Starting a compounded NAD+ nasal spray protocol through telos rx typically means a short async intake, then a provider review, then a delivered spray with clear instructions. Your care team walks you through each step. There is no in-person visit and no guesswork about dosing on your own.
Expect an intake, a provider review, then delivery. Most people complete the online questionnaire in a few minutes. A licensed provider often responds within hours, and your first shipment arrives with instructions on how to use the spray. Your provider decides the specifics, and approval is not guaranteed.
Start your intake →What happens before anything ships
NAD+ nasal spray through telos rx is a compounded medication, not an FDA-approved drug. It is prepared by partner compounding pharmacies in the United States rather than sold as a pre-made commercial product. That distinction matters, because it means a licensed provider reviews your history before anything is prepared or shipped.
The intake itself is asynchronous. You answer questions about your health history, current medications, and goals on your own schedule. A provider reviews the submission when it lands rather than during a live call. Most people finish the questionnaire in about five minutes, and there is no waiting room or need to coordinate a time that works for two schedules.
Once submitted, a US-licensed provider reviews your intake, often within hours. They decide whether NAD+ nasal spray is appropriate for you. If approval is not granted, you pay nothing for that review. If it is approved, your first order is prepared by a partner compounding pharmacy and shipped, typically with free two-day shipping.
Every part of that first step, from the questions asked to the decision made, sits with a licensed medical professional. You are never asked to self-diagnose whether NAD+ is right for you. That judgment call belongs to your provider, based on what you share and, later, on your lab results.
What the first few weeks tend to look like
NAD+ stands for nicotinamide adenine dinucleotide, a coenzyme present in every cell that participates in energy metabolism and several repair-related processes. Levels are understood to decline with age, which is part of why interest in supplementing it has grown in recent years. Early research has examined whether raising NAD+ availability affects cellular energy pathways, though the evidence base here is thinner than for medications backed by large completed trials.
Your provider sets a starting schedule for the spray and explains how to use it correctly. This is not something to figure out from a label alone. Your care team offers unlimited messaging if a question comes up between check-ins, and that channel exists specifically so you are not left guessing about your own protocol.
Many people settle into a simple routine: spray in the morning, note how the day feels, and message the care team if anything is unclear. There is no injection involved and no reconstitution step to manage, since the nasal spray format is designed to remove that layer of complexity that some other compounded peptides require.
It helps to set expectations honestly here. This is a compounded coenzyme product with early research behind a proposed mechanism of cellular energy support. It is not a medication with the kind of large completed trial base that some prescription drugs have. Your provider can talk through what is reasonable to expect given your own health picture and history.
Some people ask how quickly they should expect to notice anything. There is no fixed timeline telos rx can promise, since individual response varies from person to person. What is consistent is the structure around you: a provider who reviewed your case, a pharmacy that prepared your order, and a care team available if questions arise along the way.
If you are still deciding whether to start, it can help to think of the intake itself as low risk. You answer questions, a provider reviews them, and you owe nothing if the answer is no. Begin your NAD+ intake here when you are ready to see what a provider recommends for your situation.
Key takeaway: The protocol is provider-led from day one. You are not handed a bottle and left to interpret dosing on your own. Every step, from the starting schedule to any later adjustment, runs through your care team.
Quarterly labs and ongoing adjustments
Your plan includes quarterly labs, which give your provider a periodic checkpoint on how things are trending rather than relying on how you feel alone. Lab results, combined with what you report between visits, are what your provider uses to decide whether to continue your current approach or make a change to it.
Dose adjustments are part of the plan, not an extra step you have to request separately. If your provider believes a different approach suits you better after reviewing your labs and feedback, they will raise that with you directly. You are never left to adjust your own regimen without medical input, and no specific dosing figures are prescribed outside that provider relationship.
Cancellation is also built in from the start. You can cancel anytime with no fee, which matters if a protocol does not end up being the right fit for you. There is no long-term commitment forcing you to continue something that is not working for your situation.
If your provider does recommend a change, it will be explained in plain terms, along with the reasoning behind it. You can always ask follow-up questions through the messaging channel before agreeing to anything different from your original plan.
What to expect if something feels off
Any new nasal product can cause mild local irritation for some people. General side effects reporting is exactly what your care team exists for. If anything feels wrong, message your provider rather than waiting for your next scheduled check-in, and describe what you noticed as specifically as you can.
Do not attempt to diagnose or treat a reaction on your own. Seek prompt medical attention for any severe or unexpected symptom, including difficulty breathing, facial swelling, or chest pain. These are not expected effects of a starting protocol and should be evaluated by a medical professional right away, outside your telos rx care team.
For general background on how NAD+ functions at the cellular level, the National Institutes of Health has published research summarizing its role in metabolism and aging biology. See the NIH review of NAD+ precursors. For how compounded medications like this one are regulated in the United States, see the FDA overview of drug compounding.
How this compares with other protocols people combine it with
Some people starting NAD+ nasal spray are also curious about other compounded options telos rx offers. That can include sermorelin for those interested in growth hormone support pathways, or BPC-157 for those focused on recovery-related goals.
Your provider can discuss whether combining protocols makes sense for your specific situation, since not every combination is appropriate for every person. Age, health history, current medications, and your specific goals all factor into that conversation.
None of these decisions should be made without medical guidance. Your provider decides what is appropriate based on your full history, not a general rule that applies to everyone starting a similar protocol. Bringing up your interest during intake, or in a message afterward, is the right way to start that conversation with your care team.
Whatever you decide, the same basic structure applies across every telos rx protocol. There is an asynchronous intake, a provider decision, quarterly labs, and a care team you can message anytime with questions about your NAD+ nasal spray plan or anything adjacent to it.
Who tends to consider this protocol
People come to NAD+ nasal spray from a range of starting points. Some are simply curious about cellular energy support as part of a broader longevity-minded routine. Others have read about NAD+ decline with age and want to discuss whether a compounded option is worth exploring with a provider.
This protocol is intended for adults. It is not appropriate for minors, and intake questions are designed to screen for age along with other relevant health history before any review takes place. If you are pregnant, trying to become pregnant, or breastfeeding, tell your provider during intake so they can weigh that into their decision.
People managing other health conditions should also disclose those clearly. A provider cannot make a sound decision without a complete picture, and leaving something out only increases the chance of an outcome that does not serve you well. Full honesty during intake is what allows a provider to say yes safely, or to say no appropriately.
If you are unsure whether NAD+ nasal spray fits your situation, that uncertainty is a reasonable place to start from. The intake exists to let a licensed provider make that call rather than asking you to decide alone. Starting the process costs you nothing if the answer turns out to be no.
Frequently Asked Questions
How long does the intake take to complete?
Most people finish the online questionnaire in about five minutes. It is asynchronous, so there is no appointment to schedule and no live call required to submit it.
How soon will a provider respond?
A US-licensed provider typically reviews submitted intakes within hours, though timing can vary. You will be notified once a decision has been made about your specific request.
What if my intake is not approved?
You pay nothing if your request is declined. Approval is subject to medical approval by a licensed provider, and it is not guaranteed, since a provider must judge whether the protocol fits your health history.
Will I need to figure out dosing on my own?
No. Your provider sets a starting approach and explains how to use the spray. Any later change is discussed with your care team rather than decided by you alone, and specific dosing details always come from your provider.
What happens at the quarterly lab check-in?
Your provider reviews lab results alongside how you have been feeling to decide whether to continue your current plan or adjust it. Labs are included in your plan at no extra cost.
Can I stop the protocol if it is not right for me?
Yes. You can cancel anytime with no fee. There is no long-term contract that requires you to continue a protocol that is not working for you.
telos rx is LegitScript-certified. Compounded medication is not FDA-approved and is prepared by partner compounding pharmacies. This article is general information, not medical advice, and does not replace guidance from your own provider. Any protocol is subject to medical approval by a licensed provider, and approval is not guaranteed. Individual results vary. telos rx operates as an online-first, asynchronous telehealth service.
Ready to see if NAD+ nasal spray fits your routine? Message the telos rx care team or start your evaluation at telos rx.