Tirzepatide/NAD+ 20mg/200mg
A dual-action compounded injectable pairing tirzepatide (dual GLP-1 + GIP agonist for appetite and glycemic control) with NAD+ (cellular energy and mitochondrial support). 100mg tirzepatide and 1,000mg NAD+ per vial.
- Strength
- 20mg/200mg
- Size
- 5mL
- Format
- injectable
- Price
- $303
- 🧪Compounded to order · 5–7 business days in the pharmacy
- ✓$10 flat shipping · USPS Priority Mail, 3–5 business days after compounding
- ✓Temperature-controlled packaging direct from US compounders
- ✓Third-party tested for potency, sterility, and purity
Description
What it is
A compounded injectable that combines two active ingredients in a single vial: tirzepatide, the dual GLP-1 and GIP receptor agonist used in modern weight management protocols, and NAD+ (nicotinamide adenine dinucleotide), a coenzyme central to mitochondrial energy production. Each 5mL vial contains 20mg/mL of tirzepatide (100mg total) and 200mg/mL of NAD+ (1,000mg total).
Why pair them
Tirzepatide drives weight loss through appetite suppression, slowed gastric emptying, and improved insulin sensitivity. In published SURMOUNT clinical trials at 15mg, participants saw an average of ~20.9% body weight reduction over 72 weeks. The flip side is that aggressive caloric reduction often comes with fatigue, brain fog, and low energy, the side effects most weight loss patients describe as the hardest part of the protocol.
NAD+ is a coenzyme required for nearly every energy-producing reaction in the cell. Levels naturally decline with age and under metabolic stress. Pairing supplemental NAD+ with tirzepatide is intended to support sustained energy and cellular function while the body is in a caloric deficit, giving patients an easier subjective experience through the harder weeks of titration.
How it's used
Subcutaneous injection, once weekly. Most protocols start at a low tirzepatide dose (typically 2.5mg per week) and titrate up every four weeks as tolerance allows. Always work with a licensed healthcare provider to determine the right starting dose, titration schedule, and protocol length for your situation.
Quality and sourcing
Compounded in the USA by our licensed pharmacy partner under USP 797 sterile compounding standards. Third-party tested for potency, sterility, and endotoxin before any vial ships. Manufactured fresh to order, not pulled from warehouse inventory.
Important
For research and educational purposes only. Compounded medications are not FDA-approved drugs. This product is not intended to diagnose, treat, cure, or prevent any disease. Discuss with a licensed healthcare provider before beginning any peptide protocol. Must be 18 years or older to purchase.
Storage
Refrigerate at 2-8°C. Protect from light. Do not freeze. Once reconstituted, use within 28 days.
Safety Notes
Subcutaneous injection only. Use a sterile syringe and alcohol prep pads for each injection. Rotate injection sites. Dispose of used needles in an FDA-cleared sharps container. Do not use if the solution is cloudy, discolored, or contains particles. Consult a licensed healthcare provider before beginning any peptide protocol.