NAD+ IV Therapy: The Science-Backed Solution for Energy, Brain Fog, and Ageing

nad-iv-therapy-london
Maria Raluca Simion
Maria Raluca SimionMaria Raluca Simion LinkedIn
Founder & Registered Nurse - IV Drip ClinicPosted: 24 February 2026

If you've been battling persistent fatigue, struggling with mental clarity, or noticing the subtle signs of ageing creeping in despite your best efforts, you're not alone. These interconnected symptoms often share a common underlying cause: declining cellular energy production. At the heart of this cellular slowdown lies NAD+, a coenzyme so fundamental to human health that without it, life itself would cease within seconds.

NAD+ (Nicotinamide Adenine Dinucleotide) functions as the essential "helper molecule" powering every cell in your body. It drives energy metabolism, activates DNA repair mechanisms, and regulates the biological processes that determine how gracefully—or rapidly—you age. The challenge? NAD+ levels decline significantly as we get older. By age 50, most people retain only half the NAD+ they had in their youth, correlating directly with reduced energy, cognitive decline, and accelerated ageing.

At IV Drip Clinic London, our Mayfair clinic offers NAD+ IV therapy as a science-backed approach to restoring cellular function. Unlike oral supplements that face digestive degradation, intravenous NAD+ delivers this vital coenzyme directly into your bloodstream for immediate cellular availability. The research supporting this approach is compelling—and growing.

Understanding NAD+: Why This Coenzyme Matters

NAD+ isn't simply another wellness buzzword. This coenzyme participates in over 500 enzymatic reactions throughout your body, making it one of the most versatile and essential molecules for human health. Its primary functions include converting nutrients into cellular energy (ATP), activating sirtuins (the "longevity genes" that regulate ageing), facilitating DNA repair processes, and maintaining mitochondrial function.

Your mitochondria—the powerhouses within each cell—depend entirely on NAD+ to produce energy. When NAD+ levels fall, mitochondrial function deteriorates, triggering a cascade of consequences: chronic fatigue, cognitive impairment, weakened immunity, and accelerated cellular ageing. This explains why so many age-related complaints share common roots in declining NAD+ availability.

The natural decline begins earlier than most people realise. Research indicates that NAD+ levels start dropping in your thirties and continue declining approximately 50% per decade thereafter. Environmental factors accelerate this process: chronic stress, poor sleep, excessive alcohol consumption, and sedentary lifestyles all deplete NAD+ reserves faster than the body can replenish them.

The Clinical Evidence: What Research Shows About NAD+ Therapy

Unlike many wellness treatments that rely primarily on anecdotal evidence, NAD+ therapy benefits from a growing body of peer-reviewed clinical research. Understanding this evidence helps distinguish genuine therapeutic potential from marketing hype.

A comprehensive systematic review published in the American Journal of Physiology-Endocrinology and Metabolism analysed ten randomised controlled trials involving 489 participants across multiple conditions including chronic fatigue syndrome, Parkinson's disease, Alzheimer's disease, and prediabetes. The findings were significant: NADH supplementation improved quality of life, reduced anxiety, lowered maximum heart rate during stress testing, increased muscle insulin sensitivity, reduced fatigue intensity, and improved sleep quality—all with minimal side effects (Gindri et al., 2024).

Research published in Plastic and Reconstructive Surgery examined NAD+'s role in regenerative medicine, reviewing human trials that demonstrated measurable physiological improvements. NAD+ restoration was shown to lower systolic blood pressure and aortic stiffness, reduce circulating inflammatory cytokines in older males within three weeks, and increase mitochondrial function whilst decreasing proinflammatory factors in heart failure patients (Conlon, 2021). The review concluded that NAD+ restoration addresses multiple hallmarks of cellular ageing simultaneously.

A landmark randomised controlled trial published in Nature Communications provided direct evidence of NAD+ boosting in humans. The six-week study demonstrated that NAD+ precursor supplementation safely elevated NAD+ levels whilst reducing systolic blood pressure and aortic stiffness—key cardiovascular ageing markers—with no serious side effects (Martens et al., 2018).

Further clinical evidence from the Journal of Clinical Investigation examined NAD+ therapy in heart failure patients specifically. NAD+ restoration increased mitochondrial function and significantly decreased proinflammatory factors, demonstrating measurable anti-inflammatory benefits in a vulnerable patient population (Zhou et al., 2020).

Why IV Delivery Outperforms Oral Supplements

The method of NAD+ administration matters significantly for therapeutic outcomes. Oral NAD+ supplements face substantial bioavailability challenges: stomach acid degrades the compound, digestive enzymes break it down further, and first-pass liver metabolism reduces what actually reaches your cells to a fraction of the ingested dose.

Intravenous NAD+ bypasses these limitations entirely. By delivering the coenzyme directly into your bloodstream, IV therapy achieves immediate cellular availability at therapeutic concentrations impossible through oral supplementation. A pilot pharmacokinetic study examining six-hour IV NAD+ infusion in humans found that IV administration safely reduced plasma enzymes indicative of hepatic stress whilst improving markers of tissue health within eight hours—demonstrating both safety and rapid physiological impact (Grant et al., 2023).

This delivery advantage explains why patients often report noticeable improvements following IV NAD+ therapy whilst struggling to perceive benefits from oral supplements despite months of consistent use. The difference isn't psychological; it's pharmacological.

NAD+ IV Therapy Benefits: What Patients Experience

Understanding the research provides context, but knowing what to actually expect helps patients make informed decisions. Based on clinical evidence and patient outcomes at our London clinic, NAD+ IV therapy supports several key areas of health optimisation.

Enhanced Cellular Energy Production

Fatigue represents the most common complaint driving patients toward NAD+ therapy. The mechanism is straightforward: NAD+ is essential for mitochondrial ATP production. When NAD+ levels decline, energy output drops correspondingly. Restoring NAD+ availability provides mitochondria with the substrate they need to function optimally, often resulting in noticeable energy improvements within days of treatment.

Cognitive Function and Mental Clarity

Brain fog, difficulty concentrating, and memory concerns frequently accompany NAD+ depletion. The brain consumes approximately 20% of the body's energy despite representing only 2% of body weight, making it exceptionally vulnerable to mitochondrial dysfunction. NAD+ therapy supports neuronal energy metabolism whilst activating sirtuins that protect against neurodegeneration.

Cardiovascular Health Support

The clinical evidence for NAD+'s cardiovascular benefits is particularly robust. Multiple studies demonstrate improvements in blood pressure, arterial stiffness, and inflammatory markers—all key indicators of cardiovascular health and biological ageing.

Anti-Inflammatory Effects

Chronic low-grade inflammation accelerates ageing and contributes to numerous health conditions. Research consistently shows NAD+ restoration reduces circulating inflammatory cytokines, supporting immune regulation and tissue health.

DNA Repair and Cellular Regeneration

NAD+ activates PARP enzymes responsible for DNA repair and sirtuins that regulate cellular stress responses. This dual activation supports the body's natural repair mechanisms, potentially slowing cellular ageing processes at their source.

What to Expect During NAD+ IV Treatment

NAD+ IV therapy requires longer administration times than standard vitamin drips due to the controlled infusion rates needed for optimal absorption and comfort. At IV Drip Clinic London, our qualified medical team delivers NAD+ therapy with careful attention to both therapeutic outcomes and patient experience.

Sessions typically range from two to five hours depending on dosage, with higher concentrations requiring extended administration periods. During treatment, patients relax in our comfortable Mayfair clinic whilst our nursing team monitors the infusion and adjusts rates as needed. Some patients experience mild temporary sensations including slight warmth, lightheadedness, or chest tightness—all manageable through infusion rate modifications and typically resolving quickly.

For detailed information about the treatment process, preparation, and what to expect during your session, see our comprehensive guide: What to Expect from Your NAD+ IV Drip Session.

Most patients notice initial improvements in energy and mental clarity within 24-48 hours of their first treatment, with cumulative benefits developing over subsequent sessions. Our medical team typically recommends an initial series of treatments followed by personalised maintenance protocols based on individual response and wellness goals.

NAD+ IV Therapy Pricing at IV Drip Clinic London

Our NAD+ IV therapy is available in four dosage tiers, allowing personalised protocols based on your wellness objectives and treatment experience:

  • NAD+ 250mg – £350 (Ideal introduction for first-time patients)
  • NAD+ 500mg – £450 (Standard therapeutic dose)
  • NAD+ 750mg – £550 (Enhanced protocol for advanced wellness goals)
  • NAD+ 1000mg – £650 (Maximum therapeutic dose for comprehensive cellular regeneration)

New patients typically begin with lower dosages to assess individual tolerance before progressing to higher therapeutic levels. Our medical team determines optimal starting protocols during your consultation, ensuring treatment aligns with your specific health profile and objectives.

Complementary Therapies for Enhanced Results

NAD+ therapy works synergistically with other regenerative treatments available at our clinic. Patients seeking comprehensive cellular optimisation often combine NAD+ with complementary protocols:

Mito Energy IV Drip combines Vitamin C, Glutathione, amino acids, B-complex vitamins, and minerals specifically formulated to support mitochondrial function alongside NAD+ therapy.

Glutathione IV Therapy provides master antioxidant support, protecting cells from oxidative stress whilst supporting detoxification pathways that complement NAD+'s cellular regeneration effects.

EBOO Therapy offers advanced blood oxygenation and filtration for patients seeking comprehensive regenerative protocols, particularly those managing chronic conditions or pursuing longevity optimisation.

Our medical team can design integrated treatment plans combining multiple therapies for patients with complex wellness goals or those seeking accelerated results.

Who Benefits Most from NAD+ IV Therapy?

Whilst NAD+ therapy offers broad potential benefits, certain patient profiles typically experience the most significant improvements:

  • Professionals experiencing persistent fatigue despite adequate sleep
  • Individuals noticing cognitive decline, brain fog, or difficulty concentrating
  • Those seeking evidence-based anti-ageing interventions
  • Athletes and active individuals wanting optimised recovery and performance
  • Patients managing chronic fatigue syndrome or post-viral fatigue
  • Anyone concerned about cardiovascular health markers
  • Individuals recovering from periods of high stress, poor sleep, or excessive alcohol consumption

NAD+ therapy is not appropriate for everyone. Our medical team conducts thorough consultations to ensure treatment suitability and identify any contraindications before proceeding.

Frequently Asked Questions

Is NAD+ IV therapy safe?

When administered by qualified medical professionals using controlled infusion protocols, NAD+ IV therapy is considered safe and well-tolerated. Clinical research demonstrates minimal side effects, with the most common being temporary sensations during infusion that resolve with rate adjustments. Our experienced nursing team monitors all sessions continuously and can modify infusion rates immediately if needed. A comprehensive systematic review of clinical trials found NAD+ supplementation safe with only mild, non-serious side effects reported (Gindri et al., 2024).

How quickly will I notice results from NAD+ IV therapy?

Many patients report improved energy and mental clarity within 24-48 hours of their first treatment. However, NAD+ therapy provides cumulative benefits, with optimal results typically developing over a series of treatments. The research suggests that sustained improvements in cardiovascular markers, inflammation, and cellular function occur over weeks of therapy, making treatment series more effective than single sessions for lasting results.

How many NAD+ IV sessions do I need?

Our medical team typically recommends an initial series of 4-6 treatments for foundational cellular restoration, followed by maintenance sessions based on individual response. Frequency depends on your wellness goals, baseline NAD+ depletion, and how your body responds to treatment. During your consultation, we'll develop a personalised protocol aligned with your specific objectives and lifestyle.

Why does NAD+ IV therapy take several hours?

NAD+ requires controlled, gradual administration to maximise cellular absorption and minimise potential side effects. Rapid infusion can cause temporary discomfort including lightheadedness and nausea, whilst slower delivery ensures optimal therapeutic outcomes. Higher dosages naturally require extended administration times—our 250mg protocol typically takes 2-3 hours, whilst our 1000mg maximum dose may require 5+ hours.

Can NAD+ IV therapy help with chronic fatigue?

Clinical evidence supports NAD+'s potential for fatigue reduction. The systematic review by Gindri et al. (2024) found that NADH supplementation significantly reduced fatigue intensity and improved quality of life in chronic fatigue syndrome patients. By restoring mitochondrial energy production capacity, NAD+ therapy addresses fatigue at its cellular source rather than simply masking symptoms.

How does NAD+ IV therapy compare to oral NAD+ supplements?

Intravenous NAD+ achieves significantly higher bioavailability than oral supplements, which face degradation through stomach acid, digestive enzymes, and first-pass liver metabolism. IV delivery provides immediate cellular availability at therapeutic concentrations, explaining why patients often notice benefits from IV therapy that they didn't experience with oral supplementation. For therapeutic outcomes rather than general supplementation, IV delivery offers measurable advantages.

Restore Your Cellular Vitality

The science is clear: NAD+ decline underlies many of the symptoms we associate with ageing and modern life—persistent fatigue, cognitive fog, reduced resilience, and accelerated biological ageing. Restoring NAD+ levels through IV therapy offers an evidence-based approach to addressing these concerns at their cellular source.

At IV Drip Clinic London, our qualified medical team delivers NAD+ therapy using protocols informed by clinical research and refined through years of patient care. Our Mayfair clinic provides a comfortable, professional environment for extended treatment sessions, with personalised dosing and continuous medical oversight throughout.

If you're ready to explore how NAD+ IV therapy might support your energy, cognitive function, and healthy ageing goals, book a consultation with our medical team to discuss whether this treatment aligns with your wellness objectives.

Book a treatment today to begin your wellness journey.

Reception