Niagen IV: What You Need to Know About NAD+ Boosting Therapy
Niagen IV therapy is gaining attention among people who care about longevity, energy, and cellular health. You may have heard about NAD+ infusions or supplements that claim to improve metabolism and slow signs of aging. Niagen is one of the most researched forms of nicotinamide riboside (NR), a compound that helps raise NAD+ levels in the body. But what exactly is Niagen IV, how does it work, and is it worth it?
What Is Niagen?

Niagen is a patented form of nicotinamide riboside chloride, developed by the company ChromaDex. It’s a form of vitamin B3 that the body can convert into nicotinamide adenine dinucleotide (NAD+), a molecule essential for energy production, DNA repair, and cell function. NAD+ levels naturally decline with age, which may contribute to fatigue, slower metabolism, and reduced cognitive function.
Oral Niagen supplements have been studied for their ability to raise NAD+ safely. According to research published in the Nature Communications journal, NR supplementation can increase NAD+ levels in humans and support healthy aging processes.
What Is Niagen IV Therapy?

Niagen IV therapy delivers nicotinamide riboside directly into the bloodstream through an intravenous drip. The idea is that IV delivery bypasses digestion, allowing for faster and potentially higher absorption compared to oral supplements.
During a typical session, a healthcare provider inserts an IV line and slowly administers the Niagen solution over 60 to 90 minutes. Some clinics combine Niagen with other vitamins, amino acids, or antioxidants to create customized “longevity drips.”
Why People Try Niagen IV
- To boost energy and reduce fatigue
- To support brain function and focus
- To aid muscle recovery after workouts
- To promote healthy aging and cellular repair
- To improve metabolic function
How NAD+ Works in the Body

NAD+ is a coenzyme found in every cell. It helps convert food into energy by enabling the mitochondria to function. It also activates sirtuins, a group of proteins linked to longevity and DNA repair. As NAD+ levels fall with age, cells lose efficiency, and repair processes slow down.
Restoring NAD+ through Niagen may support these key roles:
- Energy metabolism: NAD+ helps turn glucose and fatty acids into ATP, the body’s main energy source.
- DNA repair: It supports enzymes that fix damaged DNA, which can prevent cell malfunction.
- Cell signaling: It plays a role in communication between cells and in stress responses.
- Brain health: NAD+ supports neuron function and may protect against cognitive decline.
According to research from the National Institutes of Health, NAD+ metabolism is central to aging, and restoring it could have broad health benefits.
Niagen IV vs. Oral Niagen Supplements
Both IV and oral Niagen aim to raise NAD+ levels, but they differ in delivery and experience.
Absorption and Effect Speed
IV therapy delivers Niagen directly into circulation, skipping digestion. This may result in a quicker and more noticeable effect. Oral Niagen, while effective, must pass through the digestive system, which can reduce absorption.
Convenience and Cost
Niagen IV therapy requires a clinic visit, sterile equipment, and professional supervision, making it more expensive and time-consuming. Oral Niagen supplements are simpler - you can take them daily at home. A single IV session can cost several hundred dollars, while a month’s supply of capsules is often under $100.
Safety and Side Effects
Both forms appear safe when administered properly. Some users report mild side effects such as nausea, flushing, or a feeling of warmth during IV infusions. Oral Niagen is generally well tolerated at studied doses. However, anyone with chronic conditions or on medication should consult a healthcare provider before use.
Scientific Research on Niagen and NAD+ Therapy
Clinical studies have explored Niagen’s effect on NAD+ levels, metabolism, and aging markers. Research in Cell Metabolism found that NR supplementation increased NAD+ and improved some metabolic indicators in humans. Another study in the Nutrients journal showed that NR raised NAD+ without adverse effects, confirming its safety profile.
However, evidence on long-term outcomes - such as whether boosting NAD+ extends lifespan or prevents disease - is still limited. Most studies so far have been short-term and focused on biomarkers rather than health outcomes.
Who Might Benefit from Niagen IV Therapy?
People seek Niagen IV therapy for different reasons. While research is still emerging, some groups may find it appealing:
- Athletes or active individuals seeking faster recovery and energy support
- Professionals facing mental fatigue or burnout
- Older adults looking to support cellular health
- Individuals recovering from illness or seeking general vitality
That said, Niagen IV therapy isn’t a cure-all. It should be part of a broader approach that includes good nutrition, exercise, and sleep. As Harvard Health experts note, supplements can support but not replace a balanced lifestyle.
What to Expect During a Niagen IV Session
Before starting, a provider usually reviews your health history and may check for any contraindications. The session itself is straightforward:
- You’ll sit or lie comfortably in a chair.
- A nurse or technician inserts an IV line into your arm.
- The Niagen solution drips slowly into your bloodstream.
- The session lasts about an hour, during which you can read, rest, or use your phone.
Some people report feeling more alert or energetic within hours. Others notice gradual improvements over several sessions. Clinics sometimes recommend a series of infusions for the best results.
Potential Risks and Considerations
Niagen IV therapy is generally safe when performed by trained professionals. Still, there are potential risks:
- Infection at the injection site
- Vein irritation or inflammation
- Temporary lightheadedness or nausea
- Possible interactions with other medications
Anyone with cardiovascular disease, liver issues, or chronic conditions should consult a doctor first. Pregnant or breastfeeding women should avoid IV therapies unless prescribed by a healthcare provider.
Choosing a Reputable Clinic
Because IV therapy involves direct access to your bloodstream, quality and hygiene matter. Look for clinics that:
- Employ licensed medical professionals
- Use sterile, single-use equipment
- Provide transparent information about dosages and ingredients
- Review your medical history before treatment
Reputable centers often share their protocols and certifications. You can find guidance on evaluating intravenous therapy providers from resources like the MedlinePlus supplement safety guide.
Alternatives to Niagen IV
If IV therapy feels too invasive or costly, there are other ways to support NAD+ levels:
- Oral Niagen or other NR supplements
- Nicotinamide mononucleotide (NMN) supplements
- Regular exercise, which naturally boosts NAD+
- Intermittent fasting or calorie restriction, shown to influence NAD+ metabolism
- Healthy sleep and reduced alcohol intake
These approaches can complement or replace IV therapy depending on your needs and budget. You can learn more about lifestyle factors that affect NAD+ from Healthline’s NAD+ overview.
Cost and Accessibility
Niagen IV therapy isn’t covered by insurance since it’s considered elective. Prices vary by clinic and location but typically range between $250 and $600 per session. Some providers offer package deals for multiple infusions. Oral Niagen, on the other hand, can be found online or in health stores at a lower cost. Always verify that the supplement you choose lists “nicotinamide riboside chloride” as the active ingredient.
Final Thoughts
Niagen IV therapy is an intriguing option for those seeking to boost NAD+ levels and support energy, metabolism, and aging at the cellular level. The science behind NAD+ is strong, but research on IV delivery specifically is still developing. If you’re curious, start with a conversation with a qualified healthcare provider who understands both nutrition and cellular health.
Niagen IV isn’t a shortcut to longevity, but it may be a useful tool for those who want to invest in their well-being. Combined with daily habits like exercise, balanced nutrition, and proper rest, it can be part of a thoughtful approach to healthy aging. For more on how specific antioxidants like Pycnogenol can support health, consider exploring additional resources.