NR and NAD+

Niagen® (NR) and NAD+ are powerful molecules that may help relieve chronic fatigue, brain fog, long COVID symptoms, and other nervous system disorders. Clarus Health is the Bay Area's only BR+ certified, premium Niagen provider.

Dr. Kaveh with a patient who made an impressive neurological recovery with IV NAD+ therapy
A comfortable woman receiving IV ketamine from Dr. Kaveh for her depression

What can IV NAD+ and NR help with?

IV NAD+ and NR have shown promise in healing:

Over 1,500 publications have studied the effects of NR and NAD+ in improving cellular and metabolic health to improve fatigue, oxidative stress, and inflammation for healthier aging and enhanced cognitive function.

Woman with curly hair smiling and holding a clipboard during a conversation with another woman in a bright room as they discuss depression, anxiety, and PTSD
Woman practicing yoga with eyes closed and arms raised above head in prayer position demonstrating the mental health and anti-fatigue benefits of NAD+

Your Path Forward

The NAD+ Journey

Three intentional steps — each designed around your history, your biology, and your path back to clarity.

Stethoscope forming a heart — Holistic Intake

Step One

Holistic Intake

We begin by truly listening. Your provider reviews your complete picture — energy levels, cognitive symptoms, metabolic health, medications, and goals — to understand the root causes of your depletion, not just the symptoms themselves.

Comprehensive Evaluation Advanced Bloodwork Metabolic Assessment Genomic Analysis
Cupped hands with medical cross — IV NAD+ Infusion

Step Two

IV NAD+ Infusion

NAD+ delivered intravenously bypasses the gut entirely, flooding your cells with the coenzyme they need to produce energy, repair DNA, and restore cognitive function. Most patients notice sharper thinking and improved energy within 24 hours of their first infusion.

100% Bioavailable Direct Cellular Delivery Results Within 24 Hours
Mind with heart — Sustained Vitality

Step Three

Sustained Vitality

NAD+ levels naturally decline — maintaining them is an ongoing practice. We support your long-term cellular health with follow-up infusions, complementary therapies, and personalized optimization protocols so your clarity, energy, and resilience continue to build.

Maintenance Protocols Hormone Optimization Ongoing Support

Begin your journey today

Clarus Health · NAD+ Therapy

Your brain runs on NAD+.
Most people are running on empty.

If you're struggling with brain fog, fatigue, or fading focus — your cells are telling you something. IV NAD+ delivers directly where it's needed, with results most patients notice within 24 hours.

Brain fog Mental clarity Chronic fatigue Cellular energy Long COVID
Stanford & Harvard-trained physicians
Free 15-minute call
No obligation

IV NAD+ and NR Therapy in San Francisco

NAD+ — nicotinamide adenine dinucleotide — is the coenzyme at the center of every energy-producing reaction in your body. It supports mitochondrial function, DNA repair, and the cellular processes that keep you feeling sharp and energized. The problem is that NAD+ levels decline significantly with age, chronic stress, poor sleep, and illness — and oral supplementation replaces only a fraction of what's lost. At Clarus Health, we deliver NAD+ intravenously, bypassing the gut entirely for direct cellular delivery — which is why many patients notice a difference within 24 hours of their first infusion.


The Bay Area's Only BR+ Certified Niagen Provider

Not all NAD+ is the same. Clarus Health is the San Francisco Bay Area's only BR+ certified clinic and premium Niagen provider — a distinction that matters for both safety and quality. Niagen (nicotinamide riboside, or NR) is among the most studied NAD+ precursors, with over 1,500 peer-reviewed publications examining its role in cellular energy metabolism, inflammation, and aging. Generic NAD+ formulations used at most IV clinics vary widely in purity and potency. BR+ certification means our protocols, dosing, and clinical oversight meet rigorous published standards for NAD+ administration — something no mobile IV drip service or wellness spa can claim.


NAD+ for Brain Fog and Mental Clarity

Brain fog is one of the most common — and most disabling — symptoms we see at Clarus Health. When the brain's energy supply is compromised, cognitive function suffers: slower processing, difficulty concentrating, word retrieval problems, and a persistent mental haze that sleep doesn't fix. Research and clinical experience suggest that IV NAD+ may support the neuronal energy supply underlying clear thinking by supporting the mitochondrial function that keeps neurons operating efficiently. Many patients describe the experience as lifting a weight from their mind — not stimulation, but restoration. NAD+ is not FDA-approved for the treatment of any condition, and individual results vary.


NAD+ for Chronic Fatigue and Long COVID

Chronic fatigue — whether from ME/CFS, post-viral illness, or Long COVID — is increasingly studied as a mitochondrial problem. Emerging research has identified NAD+ depletion as a potential contributing mechanism in Long COVID, and a 2025 randomized trial found that NR supplementation increased NAD+ levels and was associated with self-reported improvements in fatigue, sleep, and mood in some long COVID patients — though larger studies are still needed. IV delivery ensures that cells receive NAD+ directly, without the absorption limitations of oral forms. As with all treatments at Clarus Health, protocols are individualized and discussed thoroughly before any infusion begins.


NAD+ for Depression and Mood

The relationship between NAD+ and mood is an active area of research. NAD+ plays a role in neurotransmitter synthesis and mitochondrial health — both of which are implicated in depression and anxiety. Early research has explored NAD+ as a potential factor in mood regulation, though robust human clinical evidence is still developing. At Clarus Health, NAD+ is sometimes used alongside IV Ketamine or Spravato as part of a broader protocol — a conversation your physician will guide based on your specific history and goals.

If brain fog, fatigue, or low mood have been affecting your quality of life and conventional approaches haven't provided lasting relief, a free consultation with Dr. Kaveh is where we start exploring what may be driving your symptoms.

Meet Our Doctors

Drs. Anthony Kaveh is certified through the Bioidentical Hormone Replacement Academy. He is a Stanford and Harvard-trained physician who has guided hundreds of patients in restoring their inner healing capacity to rediscover meaning and purpose as part of their holistic healing journey.

Dr. Sneha Shrestha is a board certified emergency medicine doctor with specialized training in ketamine and NAD therapy. She has helped thousands of patients overcome challenges of depression, anxiety, PTSD, and chronic pain
Dr. Anthony Kaveh MD is a Stanford and Harvard trained doctor expert in IV Ketamine and NAD therapy for depression and anxiety

Health is more than simply the absence of disease

NAD+ and NR therapy can restore meaning, purpose, and fulfillment to provide sustained symptom relief