Transparent pricing Membership-free US-sourced ingredients Unlimited 24/7 support 100% online State-licensed pharmacies Clinician-led care

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NAD+

The energy you used to take for granted?
Let’s get it back.

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Trusted by experts, priced for you.

Start with NAD+ — one flat monthly price, with the confidence that comes from knowing it’s provider-reviewed.

Cypress NAD+ injection vial

$175 / month

NAD+ Injection

One simple injection per week.

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Cypress compounded semaglutide injection vial

Starting at $129

Compounded Semaglutide

One simple injection per week.

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Cypress compounded GLP-1 injection vial

Starting at $229

Compounded Tirzepatide

One simple injection per week.

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Cypress GLP-1 oral dissolving tablets bottle

Starting at $149

GLP-1 Tablets

One dissolvable tablet per day.

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Wegovy (semaglutide) tablets bottle

$99 Membership + Medication Cost

Wegovy® Pill

One pill per day.

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Wegovy (semaglutide) injection pens

$99 Membership + Medication Cost

Wegovy® Injection

Availability is subject to change.

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Zepbound (tirzepatide) injection pens

$99 Membership + Medication Cost

Zepbound® Injection

Availability is subject to change.

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Want steadier energy through midlife?

30s

the decade NAD+ levels begin to measurably decline — and they keep falling from there.

What patients on a weekly protocol most often describe:

  • A steadier baseline of daytime energy
  • Faster recovery from physical effort
  • A sharper sense of focus in the late afternoon
Want to see if NAD+ fits? Get Started

Individual experiences vary and are not guaranteed. Cypress does not promise specific outcomes; a licensed clinician reviews whether NAD+ is appropriate for you.

How it works

Simple online
telehealth care, built around you.

Start your assessment

3-minute screener · No commitment

1
Complete your intake
Tell us about your health history, goals, symptoms, and what's changed. This takes less than 3 minutes.
Start Now
2
Get provider review
A licensed U.S. provider reviews your information and determines whether treatment is appropriate — typically within 24 hours.
Learn More
3
Start your plan
If eligible, your plan may include compounded GLP-1 medication with pharmacy coordination, ongoing oversight, and direct-to-door delivery.
Read Reviews

Our physicians

Unlimited 24/7 support, included.

Cypress provides 24/7 access to a dedicated team of specialists, ensuring you have the support you need around the clock. With unlimited appointments, messaging and support, you can confidently reach out for guidance, ask questions, or address concerns at any time.

Dr. Sean Arora, Co-Founder and CEO of Arora Health & Aesthetics

Dr. Sean Arora

Arora Co-Founder & CEO

  • Board-certified physician
  • Licensed in all 50 states
Dr. Shannon Arora, Chief Medical Officer of Arora Health & Aesthetics

Dr. Shannon Arora

Chief Medical Officer

  • Hospital-trained physician
  • Preventive & longevity medicine

More from our members

4.9/5 (3,714+ 5-star reviews)
“By 3pm I used to be finished — coffee, something sweet, whatever got me to dinner. A few weeks in, the afternoon crash just isn’t the thing I plan my day around anymore.”
Karen M.Member · age 48
“I travel every other week and the recovery got brutal in my forties. This is the first change I’ve made where I actually noticed how much faster I bounce back.”
Mike D.Member · age 52
“Thirty seconds once a week at my kitchen counter. I’d built it up in my head as this whole production, and it isn’t.”
Dana R.Member · age 52
“I took the oral stuff for a year and never felt a thing. My clinician explained why the injection is different and answered every question before I started.”
Carlos T.Member · age 45

Questions

Answers to
common questions.

Pricing
How much does NAD+ cost?
Flat $175/month — medication, supplies and shipping included.
NAD+ is $175 per month, flat. That covers your provider review, the medication itself, injection supplies, free 2-day shipping, and ongoing clinician support including dose adjustments. There is no membership fee and no hidden add-ons, and renewals stay at the same price.
When am I charged?
Not until a clinician confirms your eligibility — typically within 24 hours.
You’re not charged when you submit. Your card is securely saved while a licensed clinician reviews your assessment, typically within 24 hours. If approved, you’ll receive an email confirmation before any charge. If not approved, you’re not charged.
Can I cancel?
Monthly plans cancel anytime before your next ship date.
Yes. The monthly plan can be cancelled anytime before your next ship date. Longer committed terms are billed monthly and cancel future renewals once the term ends. Medication, supplies, and shipping are included while you’re active.
Process
What can I expect after I sign up?
A provider reviews your visit; if prescribed, NAD+ ships to your door.
After you complete your online visit, a licensed provider reviews your answers and determines whether NAD+ is appropriate for you. If prescribed, your medication ships from a state-licensed pharmacy straight to your door with free 2-day shipping, and your care team stays available for questions, dose adjustments, and support.
How do I take it?
One subcutaneous injection a week — about 30 seconds, at home.
NAD+ is given as a small subcutaneous injection once a week, which most people do at home in about 30 seconds. The needle is very fine. Your clinician sets the starting dose, walks you through the technique, and adjusts over time. We generally recommend morning dosing, since injecting late in the day can disrupt sleep for some people.
Insurance / HSA-FSA
Is insurance required?
No — transparent flat-rate pricing, no hidden fees.
No. Cypress offers transparent, flat-rate pricing without insurance and no hidden fees. Medication, supplies, and shipping are all included.
Can I use my FSA/HSA?
Yes — itemized receipts provided for self-submission.
HSA and FSA cards are accepted on any plan. We also provide itemized receipts in case you need to self-submit to your benefits provider.
NAD+
What is NAD+ and what does it do?
A coenzyme central to cellular energy and DNA repair.
NAD+ (nicotinamide adenine dinucleotide) sits at the centre of the chemistry that turns the food you ate this morning into the energy you use this afternoon. It’s also what your cells rely on for DNA repair. NAD+ levels decline measurably from your 30s onward, and by midlife many people are running with notably less than they had a decade earlier. Whether restoring those levels delivers every benefit claimed for it is still an active area of research — we’re careful not to overstate it.
How is this different from oral NMN or NR supplements?
Those are precursors; subcutaneous NAD+ delivers the molecule directly.
NMN and NR are precursors — your body has to convert them into NAD+, and a meaningful share of an oral dose is degraded in the gut and liver before it ever reaches circulation. Subcutaneous NAD+ delivers the molecule directly. It’s a more reliable way to know you’re actually receiving the dose your clinician chose.
How is this different from a NAD+ IV drip?
Smaller weekly dosing at home instead of a long clinic infusion.
IV drips deliver a large bolus over several hours and tend to produce stronger short-term sensations — both the desired ones and the uncomfortable ones. Subcutaneous dosing is smaller, weekly, and done at home. For most people looking for a sustainable long-term protocol, weekly subcutaneous dosing is more practical and easier to tolerate.
What are the side effects, and who shouldn’t take it?
Usually brief flushing or warmth; not appropriate in some conditions.
The most common effects are a brief flushing or warmth right after injection, mild nausea, occasional headache, and injection-site tenderness. These are typically dose-related and resolve within an hour. Less common but worth flagging: palpitations, jitteriness, or disrupted sleep if you inject too late in the day, which is why we recommend morning dosing. NAD+ is not appropriate if you have an active malignancy under treatment, are pregnant or breastfeeding, or have an unstable cardiovascular condition. Tell your clinician about all medications and supplements you take.
Have more questions?
Start a chat with Cypress Concierge or email us at care@mycypress.co and we'll get back to you within an hour!

Ready when you are.

No charge today — the online assessment takes about 3 minutes.

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