20% higher NAD+ at 3 hours vs baseline
- No attributable adverse events in clinical evaluation
- $1,200 single · $3,200 package of 4
NAD+ IV
The direct NAD+ molecule delivered intravenously — TrufaMED’s full-dose NAD+ infusion. Remains our choice for patients who specifically want direct NAD+ replenishment, for quarterly cellular-reset sessions, or for concierge protocols that combine both therapies in sequence.
- Full-session infusion — 90 to 240 minutes
- Direct NAD+ replenishment in circulation
- Standard longevity-clinic approach since 2015
- Flushing, chest pressure possible at faster rates
- $999 per session
Your physician will recommend the right protocol — or the right rotation of both — based on your longevity goals, lab biomarkers, and session tolerability. Learn more about NAD+ IV therapy or call (305) 537-6396 to speak with our clinical team.
Who benefits from Niagen 500 mg IV?
Niagen IV is used in a variety of physician-supervised contexts — from high-output professionals to patients building long-term longevity routines. Every candidate is screened for contraindications before their first session.
Longevity-Focused Adults
Patients building a structured healthy-aging routine — typically in their 30s, 40s, and 50s — use Niagen IV on a monthly or biweekly cadence alongside lab monitoring to track biomarkers of metabolic and mitochondrial function over time.
High-Output Executives
Founders, executives, and professionals under sustained cognitive and travel demand cycle Niagen for energy stability and mitochondrial resilience. Our concierge medicine members integrate Niagen into quarterly performance protocols.
Athletes & Recovery
High-volume training depletes NAD+ stores. Niagen IV supports the cellular-repair pathways active during the recovery window, particularly paired with hydration, amino IV therapy, and HBOT.
Patients Already on NAD+
If you already know NAD+ IV, you will feel the difference: shorter sessions, no flushing, no chest pressure, and measurably higher NAD+ uptake per session. Most patients keep quarterly NAD+ IVs as the anchor and build Niagen as the monthly maintenance.
Peri- & Post-Menopausal Patients
Energy metabolism and mitochondrial support are areas of active clinical interest during hormonal transitions. When coordinated with a physician’s overall plan, Niagen IV can be part of a comprehensive energy and resilience strategy.
Post-Illness & High-Travel Recovery
Patients recovering from prolonged illness, intense travel schedules, or extended physical and cognitive demand benefit from targeted NAD+ pathway support. Always under physician assessment to confirm appropriateness.
Single dose. Three ways to own it.
Every Niagen IV at TrufaMED is 500 mg. The only variable is how you want to pay for it — one session at a time, a 4-session package, or as part of a concierge Elite membership that folds Niagen into your ongoing longevity protocol. No reduced doses. No loyalty games. No hidden add-ons.
The full Niagen experience, no commitment. Ideal for first-timers, travelers stopping through South Florida, or patients testing Niagen against their current NAD+ protocol.
- 500 mg Niagen IV — full dose
- Physician intake & clearance
- RN-administered in our Surfside lounge
- Complimentary red light therapy
- Post-session clinical note on file
The protocol most patients land on — four Niagen sessions spaced two to four weeks apart for a full quarterly longevity arc. Lock in the package, save $1,600 off single-session pricing, and never think about rebooking.
- Four 500 mg Niagen IV sessions
- Save $1,600 vs single-session pricing
- Priority scheduling in our IV lounge
- Complimentary red light at every session
- Physician-reviewed cadence plan
- Package credit valid 12 months
Niagen IV is built into the TrufaMED Elite concierge membership as part of our longevity protocol. Quarterly Niagen, quarterly biomarker labs, HBOT, and full urgent care — designed around a single physician who knows you.
- Niagen IV included in membership cadence
- Quarterly longevity biomarker labs
- Direct access to your physician
- Coordinated NAD+ & HBOT protocols
- Full urgent care covered in membership
Niagen IV is a self-pay wellness service; not covered by insurance. TrufaMED accepts major credit cards, FSA, and HSA cards. Package credits are non-transferable and valid for twelve months from purchase.
Your Niagen IV session.
Every Niagen IV at TrufaMED follows the same rhythm — physician-reviewed, nurse-administered, start to finish in about an hour. Here is exactly what you experience when you walk in.
Step 1: Physician Intake
First-time patients complete a brief physician intake. We review your medical history, medications, and goals to confirm Niagen 500 mg IV is the right fit. Follow-up sessions require a shorter RN check-in only.
Step 2: IV Placement
A registered nurse places a small-gauge IV catheter — typically at the inner elbow or forearm. Most patients feel a brief pinch. Placement takes under ninety seconds.
Step 3: Infusion
Your 500 mg Niagen IV infuses over approximately sixty minutes in our IV lounge with complimentary red light therapy running in parallel. Most patients work, read, or rest. No loading dose. No pacing pauses.
Step 4: Discharge
Your IV is removed, a brief post-infusion check confirms you feel well, and your clinical record is updated. Most patients leave immediately and return to normal activity. Your next session is scheduled on your physician-recommended cadence.
Physician-led. Always.
Niagen IV at TrufaMED is dispensed only under active physician standing orders reviewed by our Medical Director. Your session is never unsupervised and never administered by anyone outside our clinical team.
Dr. Gedalia leads TrufaMED’s longevity and IV therapy programs with a focus on evidence-based formulations. His surgical background informs his understanding of mitochondrial physiology in perioperative and high-demand states. He oversees Niagen protocol development, pharmacy sourcing, and clinical oversight.
View Full BioDr. Naidoo brings emergency medicine expertise to TrufaMED’s clinical safety protocols. His background in acute resuscitation and IV fluid management ensures that Niagen dispensing, adverse-event protocols, and standing orders are grounded in hospital-grade clinical standards.
View Full BioPrecautions & contraindications.
Niagen IV is administered only after a physician-supervised intake. The following are the standard precautions every patient is screened against before their first session.
Do not take Niagen IV if you:
- Have a current or prior history of cancer (NAD+ pathway interactions with cellular proliferation signaling require physician clearance)
- Are pregnant or breastfeeding — Niagen IV has not been evaluated in these populations
- Have active or uncontrolled rheumatoid arthritis — physician review required
- Have a known hypersensitivity to nicotinamide riboside or any component of the formulation
Talk to your physician if you:
- Are taking diabetes medications — Niagen may influence glucose metabolism; monitor blood sugar
- Are on blood thinners (warfarin, DOACs, antiplatelets) — additional site care may apply
- Have chronic kidney or liver disease — dosing is individualized based on organ function
- Are taking other NAD+ precursors or high-dose B3 supplements — your physician will advise on stacking and timing
This list is not exhaustive. A complete medical history and medication list are reviewed prior to every first-time session. Niagen is a compounded injectable drug and is not FDA-approved as a therapeutic. Adverse events are reported to fda.gov/medwatch. For medical emergencies, call 911.
Frequently asked questions.
What is a Niagen 500 mg IV?
How is Niagen IV different from NAD+ IV?
Why only 500 mg? Can I get a lower dose?
How long does a Niagen IV session take?
What are the side effects of Niagen IV?
How often can I get Niagen IV?
How much does Niagen IV cost at TrufaMED?
Do you still offer NAD+ IV?
Is Niagen FDA-approved?
Is Niagen IV available at home, at my hotel, or by mobile?
When will I feel the effects?
Can Niagen IV be combined with other services at TrufaMED?
What makes TrufaMED’s Niagen IV different?
Niagen IV at Surfside.
The TrufaMED Niagen IV program is delivered in our boutique IV lounge at 9445 Harding Ave, Surfside, FL 33154 — two minutes from Bal Harbour Shops, fifteen minutes from South Beach — and as mobile Niagen IV visits throughout South Florida. Choose the setting that fits your schedule.
TrufaMED Urgent Care & Concierge Medicine
Address: 9445 Harding Ave, Surfside, FL 33154
Phone: (305) 537-6396
WhatsApp: +1 (305) 842-9801
| Monday – Friday | 9:00 AM – 9:00 PM |
| Saturday | 11:00 AM – 11:00 PM |
| Sunday | 12:00 PM – 8:00 PM |
Niagen IV is available in our Surfside flagship and as a mobile IV visit across Miami Beach, Bal Harbour, Sunny Isles Beach, Bay Harbor Islands, Aventura, Brickell, and surrounding South Florida communities. Concierge medicine members schedule Niagen as part of their membership protocol.
Aging never looked this good.
A 500 mg Niagen IV. About an hour. No flushing. No chest pressure. Just the NAD+ pathway, the short way around. Available in-clinic at our Surfside lounge or as a mobile visit across South Florida.