NAD+ is the coenzyme at the core of cellular energy production. Replenishing declining levels with physician-supervised NAD+ injections supports sharper mental clarity, more consistent energy, faster recovery, and healthier aging from the inside out.
Nicotinamide Adenine Dinucleotide (NAD+) is a naturally occurring coenzyme found in every cell of your body. It plays a critical role in regulating cellular metabolism, energy production, DNA repair, and the activation of proteins that govern how your cells age. Current research reveals a strong link between declining NAD+ levels and how we age — both mentally and physically.
After your mid-twenties, NAD+ levels begin to drop steadily with each passing decade. Replenishing them through physician-supervised injections gives your cells the fuel they need to function at a higher level — producing benefits that are felt as improved energy, clearer thinking, better recovery, and long-term resilience against age-related decline.
"NAD+ is involved in more biological processes than almost any other molecule in the human body — and its decline is one of the clearest biochemical hallmarks of aging."
NAD+ is a coenzyme that acts as an electron carrier in the mitochondria, powering the cellular machinery that converts nutrients into ATP — the energy currency every cell runs on. It also activates sirtuins, a family of proteins closely associated with longevity and DNA repair, and plays a direct role in regulating circadian rhythm, inflammation response, and neurological function.
By age fifty, NAD+ levels in most tissues have dropped by more than fifty percent compared to young adulthood. Restoring those levels through injection allows the body's systems to operate with the efficiency they once had.
Replenishing your body's NAD+ levels can drastically reduce feelings of fatigue and mental fog while producing a broad range of additional benefits that support both how you feel day to day and how your body ages long term.
NAD+ is directly involved in mitochondrial ATP production — the mechanism your cells use to convert food into usable energy. Restoring NAD+ levels supports more consistent, crash-free energy throughout the day without relying on stimulants.
NAD+ plays an important role in neurological function and neurotransmitter activity. Patients commonly report improved focus, reduced brain fog, and sharper cognitive performance — often one of the earliest and most noticeable benefits of therapy.
NAD+ activates sirtuins — proteins central to DNA repair, cellular resilience, and longevity pathways. By supporting these processes, NAD+ therapy addresses aging at the cellular level rather than just managing its surface symptoms.
Faster recovery from exercise, physical exertion, or illness is a commonly reported benefit. NAD+ supports the cellular repair processes that rebuild muscle tissue, reduce oxidative stress, and restore energy reserves after demanding activity.
NAD+ plays a central role in how the body metabolizes carbohydrates, fats, and proteins. Optimizing NAD+ levels supports more efficient metabolic function and may complement medical weight loss programs and hormone optimization.
Through its role in regulating the nervous system and supporting neurotransmitter balance, NAD+ therapy is associated with improved mood stability, reduced anxiety, and greater emotional and physical resilience under stress.
Anyone experiencing symptoms associated with declining cellular energy or accelerated aging may benefit from NAD+ injections. The following are among the most common presentations we see:
NAD+ therapy is not exclusively for those experiencing illness or decline. Many of our patients are healthy, high-functioning individuals who want to maintain peak performance and support longevity before significant decline occurs.
People dealing with the side effects of aging or suffering from certain age-related illnesses or chronic conditions are excellent candidates — but NAD+ injections are also highly beneficial for healthy individuals who simply want to perform, recover, and age better. You do not have to be symptomatic to benefit.
Every NAD+ injection at Desert Sands is performed by Shannon Evans, RN, BSN — co-founder, lead aesthetic nurse, and the same provider you see for every treatment. Shannon brings twenty-eight years of clinical experience to each appointment and takes the time to understand your health goals before designing any protocol.
All programs are supervised by medical director Dr. Eric Evans, MD, a board-certified physician who reviews your health profile and oversees every wellness plan at the practice.
NAD+ is delivered via a quick subcutaneous injection — a fine-needle injection just under the skin, typically in the abdomen or upper arm. The procedure takes only a few minutes and is performed in-office. Faster and more convenient than IV infusion.
Many patients report improved energy and mental clarity within the first one to two weeks. Benefits tend to build over a series of treatments, with the most significant and lasting results typically appearing after a consistent initial protocol.
There is no downtime. You return to normal activity immediately after your injection. NAD+ injections are well tolerated — side effects are minimal and typically limited to brief, mild discomfort at the injection site.
Many patients start with weekly injections for the first month, then transition to monthly maintenance. Frequency is adjusted based on your response, health goals, and lifestyle. We build your schedule during the initial consultation.
We begin with a health evaluation to understand your current energy levels, lifestyle, goals, and any existing conditions. Desert Sands Aesthetics & Laser builds every wellness plan around the individual — there is no generic protocol.
Dr. Eric Evans, MD designs your NAD+ program — setting the dose, frequency, and duration based on your health profile. We explain what to expect, how to track your response, and how NAD+ fits alongside any other wellness treatments you are receiving.
Your injections are administered in-office on your personalized schedule. We track your response over time and adjust frequency as needed. Many patients combine NAD+ with IV vitamin therapy, HRT, or medical weight loss for comprehensive wellness support.
Desert Sands Aesthetics & Laser is a premium, locally owned med spa founded in 2020 and voted Best of Southern Utah five years running (2021–2025). NAD+ therapy and all wellness programs are administered by Shannon Evans, RN, BSN, a registered nurse with twenty-eight years of healthcare experience, and overseen by Dr. Eric Evans, MD, a board-certified physician.
We are serious about your long-term health and well-being. NAD+ therapy is not a trend to us — it is one part of a comprehensive wellness approach that can include hormone optimization, medical weight loss, and IV therapy, all working together toward the same goal: helping you feel as good as you look.
Hydration and nutrients delivered directly to the bloodstream. Pairs naturally with NAD+ for comprehensive energy and recovery support.
View ServiceBioidentical pellets and traditional HRT for men and women. Combines well with NAD+ for whole-body optimization.
View ServicePhysician-supervised semaglutide and tirzepatide programs. NAD+ supports the metabolic improvement that GLP-1 therapy initiates.
View ServicePharmaceutical-grade supplements to support hormone health and cellular wellness alongside NAD+ therapy.
View Service965 E 700 S, Suite 201 · St. George, UT 84790 · Monday–Friday 9 AM–5 PM
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View AllEvery new patient starts with a complimentary consultation. We will review your health history, answer your questions, and design a NAD+ program built around your goals — with no obligation to proceed.