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NAD+1000 mg / 10 mL

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THECARE / PRODUCT PROTOCOL

Single ingredient

NAD+1000 mg

Your guide to preparation, dosing & use.

Vial strength1000 mg per vial
After preparation1000 mg / 10 ml
AdministrationSQ or IM — follow written order
01

PRODUCT INFORMATION

Benefits

Product focus

Cellular energy, mitochondrial support, antioxidant support, or wellness optimization.

Formulation

NAD+

Who it is intended for

Clients focused on energy, longevity, detox/antioxidant support, or cellular wellness.

02

WHAT TO WATCH FOR

Side Effects

Possible side effects include flushing, nausea, headache, dizziness, chest tightness, fatigue, or injection-site irritation.

When to pause and get help

Pause use and get help for red flag symptoms, unexpected side effects, dose errors, missed doses with symptoms, pregnancy, new diagnosis, new medication, or uncertainty about storage/reconstitution.

03

WHEN TO GET HELP

Adverse Effects

URGENT SYMPTOMS

Get urgent medical help.

Severe allergic reaction, trouble breathing, chest pain, fainting, severe abdominal pain, persistent vomiting, severe swelling, infection signs, or rapidly worsening symptoms require urgent medical help.

Who needs a safety review?

Before using this product

Pregnant/breastfeeding clients, minors, clients with active infection, uncontrolled medical conditions, severe allergies, or complex medication histories should complete safety review before use.

Conditions and medicines to review

Pregnant/breastfeeding clients, minors, clients with active infection, uncontrolled medical conditions, severe allergies, or complex medication histories should complete safety review before use. Disclose all prescriptions, OTC medications, supplements, allergies, and prior reactions.

04

MEASURE CORRECTLY

Dosing Guide

YOUR DOSE · FOLLOW YOUR PRESCRIPTION

50 units (0.5 mL = 50 mg) twice weekly. Use the SQ or IM route prescribed for you.

Units refer to U-100 syringe markings.

Doses per vial

20 doses at 50 U using U-100 and 10 mL final volume.

Duration

Supply estimate: at least 5 weeks. Follow the discard date on your vial.

Dose changes

Change your dose only when your care team gives you the new amount and start date.

U-100 syringe conversion

For NAD+ 1000 mg in 10 mL after preparation.

Measurement reference · 100 U-100 markings = 1 mL
Syringe mark
U-100
Volume
mL
NAD+
mg
10.011
50.055
100.1010
200.2020
250.2525
500.5050

1 U-100 marking = 0.01 mL. Multiply the amount per vial by the mL drawn, then divide by the final mL in the vial. Amounts are rounded for display; match the vial label and written order.

Preparation & storage

Mixing instructions

Add 10 ml BAC water to the vial. Inject it slowly down the inside wall of the vial, then gently swirl until dissolved; do not shake. Use sterile technique.

Package contents

Product vial.

Supplies

Confirm syringes, needles, alcohol pads, BAC water, and disposal supplies are included or available before starting.

Before mixing / opening

Store at the temperature on your product label. Protect from light and follow the expiry date.

After mixing

Write the mixing date on your vial. Follow its storage temperature and discard date. Discard any remaining solution on that date.

If the package arrives warm

Do not use if package integrity is questionable. Contact support for review and keep product per storage instructions while awaiting guidance.

05

USE & FOLLOW-UP

Protocol

Route

SQ (subcutaneous) or IM (intramuscular), as prescribed. Use the needle and technique specified for that route.

Injection site

For SQ, use the prescribed subcutaneous site; for IM, use a site selected and taught by a clinician. Rotate sites; route-specific training required.

Use only the route on your written order. SQ and IM use different needles, tissue layers, and training; do not switch routes yourself.

If your prescribed route is SQ

Subcutaneous injection: choose a site

Location illustration for abdomen subcutaneous injection

Abdomen

Choose fatty tissue at least 2 inches (5 cm) from the navel.

Location illustration for side of abdomen subcutaneous injection

Side of abdomen

Choose healthy fatty tissue below the ribs and above the hip bone.

Location illustration for back of upper arm subcutaneous injection

Back of upper arm

A trained helper can use the fatty tissue on the back of the upper arm.

Location illustration for outer thigh subcutaneous injection

Outer thigh

Choose fatty tissue on the outer middle thigh, away from the knee and hip.

45° and 90° examples

Medical cutaway showing a 45-degree needle ending in subcutaneous fat above muscle
45° can be used with some needles or a thinner fat layer.
Medical cutaway showing a perpendicular SQ needle ending in fat above muscle
90° can be used with a short SQ needle and sufficient fatty tissue.

These illustrations identify tissue layers and example angles; they are not to scale. Needle length, angle and whether to lift a fold depend on the prescribed device and your training; stop and ask the clinic if either is unspecified.

  1. Check the order and equipment

    Match name, vial strength, final concentration, SQ route, expiration and discard date to your prescription. Use the prescribed U-100 syringe only if the order specifies it; its marks measure volume.

  2. Prepare and measure

    Wash and dry hands. Use a clean surface, a new sterile needle and syringe, and an alcohol pad. Check solution appearance, clean the stopper and let it dry. Draw only the prescribed volume and recheck the mark and bubbles.

  3. Choose and clean a site

    Choose one healthy site shown above and rotate each time. Avoid red, hard, bruised, scarred or tender skin. Clean the spot and let it dry. Do not touch it again.

  4. Inject into fatty tissue

    Gently lift a skin-and-fat fold if your training calls for it. Use the 45° or 90° angle specified for your needle and body habitus. Insert into fat, press the plunger steadily, then withdraw at the same angle.

  5. Finish and dispose

    Press clean gauze if needed; do not rub. Do not recap or reuse the needle. Put needle and syringe immediately in a sharps container; close it at about three-quarters full and use local disposal rules.

If your prescribed route is IM

Intramuscular injection: where to inject

Deltoid intramuscular region highlighted on the upper arm

Deltoid

Upper arm

The muscle on the outer upper arm, below the shoulder bone. Use the center of the muscle area shown.

Vastus lateralis intramuscular region highlighted on the front outer thigh

Vastus lateralis

Front outer thigh

The muscle on the front outer side of the thigh. Use the middle third between the hip and knee.

The green areas show the muscle regions. Locate your exact injection point using the technique demonstrated to you. Alternate sides and use a different spot each time.

Injection angle: 90°

A 90 degree needle path through skin and fat into the muscle layer
Insert straight into the muscle at 90°. Use the IM needle supplied for your treatment.
  1. Check and prepare

    Match the vial and dose to your instructions. Wash and dry your hands. Use a new sterile syringe and the IM needle supplied for you. Inspect the solution, clean the vial stopper and measure your dose.

  2. Choose and clean the area

    Use the deltoid or vastus lateralis area shown above, following your injection training. Rotate sides and spots. Avoid bruised, sore, red or damaged skin. Clean the spot and let it dry.

  3. Inject at 90°

    Hold the muscle steady as taught. Insert the IM needle straight into the muscle at 90°, press the plunger steadily, then withdraw straight out.

  4. Finish and dispose

    Apply clean gauze if needed. Place the needle and syringe directly in a sharps container without recapping. Never reuse them. Record the dose, side and site.

Missed dose or error

Do not double, repeat, or titrate without the written order. Contact the clinic for a discrepancy, uncertain storage, or unexpected reaction; urgent symptoms need emergency care.

Refills and switching

When to reorder

Reorder before the earlier of measured supply and the dispensing label's discard date; confirm the active course and dose.

Before a refill

Current dose, frequency, response, side effects, weight/goal changes if relevant, missed doses, remaining supply, and any new medications or medical changes.

Before switching

Previous product name, dose, last injection date, side effects, response, reason for switching, current medications, and confirmation that switching is appropriate.

PRODUCT DOCUMENTS

Certificates of analysis

Choose a certificate to view every page. Match the lot number to your vial.

Original NAD+ certificate preview

Accumark Labs

NAD+ · 1000 mg

Lot SNAD1000N072426
Published 05 August 2026 · 3 pages

View certificate ↗