Ascend Vitality NAD+ review

By Grant Whitfield. Revised October 2026. Prices read September 2026.

Advertised floor

Ascend Vitality publishes an advertised floor: a starting price.

Nasal 900 mg or 1,200 mg $149 /month

A starting price does not establish the complete charge for your selected plan. The full quote needs to identify the route, supplied quantity and billing period. Against the 60 sellers pricing SubQ NAD+ here, 27 publish a standing monthly rate and 20 state a dose in milligrams.

Get the complete quote for your selected plan, including any required fees and renewal terms, before paying.

Every figure below carries the route it buys and the dose in milligrams it buys at, because those are the two things that decide whether two NAD+ prices can be compared at all. Where Ascend Vitality states no dose, the row says so rather than estimating one.

2 figures, by route

Ascend Vitality — 2 NAD+ records. Read September 2026.
Route	Dose	Price
Route Nasal	Dose 900 mg or 1,200 mg	Price $149/month
advertised floor for a metered spray Seller’s price wordingStarting at $149/month Price record read September 2026. Offer details and source wording How the seller names it Named “Needle-free NAD+ support for people running on low reserve.” Milligrams Stated A range in milligrams rather than one amount The figure includes What’s included Choose from: NAD+ Nasal Spray 900 mg NAD+ Nasal Spray 1200 mg
Route SubQ	Dose dose not stated	Price $199/month
advertised floor for a vial and syringes Seller’s price wordingStarting at $199/month Price record read September 2026. Offer details and source wording How the seller names it Named “Subcutaneous plan, clear guidance, private telehealth, discreet delivery.” Milligrams Not stated Nothing about milligrams The figure includes What's Included Online intake Video visit Prescription if appropriate U.S. pharmacy dispensing Supplies Discreet shipping Secure messaging Monthly refills you control (pause/cancel anytime).

distinct figures recorded

2 of 2

shown to a reader on the seller's own page

1 of 2

stating a dose in milligrams

See Ascend Vitality pricing for yourself

What’s included Choose from: NAD+ Nasal Spray 900 mg NAD+ Nasal Spray 1200 mg

Ascend Vitality's own NAD+ page, on what the figure covers, read September 2026

What Ascend Vitality gets right, and where it leaves you guessing

Five checks, the same five on every seller here, each one decided by this seller’s own figures rather than by an opinion of the company — and how they are decided is published. Ascend Vitality clears 3 of 5.

Cleared
The price is on the page you land on
All 2 figures recorded from Ascend Vitality are printed where a visitor can read them.
A number a page never shows you is not a number you can hold anyone to at checkout.
Falls short
You are quoted the price you keep paying
None of the 2 figures is a standing monthly rate. What you get instead is a floor only.
A floor, a first-period price and a prepay total all read like a monthly cost and none of them is the one that lands on your card in month two.
Falls short
You can work out what a milligram costs
1 of the 2 figures carries no milligram amount, so that one cannot be divided into a cost per milligram.
NAD+ is priced by the visit, the vial and the month, and the only way two of those become the same number is to divide by the milligrams.
Cleared
You are told how it goes in
Every one of the 2 figures names a route: Nasal, SubQ.
An IV hour, a vial you inject yourself and a spray are three different purchases, and they are sold at the same headline number.
Cleared
You are told what the money covers
2 of the 2 figures come with the seller's own words on what is included.
The consult, the shipping and the syringes are where two similar quotes stop being similar, and no price column can hold that.

Open Ascend Vitality and check it yourself

What else the page states

Routes this seller names: 2 named; Nasal, SubQ
Where the link goes: Straight to this company's own NAD+ page.
Distinct figures recorded: 2

Where Ascend Vitality sits on each of the 2 routes it prices

SubQ

You have 60 sellers to choose between on SubQ NAD+, and what the money buys on that route is a vial and syringes. Of those 60, 20 state a dose in milligrams and 27 publish a standing monthly rate — so most of the field cannot be compared with most of the field.

Shows a reader a figure: Yes; Yes, like 60 of these 60 sellers.
States a dose in milligrams: Not stated; No, and neither do 39 of the other 59 sellers on SubQ. A NAD+ figure with no milligrams beside it cannot be set against another one.
Publishes a standing monthly rate: No; No. 27 of the 60 sellers on SubQ do, and this is not one of them — what it publishes instead is in the table above.

Every seller here sells an injection you give yourself. None of it is a clinic drip, and a per-vial figure and a per-infusion figure are not comparable until the milligrams are attached to both.

Nasal

You have 24 sellers to choose between on Nasal NAD+, and what the money buys on that route is a metered spray. Of those 24, 9 state a dose in milligrams and 3 publish a standing monthly rate — so most of the field cannot be compared with most of the field.

Shows a reader a figure: Yes; Yes, like 23 of these 24 sellers.
States a dose in milligrams: Stated; Yes. 9 of the 24 sellers on Nasal do.
Publishes a standing monthly rate: No; No. 3 of the 24 sellers on Nasal do, and this is not one of them — what it publishes instead is in the table above.

A spray is sold by the bottle far more often than by the milligram, so the question on this board is not which is cheapest but which seller says how much NAD+ is in it.

Other sellers worth a look before you buy

8 of the 59 other sellers on SubQ, the ones that publish most — the rest are on the seller index and on the full board:

8 of the 59 other sellers on SubQ, in the board's own order. Each figure is the strongest one that seller publishes, with the route it buys and the dose it buys at.
Seller	Route	Dose	Figure	What kind of number
Sprout Health	Route SubQ	Dose 1,000 mg (5 mL vial)	Figure $249 /mo after	What kind of number A standing monthly rate
Enhance MD	Route SubQ	Dose dose not stated	Figure $169 MONTHLY PRICE	What kind of number A standing monthly rate
bmiMD	Route Nasal	Dose dose not stated	Figure $198.90 /mo	What kind of number Not a standing monthly rate
CoreAge Rx	Route Nasal	Dose dose not stated	Figure $93 Per month	What kind of number Not a standing monthly rate
ShedRx	Route SubQ	Dose dose not stated	Figure $169 1 month supply	What kind of number Not a standing monthly rate
Fresh Day Meds	Route SubQ	Dose 1,000 mg	Figure $199 monthly renewal	What kind of number A standing monthly rate
LaSara Medical Group	Route SubQ	Dose 200 mg/mL, 10 mL vial	Figure $225 10ml vial Delivered Monthly	What kind of number A standing monthly rate
Levers Health	Route SubQ	Dose 1,200 mg per month	Figure $197 Billed & shipped monthly.	What kind of number A standing monthly rate

5 of the 23 other sellers on Nasal, the ones that publish most — the rest are on the seller index and on the full board:

5 of the 23 other sellers on Nasal, in the board's own order. Each figure is the strongest one that seller publishes, with the route it buys and the dose it buys at.
Seller	Route	Dose	Figure	What kind of number
System Labs	Route Nasal	Dose 300 mg/mL, 15 mL	Figure $119 no cycle stated	What kind of number Not a standing monthly rate
RxSpan MD	Route Route not stated	Dose dose not stated	Figure $249 (For the first month)	What kind of number Not a standing monthly rate
HealthOn	Route Nasal	Dose 500 mg (2.5 mL vial)	Figure $196 /mo after	What kind of number A standing monthly rate
Trava Health	Route Nasal	Dose 100 mg	Figure $157.91 / monthly	What kind of number A standing monthly rate
Bloom MD	Route Nasal	Dose 2,400 mg per bottle	Figure $145.00 no cycle stated	What kind of number Not a standing monthly rate

Some sellers here pay us a commission, and those rows lead their own route group. Nothing else about them changes: the prices, the doses, the routes and what each seller is recorded as publishing are exactly what they were, and payment never changes how a figure is read. On every board, within that block and within the rest, rows are ordered by how much each seller puts on its own page for that board's route — whether a reader can see a figure at all, whether a dose is given in milligrams, and whether there is a standing monthly rate — and then alphabetically. Nothing here is ordered by price and no row is a recommendation.

Where Ascend Vitality sits

On the full list it is row 6 of 107. That roster is not in alphabetical order; it is in the order the sellers were read in, and it is not a ranking. No company can pay to move up it, and none of them can pay to change a figure above — what payment does and does not change is set out in full. If two NAD+ figures here look comparable and are not, the route is usually why.

Some sellers on this roster pay us a commission if you sign up through a link here. It costs you nothing extra. Paying sellers are marked and are listed first on the boards, and that is the only thing payment changes: the figure, the route, the dose and the month it was read are computed the same way either way. How this site is paid.

Prices move, and Ascend Vitality can change one the day after this was read. The month every figure above was read from its pages is on the table’s caption. If you find one of them wrong, tell us and we will re-read it.