
Starting NAD+ is often a subtle process. Some people notice changes in energy, focus, or recovery early on, while others experience more gradual shifts over time.
Your response may vary from day to day as your body adapts. This is normal, especially in the early weeks, and doesn’t mean anything is going wrong.
NAD+ support is designed to build over time. Paying attention to how you feel and giving your body space to adjust can help you get the most out of the experience.


NAD+ therapy isn’t about pushing your body. It’s about supporting cellular energy in a way that feels sustainable and aligned with how you want to feel.
Everyone responds differently. Some people notice changes quickly, while others experience more gradual shifts as their body adapts. Moving slowly can be part of the process.
If you’re feeling good, there’s no need to rush adjustments. If something feels off, your care team can help fine-tune your plan as you go.
Questions? Visit your patient portal and select Chat, then choose Support or the medical team.
Your refills are set up to happen automatically, so you don’t need to take action to stay on track.
If you’d like to pause your subscription, request your next refill early, or make changes, you can manage everything directly in your patient portal.
If you have more questions, go to your patient portal and select Chat, then choose Support or the medical team.


NAD+ is generally well tolerated, but some people notice mild, temporary effects as their body adjusts. These can include sensations like flushing, nausea, headache, or changes in energy.
These responses are often related to pacing and can improve with adjustments. Listening to your body and sharing feedback with your care team helps ensure the experience feels supportive and sustainable.
For a full overview of safety considerations and when to seek medical care, please review our Important Safety Information below.
If you have questions or concerns, go to your patient portal and select Chat, then choose Support or the medical team.
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When someone uses your code, they’ll receive 5% off their first purchase — and you’ll earn $75 in Belle credit toward a future order.
It’s a simple way to support the people you care about while earning rewards for yourself.


You can find answers to common questions about your medication, side effects, refills, and what to expect by visiting the Help Center.
If you need more help, go to your patient portal and select Chat, then choose Support or the medical team.