Nicotinamide adenine dinucleotide, or NAD+, is a naturally occurring coenzyme involved in cellular energy metabolism and other biological processes. NAD+ IV therapy delivers a NAD+ preparation directly into the bloodstream through an intravenous line.
At Sikora Integrative Medicine, consultations begin with your health history, concerns, and goals. Our team can explain the infusion process, available evidence, and potential risks before you decide whether to proceed. NAD+ has important functions in the body, but those functions do not establish that an infusion will improve energy, focus, recovery, or aging-related concerns.

Researchers are studying NAD+ and related compounds because of their roles in cellular metabolism. Human research on intravenous NAD+ remains limited, and benefits for fatigue, concentration, athletic recovery, or healthy aging have not been established.
Studies of oral NAD+ precursors, such as nicotinamide riboside, cannot be assumed to demonstrate the same effects as NAD+ infusions. Changes in blood markers also do not necessarily translate into improvements patients can feel.
A consultation provides an opportunity to discuss these limitations alongside established evaluation and treatment options for your concerns.
Patients may have questions about NAD+ for the following reasons. These concerns warrant individual evaluation and do not, on their own, establish a need for an infusion.
Persistent fatigue can have several explanations. Review your symptoms, sleep, medications, and relevant health history with your provider.
Difficulty concentrating may require evaluation for medical, sleep-related, medication-related, or other contributing factors.
Discuss how stress is affecting your daily life and which forms of care may be appropriate.
Your provider can help distinguish research into NAD+ biology from demonstrated benefits of infusion treatment.
Training-related fatigue or prolonged recovery deserves assessment. NAD+ infusions are not an established way to improve athletic performance or muscle repair.
Ongoing symptoms after illness should be evaluated rather than assumed to reflect low NAD+ levels.
During treatment, a NAD+ solution is administered through an IV line at a controlled rate. This route bypasses digestion, but it does not establish superior clinical results compared with oral supplements or other approaches.
Early human studies have examined how infused NAD+ is processed and how patients tolerate it. Further research is needed to establish meaningful benefits, appropriate treatment schedules, and long-term safety for wellness applications.
Before proceeding, discuss the preparation, infusion process, and potential risks with your provider.
Medical supervision does not eliminate risk. Chest discomfort or other unexpected symptoms should be assessed rather than assumed to be harmless infusion sensations.
Treatment is provided at our Vero Beach office following evaluation and informed consent.
Review your concerns, health history, goals, and available alternatives. Discuss the evidence and uncertainties before deciding whether to proceed.
If treatment is appropriate, the team prepares the prescribed solution and places an IV line.
NAD+ is administered at a controlled rate, with attention to your response and any symptoms during treatment.
Appointment length depends on the prescribed protocol and tolerance. Our listed 500 mg infusion takes approximately four hours, while the 2,000 mg infusion takes approximately 12 hours. Confirm your planned appointment length with the team.
The team will discuss how you are feeling and provide any relevant instructions before you leave.
Any further treatment should be reviewed individually. There is no established infusion series that guarantees a wellness benefit.
There is no established timeline for improvements in energy, concentration, recovery, or healthy aging from IV NAD+.
Your treatment review should consider:
An immediate sensation during or after an infusion does not establish a lasting clinical benefit.
An individual consultation considers:
Symptoms such as fatigue or brain fog do not establish NAD+ deficiency or show that an infusion will help. Your provider can discuss whether to pursue further evaluation, another treatment, or an elective infusion after informed consideration.
Our Vero Beach practice offers clinical evaluation and clear guidance for patients exploring NAD+ infusions.
Other services may be discussed separately according to your needs:
Sikora Integrative Medicine offers consultations and NAD+ infusions at our Vero Beach office. If you are researching NAD therapy in Florida, contact our team about evaluation, appointment requirements, and treatment availability.
Patients comparing NAD+ therapy in Stuart, FL, or NAD therapy in Melbourne, FL, can also contact us about visiting. Infusions are administered in Vero Beach.
Duration depends on the protocol and your tolerance. Our listed 500 mg infusion takes approximately four hours, and the 2,000 mg infusion takes approximately 12 hours. Confirm the expected schedule before your appointment.
Some patients experience nausea, cramping, flushing, headache, or chest discomfort. Tell the team immediately about any symptoms. The infusion may need to be slowed, paused, or stopped while you are assessed.
There is no universally established schedule for wellness benefits. Discuss the rationale, uncertainties, costs, and criteria for reviewing any proposed course of treatment before committing to a series.
IV delivery bypasses digestion, but evidence does not establish that it produces better wellness outcomes. NAD+, oral precursors, and other preparations differ and should not be treated as interchangeable.
Costs depend on the prescribed service. Review our IV therapy page and confirm current pricing, consultation fees, and any additional costs with the office.
Discuss your travel plans before treatment. If you feel dizzy, unwell, or otherwise impaired afterward, do not drive. Ask the team whether you should arrange transportation.
IV NAD+ is generally offered as a self-pay service. Confirm costs and any potential coverage before proceeding. Financing may be available for eligible services.
Discuss your questions about NAD+ with our Vero Beach team. We can explain the available options, current evidence, potential risks, and what an appointment would involve.
If you are searching for NAD+ in Stuart, FL, or considering travel from Melbourne or elsewhere in Florida, confirm the consultation and infusion schedule before making arrangements.
Address:
1255 37th St., Suite B, Vero Beach, FL 32960
Phone: 772-228-6882
Financing through M Lend Financial may be available, subject to terms and approval.
Disclaimer: This information is for educational purposes and does not replace individualized medical advice. Compounded IV NAD+ is not FDA-approved. Treatment requires medical evaluation, clinical benefits remain uncertain, and no outcome is guaranteed. Services are available exclusively to Florida residents.
© 2026 Sikora Integrative Medicine. All Rights Reserved.
© 2026 Sikora Integrative Medicine.
All Rights Reserved.