NAD+ IV Therapy
in Miami

Effects vary by individual. Most patients report improvements in energy and mental clarity for one to three weeks after a single session. Patients with more significant NAD+ depletion, from age, alcohol history, or metabolic stress, may notice a shorter duration at first that lengthens with regular sessions as cellular NAD+ stores replenish.

For general wellness and longevity support, our physicians typically recommend monthly sessions once initial repletion is established. Some patients begin with two to four sessions over a four to six week loading period before moving to monthly maintenance. For recovery and addiction-support protocols, frequency is set by your treating physician based on clinical progress. You receive a personalized schedule at intake.

Known infusion-related effects include warmth or flushing in the chest and face, a chest-flutter or mild palpitation sensation, mild nausea, muscle tightness, and a general sense of restlessness. These are dose and rate dependent, and all respond to slowing the drip. Our nursing team monitors you continuously and adjusts the rate to keep you comfortable. The effects are transient and resolve when the infusion is slowed or stopped.

The chest-flutter sensation is a well-documented, understood effect of IV NAD+. It is thought to result from NAD+ interacting with cardiac tissue during the brief window of peak circulating concentration. In otherwise healthy patients it is not a sign of cardiac danger, but it is exactly why we infuse slowly and why physician oversight matters. Tell your nurse if it becomes significant and the rate is reduced.

Yes. NAD+ pairs well with hyperbaric oxygen therapy, which delivers oxygen to the tissues NAD+ is helping energize. It also works alongside our Myers’ Cocktail or Immune Boost drips on separate visits, or the same day for established patients at physician discretion. We do not stack multiple IV bags at once without physician evaluation. Ask your intake physician about a combined protocol.

No, we recommend the opposite. Eat a light but substantial meal one to two hours before your session. Arriving on an empty stomach worsens the nausea associated with NAD+ infusion. A meal with protein, fat, and complex carbohydrates improves tolerability. Avoid heavy or greasy meals immediately before, and you do not need to fast for any part of this protocol.

Most patients drive home without difficulty. For your first infusion we suggest arranging a ride in case you feel fatigued or lightheaded afterward. After your first session you will know your individual response and can plan accordingly. Do not drive if you feel any impairment after leaving the clinic.

NAD+ is the active coenzyme itself. NMN and NR are precursor molecules that the body must convert into NAD+ through enzymatic pathways. An IV delivers the active coenzyme directly into circulation, bypassing those conversion steps and reaching predictable blood concentrations that oral precursors cannot guarantee. The pharmacokinetics are meaningfully different; an IV is not simply a faster version of a pill.

At TrufaMED every IV infusion, including NAD+, is ordered by a physician. We do not administer IVs without a physician order, which is both our clinical standard and a legal requirement in Florida. The physician order is part of your visit, so there is no separate prescription to obtain in advance.

NAD+ IV for wellness and longevity is generally not covered by standard health insurance. Some HSA and FSA plans allow IV therapy expenses, so check your plan documentation or ask your administrator. We provide detailed receipts and procedure codes to assist with submission. Payment is collected in full at the time of service. Call (305) 537-6396 with billing questions.