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Reclaim the Energy You Thought You’d Lost

By Sam Alterman

NAD+ Injections help you live healthier for longer, with vibrant energy for life.

Every day, we meet people who say the same thing in different words:

"I'm not sick, but I don't have the energy I used to."

They describe an exhaustion that isn't fixed by sleep.

Workouts that used to feel empowering now leave them depleted for days.

Focus that once came naturally now flickers in and out, replaced by distraction, irritability, or brain fog.

They do everything "right".

Eat clean, stay active, try new supplements, and even schedule recovery days.

Yet something still feels off, like their energy has quietly slipped away.

It's not in their head. It's not a weakness. It's a shift happening in every cell of the body, a gradual slowing that many people mistakenly attribute to normal aging.

What many don't realize is that these changes often begin deep inside the cells, as levels of a vital molecule called NAD⁺ (nicotinamide adenine dinucleotide) begin to decline with age.

When NAD⁺ levels fall, even the healthiest routines can feel less effective.

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What many don't realize is that these changes often begin deep inside the cells, as levels of a vital molecule called NAD⁺ (nicotinamide adenine dinucleotide) begin to decline with age.

When NAD⁺ levels fall, even the healthiest routines can feel less effective.

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The body still shows up, but the energy behind it just isn't there.

And that's where Levers comes in.

Born from the belief that energy shouldn't fade just because you're aging, Levers developed physician-guided NAD⁺ Therapy to help your cells perform at their best, restoring the energy, focus, and vitality you thought you'd lost.

Made for people who don't wait for problems, but choose to optimize their potential.

The Cellular Science Behind Lasting Energy

Every movement, thought, and heartbeat depends on your cells' ability to make energy.

That process relies on one essential coenzyme: NAD⁺, which is required for converting food into cellular energy and for supporting natural repair responses to stress, exercise, and aging.

NAD⁺ is often described as the "cellular spark plug." It fuels the mitochondria, the engines that drive metabolism, focus, and recovery.

Scientific studies show that NAD⁺ levels can decline by as much as 40 - 50% by age 50, depending on lifestyle and genetic factors.

Human data indicate measurable declines in certain tissues and in whole blood, though the rate can vary by individual and by sex.

These shifts may contribute to common experiences such as:

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Persistent fatigue and slower recovery
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Loss of focus and motivation
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Metabolic slowdown and increased oxidative stress
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Reduced cellular repair capacity and resilience

Maintaining or replenishing NAD⁺ levels supports the body's natural ability to sustain energy metabolism, cellular maintenance, and overall metabolic balance.

As science began revealing how deeply NAD⁺ decline affects energy and recovery, Levers emerged to make restoration simple, safe, and accessible.

Rather than chasing short-term fixes, Levers helps adults rebuild energy from the inside out, supporting healthy cellular function and long-term vitality through physician-guided at-home NAD⁺ Therapy.

Kasia J
Verified Buyer

Excellent customer service a follow up. Even after using for a couple of weeks, I've noticed a great improvement overall in my energy levels. As someone who has undergone many orthopedic surgeries, this is definitely helped greatly in my recovery process. Additionally the customer service follow up to make sure I'm happy has been excellent.

Posted 1 month ago
Christina G
Verified Buyer

NAD+ has completely changed the game for me. I struggle on & off with fatigue and mental fog... With NAD I don't feel like I need afternoon naps & have SO much more focus with work. The difference I feel in my energy & clarity on a daily basis is very noticeable. Highly highly recommend

Posted 6 months ago

From Personal Recovery to a Mission for Better Health

It often starts quietly
An injury that doesn't heal as expected
A recovery that takes longer than it should
A sense that your body, once reliable and strong, isn't responding the way it used to
It often starts quietly
An injury that doesn't heal as expected
A recovery that takes longer than it should
A sense that your body, once reliable and strong, isn't responding the way it used to

Many people reach a turning point when the usual advice of 'rest, eat well, and give it time' no longer feels like enough on its own.

That's because true recovery isn't about any single habit, but how all the Levers work together.

Our founder, John Mark Pero, knows this firsthand. After a series of spine and hip injuries left him with chronic pain, he looked beyond conventional medicine for answers.

Physical therapy, nutrition, and traditional care offered partial relief, but lasting strength and clarity came only through a more integrated approach, one rooted in regeneration, longevity, and connection between systems.

That experience became the foundation of Levers, a company founded on the belief that better health begins with a deeper understanding.

At Levers, care is at the heart of everything we do.

We bridge clinical science and modern innovation with a human touch, empowering people through credible information, personalized guidance, and real connection.

Our commitment goes beyond therapy, because we believe real healing happens when people feel seen, supported, and truly cared for.

From 24-hour response times to free follow-up calls and unlimited clinical support, we're here not just to deliver therapy, but to walk beside you every step of the way.

For us, service isn't a policy.

It's a promise.

A MODERN PROBLEM WITH AN INVISIBLE CAUSE

Today, it's common to feel like you're running on empty, even when you're doing everything right.

You work out, eat clean, sleep as well as you can, and still wake up feeling like your energy never fully recharges.

Stress lingers longer, focus fades faster, and recovery that used to take hours now takes days.

At Levers, we recognize the widespread impact of this phenomenon.

It's not a lack of effort or motivation; it's often a biological shift happening beneath the surface.

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That's why our team exists.

Born from lived experience and grounded in evidence-based medicine, Levers was created to make advanced longevity care practical, safe, and accessible, helping people understand what's changing inside their bodies and how to restore balance.

That mission led to the development of Levers at-home NAD⁺ Therapy, a physician-supervised treatment designed to help the body renew energy where it begins: at the cellular level.

BEGIN YOUR TREATMENT AT HOME

It starts on your phone, and continues in the comfort of your own home.

With Levers NAD⁺ Therapy,
advanced wellness support is no longer limited to clinic visits or waiting rooms.

Every step is designed to bring precision medicine into everyday life.

Guided by licensed U.S. physicians, compounded by FDA-registered 503A pharmacies, and delivered directly to your door.

Built to medical standards and supported by clinical expertise, Levers brings the same level of care you'd expect from a high-end clinic, but with greater freedom, transparency, and value.

Each at-home NAD⁺ kit provides 2–4x more NAD⁺ than most clinics, at a fraction of the cost.

While many clinics offer 250–1000mg per month, Levers offers 1200mg or 2000mg per month, starting at just $227.

That means stronger, clinically meaningful dosing, with physician oversight, flexible subscription options, and no added fees.

Why At-Home NAD⁺ Works Better

Unlike oral supplements or nasal sprays that deliver incomplete absorption, self-administered injections provide direct and efficient uptake at the cellular level.

You get steady and measurable results throughout the week, without the inconvenience or high cost of in-clinic infusions.

The benefits of supporting NAD⁺ production extend throughout the body.

Research links healthy NAD⁺ activity to:

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Supporting cellular energy production
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Promoting cognitive function
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Activating enzymes involved in DNA repair
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Regulating metabolic pathways
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Supporting sirtuin activity for healthy aging
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Maintaining normal immune cell performance

The process is simple, secure, and supervised.

After a short medical intake, your information is reviewed by a licensed physician.

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Once approved, your personalized therapy is prepared by a state-licensed pharmacy that meets USP 797 and USP 85 quality standards.

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It is then discreetly shipped to your home, with overnight shipping included.

From there, you begin therapy with clear guidance and continued access to your care team for questions or follow-up support.

It's a modern approach to health optimization, one that begins with science, continues with physician oversight, and happens entirely at home.

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Grounded in science, supported by physicians, and designed to fit your life.

YOUR PARTNER IN HEALTH, EVERY DAY

Taking care of your health shouldn't feel complicated. It should feel supported.

There will always be long days, busy weeks, and moments when energy runs low. That's when having the right partner matters most.

With NAD⁺ Injections and Levers, you gain more than a treatment; you gain a dedicated team focused on helping you perform and feel your best.

From physician review to pharmacy-grade preparation and transparent testing, every step is built to uphold safety, clarity, and trust.

At Levers, we believe progress should be measurable, sustainable, and personal.

We're here not only to help support energy and cellular health, but to  stand beside you as you strengthen and maintain your vitality, day after day. 

Count on Levers as your partner in health, bringing science, safety, and support into your everyday life.

Rating Star
4.9 of 44 Reviews

NAD+ Injection

NAD+ Injection
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Purchase Options:
Free Shipping
US Licensed Doctors and Pharmacies
Unlimited Check-ins
FSA & HSA Eligible
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Reignite Your Energy at the Cellular Level with NAD+

Now at the best value anywhere

Rating Star
4.9 of 44 Reviews

NAD+ Injection

NAD+ Injection
Size:
Purchase Options:
Free Shipping
US Licensed Doctors and Pharmacies
Unlimited Check-ins
FSA & HSA Eligible

Frequently Asked Questions

Why do Injectable NAD+ instead of other methods?

Effectiveness, Value and Convenience.

  • NAD+ at-home injections are best for bioavailability, and deliver the same effectiveness as IV infusions at a fraction of the cost and time.
  • Additionally, it allows for flexible dosing—you can spread out smaller doses throughout the week to maximize uptake.
  • Unlike precursor supplements such as NMN, NR, or NAD sprays, injectable NAD+ is more bioavailable and directly effective, ensuring optimal results.
  • If you're looking for an efficient, cost-effective solution, injectable NAD+ is the clear choice.

How much should I take?

We recommend 2000mg NAD+ (1 order) every 2-3 months.

Patients report noticeable benefits from NAD+ injections from as little as 100mg/wk (.5ml, 1 injection) up to the max dose of 500mg/wk (2.5ml), given as multiple injections.

Each bottle contains 10ml and 2000mg NAD+.

How long will this last?

It depends on your dosing. You will be provided a full guide upon approval.

  • The dosing protocol is crafted to give you an opportunity to do the max dosing (500mg/wk) for 28 days if desired. Some patients extend their protocol past the BUD by their own choice at a lower dose.
  • Compounded NAD+ has a recommended "best used by date" (BUD) of 45 days from compounding.
  • It usually ships very soon after compounding, but we are unable to guarantee a BUD over over 28 days from arrival.

How do I get started?

Simply complete checkout and the intake forms.

You will not be charged unless you are approved for treatment.

After checkout you'll be emailed a link to the medical intake forms. Your licensed medical practitioner will review your forms for any contraindications and/or reach out to clarify any information. If approved your treatment will ship within days from one of our licensed pharmacy partners.

Are there any other fees?

NO, NEVER. Levers has no hidden fees, ever, and we don't force you into an automatic subscription that leaves you with too little or too much medicine.

Once your medical forms are approved for treatment, you can re-order at any time following your personalized dosage plan.

When will my order ship?

Please allow up to 6 business days for your order to process. Once your order processes, it ships overnight via FedEx or UPS from our licensed pharmacy partners and you'll be emailed and texted a tracking number.

We can't ship to PO boxes.

How do I know if I qualify?

NAD+ Injections are safe and effective for just about everyone; see the Safety section for contraindications.

After checkout you will fill out an intake form for review by your assigned provider. If you are not accepted, you will be notified as to why and will not be charged.

Do you take insurance or FSA/HSA?

This treatment plan is eligible for payment with FSA/HSA, you can use your FSA/HSA card at checkout.

Levers does not accept insurance of any type.

Does this need a prescription?

Yes. NAD+ requires a prescription and submission of a medical intake form. That is included with your protocol.

Can I speak with my Doctor?

Yes, message your practitioner anytime within your account messaging system. You can also book free calls with your clinical advisor. Make sure to register an account upon checkout.

What states do you serve?

Ships to: AZ, CA, CO, FL, GA, IL, MA, MD, MO, NC, NV, NY, ND, OH, OK, OR, PA, SD, TN, TX, VA, WA, WY