NAD+ therapy built on clinical evaluation, a personalized protocol, and follow-up that doesn’t end at the first dose.
Michael Painter, MMS, PA-C reviews your history first.
Dose, frequency, and duration — designed for you.
Schedule follow-up's and adjustments as you progress.
NAD+ therapy sits at the center of a lot of longevity marketing — most of it promising things no one can guarantee. The biology underneath is real and worth understanding. This is what NAD+ actually is, what it does in the body, and what responsible care around it looks like.
NAD+ stands for nicotinamide adenine dinucleotide, a coenzyme found in every cell in your body. It plays a central role in how cells turn nutrients into usable energy, and it’s involved in processes tied to metabolism, cellular repair, and how the body responds to stress and age. Levels naturally decline over time. NAD+ therapy aims to support those levels, which is why patients often explore it around fatigue, mental clarity, and recovery. It is not a cure for aging, and it is not a quick fix. It’s a supportive therapy, and like any therapy, it deserves proper clinical attention.
That attention is where NAD+ care most often falls short. A single infusion at a drip bar, with no history taken and no plan for what comes next. A subscription that ships without anyone reviewing whether it fits you. No baseline, no follow-up, no one to call. At PainterMed, NAD+ therapy begins with an evaluation by Michael Painter, MMS, PA-C., your history, your goals, and what you’re actually trying to address — and continues with a personalized protocol, scheduled follow-up, and adjustments as you respond.
The therapy matters. The clinical judgment around it matters more.
It starts with an evaluation, not an order form. Michael Painter, MMS, PA-C reviews your medical history, current medications, energy and recovery concerns, and goals before anything is prescribed. From that, he designs your protocol: an approach matched to what you’re addressing, at a dose and cadence built around you, not a one-size drip.
Then the part most programs skip: follow-up. Scheduled tele-visits to review how you’re responding, address any effects, and adjust your protocol over time. Between visits, you have direct access to your clinician, not just a ticket queue.
Treatment is prescribed only after evaluation by a licensed clinician. If a prescription is appropriate, it is sent to a licensed dispensing pharmacy, which prepares the medication and ships it to you. Reorders are managed through scheduled follow-up evaluations and are never automatically renewed.
Peptide therapy is prescribed only when clinically appropriate, after a full patient evaluation.
Safety Info: Peptide and compounded therapies carry risks and are not appropriate for everyone. They are not FDA-approved or reviewed for safety before marketing, and a consult determines whether any protocol is right for you.
Every protocol is created by your clinician, not an algorithm.
Individual experiences vary. Every protocol decision is made through clinical evaluation.
Protocols often begin at a measured pace while your body settles in. Some people notice a difference early; others build gradually — both are normal. Your first follow-up reviews how you're responding and whether anything should change.
Adjustments occur as needed, not on a fixed schedule with no reasoning. At each check-in, Michael reviews how you're feeling, how you're tolerating the protocol, and whether it should hold, adjust, or pause.
NAD+ therapy isn’t right for everyone, and a real practice says so. Every PainterMed evaluation reviews your full history before anything is prescribed — and if this therapy isn’t a fit for you, that’s what you’ll hear.
NAD+ therapy delivers nicotinamide adenine dinucleotide — a coenzyme found in every cell — to support the body’s own energy and cellular processes. Levels naturally decline with age. It’s a supportive therapy that works best with clinical evaluation, a personalized protocol, and follow-up, not a one-time treatment.
People most often explore NAD+ therapy around fatigue, mental clarity, focus, and recovery. Because NAD+ is involved in how cells produce energy and respond to stress, it’s studied across metabolic and cellular health. It supports the body’s own processes — it isn’t a cure for any condition, and responses vary from person to person.
Evidence is still developing, and honest care means saying so. NAD+ plays a real, well-established role in cellular energy, but individual response varies and no responsible clinician can promise a specific result. What a good protocol can promise is an approach matched to your personal needs and a close eye of a trusted clinician.
Candidacy is determined by medical evaluation, not a quiz. Your clinician reviews your health history, current medications, and goals, and screens for anything that would make the therapy inappropriate. At PainterMed, Michael Painter, MMS, PA-C conducts that evaluation personally — and if NAD+ isn’t right for you, he’ll tell you.
Most reported effects are mild and temporary, and they vary with how the therapy is delivered and paced. This is exactly why a measured protocol and clinical follow-up matter, rather than a one-size approach. Any effects you notice are reviewed at your check-ins, and your protocol is adjusted accordingly.
It varies. Some people notice a difference early; others build gradually over a protocol — and both are normal. Rather than promising a timeline, PainterMed reviews your response at scheduled follow-ups and adjusts from there. Your body sets the pace; the protocol follows it.
A real medical evaluation: your history, current medications, energy and recovery concerns, and goals — reviewed directly with Michael Painter, MMS, PA-C. You’ll leave understanding whether NAD+ therapy is appropriate for you and what your protocol would look like. It’s an evaluation, not a sales call.
Most NAD+ is sold as a one-off drip or a ship-and-forget subscription — no history taken, no follow-up, no one to call. PainterMed is built around the protocol: a founder-led evaluation, a plan designed for you, scheduled follow-up, and direct access to your clinician. You’re a patient here, not an order.
Evaluation, personalization, monitoring, adjustment — the four things that separate a medical protocol from a product subscription, and why each one matters to your outcome.
Who evaluates you? What gets screened? Who do you talk to after the prescription? A short guide to telling clinician-led care from a checkout page — wherever you start.
Metabolic health, hormones, recovery, cellular energy — the categories overlap more than the internet suggests. How a clinical evaluation matches treatment to your history, your labs, and your goals instead of a trending protocol.
What Michael reviews before anything is prescribed, the questions you should come with, and what you’ll understand about your options by the end of the visit.
