Before You Book an NAD+ Drip: Six Questions Worth Asking

By Vincent Caradec, Co-Founder & CEO, Healthi Life

NAD+ drips have moved from longevity forums into hotel spas and pop-up “drip bars”. In Bangkok, Dubai or Los Angeles, you can now book one between a massage and a facial. That convenience is new. The questions you should ask before a needle goes into your arm are not.

I run a doctor-led longevity house in Bangkok, and NAD+ is one of the treatments our guests ask about most. Some arrive well informed. Many arrive having read only marketing copy. Here are the six questions I would want any friend, or any member of my family, to ask before booking a session anywhere.

First, what NAD+ is

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell. It helps turn food into usable energy and supports processes such as DNA repair. Research reviews, such as Verdin’s in Science (2015), describe NAD+ levels declining with age, which is why researchers are interested in ways to restore them.

The honest summary of the science today: the biology is well established, and research into supplementation is active, but the evidence on what an IV drip does for a given healthy adult is still developing. Anyone who promises you a specific result is selling more than the research supports.

1. Who examines you before the drip?

An IV is a medical procedure. Before anything is infused, a physician should review your health history, your current medications and any conditions that matter, such as heart, kidney or liver issues, pregnancy or a recent illness.

If the only “screening” is a form on a tablet and a nurse you never see again, walk away. A short medical consultation is the minimum.

2. Who prescribes the dose, and why that dose?

NAD+ is not one-size-fits-all. Doses vary, and so does the speed of the infusion. A slower drip is usually better tolerated; pushed too fast, NAD+ can cause chest tightness, nausea or flushing.

Ask who decides your dose, on what basis, and whether it can be adjusted during the session. “Everyone gets the same bag” is not an answer.

3. Who is in the room during the infusion?

A session can last from about one hour to several hours. Someone qualified should be present to watch how you respond, slow the drip if you feel unwell, and act if something goes wrong.

Ask plainly: is a physician on site during my session? Is a trained nurse monitoring me the whole time?

4. Where does the product come from?

The NAD+ in the bag should be pharmaceutical grade, sourced through a licensed supplier and prepared under sterile conditions. You are entitled to ask where it comes from and how it is stored. A provider that cannot answer that question clearly has told you what you need to know.

5. Is the place licensed as a medical facility?

In many cities, a spa and a medical facility operate under different rules. A medical facility can show you its license, its registration number and the doctors who work there. Ask for the license number. A reputable provider will give it to you without hesitation.

6. Is the price published, and what does it include?

You should know what you will pay before you sit down: the price per session, what dose that covers, and whether the consultation is included or billed on top. Vague “packages” revealed only after a sales conversation are a warning sign, not a perk.

What a drip will not do

A drip is not a diagnosis. If you are exhausted, foggy or not recovering the way you used to, those are symptoms, and they can have many causes: thyroid function, iron levels, sleep, hormones, blood sugar or simple overload.

That is why I usually suggest starting with a proper look under the hood. A health check-up with blood work gives your doctor the picture behind the fatigue. Sometimes NAD+ is a reasonable part of the plan. Sometimes the answer is something else entirely, and the drip would only have masked it.

Why I care about this

At 37, I ended up in intensive care. It changed how I think about health: not as something you fix in an emergency, but as something you measure and look after over time. My co-founder, Dr. Petch, and I built Healthi Life around that idea.

So when people ask me about NAD+, my answer is never “book a drip”. It is: see a doctor first, look at your results, and only then choose a treatment. If you are in Thailand and want to see how a physician-supervised protocol works, our page on NAD+ IV therapy in Bangkok explains the process and lists published prices.

Wherever you book, ask the six questions. The good providers will be glad you did.

IV therapies at Healthi Life are given only after a medical consultation and on a physician’s prescription. Individual responses vary. This article is for general information and is not medical advice.

Vincent Caradec is co-founder and CEO of Healthi Life, a doctor-led longevity house in Bangkok whose guests come from more than 50 countries. This article is sponsored by Healthi Life.