Ketamine, NAd, and Stellate Ganglion Block

Frequently Asked Questions

Jump to FAQ for Ketamine, Stellate Ganglion Block, or NAD+

IV Ketamine FAQ

IV Ketamine is the most advanced and rapid-acting solution for:

Integrative medicine experts use IV Ketamine and NAD to treat depression, anxiety, PTSD, and chronic pain

IV Ketamine vs
Oral Lozenges:
The Science

IV Ketamine compared to oral lozenge and intranasal formulations. Infographic emphasizes the differences in bioavailability, safety, doctor supervision, and other parameters

IV Ketamine with doctor supervision1 ensures continuous monitoring for safety and dose adjustment to rapidly3 identify optimal dosage, especially compared to oral4. Ketamine absorption varies widely based on IV1 versus lozenge2 route. Ketamine efficacy also depends on IV2 versus lozenge route, as well as the healing environment5. IV Ketamine demonstrates consistent advantages over other forms.

How is Clarus Health different than other Ketamine clinics?

The biggest difference between clinics is the quality of the infusion that determines how long the effects last. Drs. Kaveh and Shrestha have treated hundreds of patients with IV Ketamine therapy and are nationally recognized authorities in Ketamine therapy. Dr. Kaveh is an educator on the ethical use of Ketamine, lecturing to therapists and doctors across the Bay Area. He has numerous videos on YouTube explaining the Ketamine process with testimonials. He is also fellowship trained in integrative medicine by Dr. Andrew Weil. Both are board-certified, DEA-registered physicians graduating from Stanford, Harvard, and UCLA. Clarus Health is LegitScript certified.

Why do you require a holistic intake consutation?

More than 90% of our patients accomplish profound symptom relief. We accomplish this with preparation and individualized treatment planning. Our 1 hour holistic intake is used to prepare every patient for their healing experience and develop a personalized treatment plan that includes natural therapies and supplements. We find this preparation allows us to use fewer Ketamine infusions and have a longer lasting effect.

How long does each IV Ketamine infusion take?

Ketamine infusions for mental health are about 60 minutes and the total appointment is 2 hours to allow for time to check-in with your doctor before and after the infusion. Ketamine infusions for chronic pain can take 2-5 hours, depending on the treatment protocol.

How long is the Ketamine effective for?

Every patient is different. Clarus Health's holistic program provides most patients more than 4-6 months of symptom relief. This is made possible by addressing the root causes of depression, anxiety, PTSD, and addiction.

Will I need repeated Ketamine infusions or "boosters" ?

Some patients will benefit from Ketamine boosters. There is no one-size-fits-all approach. We individualize therapies to last as long as possible for each patient. Some patients benefit from "booster" sessions 3-6 times a year after completing their initial treatment. You can read Dr. Kaveh's article on Ketamine boosters here.

How safe are treatments?

Our Ketamine and NAD infusions, and Stellate Ganglion Blocks (SGB) are remarkably safe with our board-certified doctors. One of our expert physicians accompanies you during your infusion to ensure the safest healing experience. You can read more about the side effects of IV Ketamine in Dr. Kaveh's article.

Am I alone during the infusion?

No. Every patient has a "healing zone," and most patients prefer times of solitude during infusions, which our doctors accommodate when safe and appropriate. You are always safe with your doctor during treatment.

Does the Stellate Ganglion Block Work with Ketamine?

Many patients with PTSD, hypervigilance, fear, irritability, and other symptoms of an overactive "fight-flight response" find significant relief with combining IV Ketamine with the Stellate Ganglion Block (SGB). Our doctors can discuss the synergy between the SGB and Ketamine to provide the fastest symptom relief.

Do you provide financial assistance?

We provide discounts for military, education (teachers and students), first responder, and medical personnel. We recognize the incredible healing potential of these therapies and partner with Advance Care to provide interest-free medical financing. Our services are also HSA-eligible.

Do you take insurance?

Insurance does not yet cover the latest Ketamine, NAD, and SGB therapy techniques. Clarus Health provides patients a superbill to assist in obtaining reimbursement from your insurance. Contact us to find which codes apply to you.

Stellate Ganglion Block FAQ

The Stellate Ganglion Block is a powerful therapeutic for:

What is the Stellate Ganglion Block?

The Stellate Ganglion Block (SGB) is a procedure to quiet the "fight-flight response." It involves numbing the bundle of nerves called the "Stellate Ganglion" that govern your "fight-flight" nervous system (called the sympathetic nervous system) with local anesthetics, similar to novocaine.

Will I need repeated Stellate Ganglion Blocks?

Patients who experience symptom relief with the SGB often experience 2-3 months of improvement. Some patients will experience much longer symptom relief (over a year). There is no one-size-fits-all approach. We individualize therapies to last as long as possible for each patient. Some strategies to maximize the benefit of an SGB include cognitive behavioral therapy, IV Ketamine, and IV NAD+.

How safe is the Stellate Ganglion Block?

The Stellate Ganglion Blocks (SGB) is remarkably safe with our board-certified doctors. It has been performed for nearly 100 years with a very low risk of complications. You can read more about the side effects and risks of SGB.

Does the Stellate Ganglion Block Work with Ketamine?

Many patients with PTSD, hypervigilance, fear, irritability, and other symptoms of an overactive "fight-flight response" find significant relief with combining IV Ketamine with the Stellate Ganglion Block (SGB). Our doctors can discuss the synergy between the SGB and Ketamine to provide the fastest symptom relief.

Do you provide financial assistance?

We provide discounts for military, education (teachers and students), first responder, and medical personnel. We recognize the incredible healing potential of these therapies and partner with Advance Care to provide interest-free medical financing. Our services are also HSA-eligible.

Do you take insurance?

Insurance does not yet cover the latest applications of the Stellate Ganglion Block. Clarus Health provides patients a superbill to assist in obtaining reimbursement from your insurance. Contact us to find which codes apply to you.

IV NAD+ FAQ

IV NAD+ is the most advanced strategy for:

Are you a certified NAD+ center?

Yes, Clarus Health is BR+ certified. We source only the highest quality NAD+ and follow the most rigorous infusion protocols. You should always ask your center about their NAD+ certification.

Will I need an NAD+ booster?

Many patients will benefit from NAD+ boosters, especially before and after major stressors. Some common stressful events include surgery, athletic events, or psychologically taxing experiences. Some conditions, like chronic fatigue and Parkinson's, benefit from regular NAD+ infusions. Clarus Health aims to use the fewest number of interventions for the greatest therapeutic benefit.

How long is each NAD+ session?

Our BR+ NAD infusions take 2-5 hours depending on the dose. This duration is because our product is over 99.5% pure NAD+. Since there is no "dissociative" component to NAD, you can read a book or watch a show on your laptop during your infusion.

Does the Stellate Ganglion Block Work with NAD+?

Many patients with long COVID find benefit combining NAD+ with the Stellate Ganglion Block (SGB), especially to improve symptoms of fatigue and brain fog. This may occur in the context of an overactive sympathetic nervous system, which the SGB can help relieve.

Do you provide financial assistance?

We provide discounts for military, education (teachers and students), first responder, and medical personnel. We recognize the incredible healing potential of these therapies and partner with Advance Care to provide interest-free medical financing. Our services are also HSA-eligible.

Do you take insurance?

Insurance does not yet cover NAD+ because it is used off-label for these indications. Clarus Health provides patients a superbill to assist in obtaining reimbursement from your insurance. Contact us to find which codes apply to you.

Ready to start your healing journey?

The Fastest Path to Relief

Compare the different ketamine routes to see the difference with Clarus Health

oral ketamine is a form of ketamine used to reduce symptoms of treatment-resistant depression

Oral

intranasal ketamine comes in a spray form and is FDA approved in the form of Spravato in the treatment of treatment-resistant depression

Nasal

IV

% Success

% Absorption

Time to Relief

Customized dosing

-

Minimal

Side effect treatment

-

-

Take-home supplements included

MD
Supervision

-

Variable

Continuous vital sign monitoring

Chronic Pain Treatment

-

-

Trigger point included