NAD+ injections and NAD+ nasal sprays deliver the same coenzyme in two different formats, and a licensed provider decides which one, if either, fits a given person.

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every living cell, where it supports energy metabolism and cellular repair pathways. In a wellness setting it is offered in a few delivery formats. This guide compares two of them, the injection and the nasal spray, so partners and affiliates can describe the practical differences accurately without giving medical advice.

How the two formats differ in practice

The active ingredient is the same. What changes is how it is taken and what that means day to day.

  • NAD+ injection. A measured dose delivered under the skin or into muscle, typically on a schedule set by the provider. It bypasses the digestive tract entirely.
  • NAD+ nasal spray. A metered spray taken through the nose. Many people find it simpler to self-administer because there is no needle involved.

Practical considerations a provider may weigh include comfort with self-injection, ease of routine, storage and travel, and how the person responds over time. Neither format is presented as better than the other in the abstract. The right choice depends on the individual, and that decision belongs to the licensed provider who reviews each request.

For a deeper look at each format on its own, see our NAD+ injections guide and our NAD+ nasal spray guide.

Where this fits in a wellness menu

NAD+ often appears alongside other wellness options a partner or affiliate might promote, such as glutathione, MIC-B12, GHK-Cu, and GLP-1 medications like semaglutide and tirzepatide. Across all of these, the structure is the same:

  1. A person scans a partner or affiliate QR code, or follows a personal link.
  2. They complete an intake that a licensed provider reviews.
  3. If appropriate, the provider prescribes and a licensed pharmacy handles fulfillment, refills, and shipping.

The partner or affiliate never touches medication, inventory, or prescriptions, and never gives medical advice. The platform is LegitScript-certified, and not everyone qualifies. The provider makes every treatment, eligibility, and dosing decision.

Common questions

Is a NAD+ injection stronger than a nasal spray?

They deliver the same coenzyme in different formats. Comparing strength or outcomes is a clinical judgment, so any question about what a person can expect goes to the licensed provider who reviews the intake.

Can a partner recommend one format over the other?

No. Partners and affiliates can share educational information about what NAD+ is and the formats available, but the provider decides what is appropriate for each person. The partner gives no medical advice.

Does everyone who asks get a prescription?

No. Every request is reviewed by a licensed provider, and not everyone qualifies. MedStands is not a medical practice and does not prescribe.

How do partners and affiliates earn on referrals?

You earn a fixed marketing fee for each active referred customer, set in advance and paid to your bank every month for as long as that customer stays active. It is not a cut of sales. Referrals are tracked for the lifetime of the customer.

Get started

Businesses join the partner program and individuals or creators join the affiliate program. Both are free: no setup fee, no monthly fee, and nothing to buy. You share a QR code or personal link, and people who sign up through it are attributed to you.

Learn how it works on the partner program page, or see which fields fit on the industries page. The clinical side stays fully separate: licensed providers prescribe and licensed pharmacies fulfill, while you focus on sharing.