u/Bivian-Gustave

Trying to understand what a typical starting approach looks like for NAD+ because the ranges I’m seeing are all over the place.

Some people talk about starting extremely low, while others mention much higher amounts right away.

For those who’ve actually used it:

• what did your starting routine look like
• did you build up gradually or stay consistent
• and how did you know what felt right for you

Mostly interested in hearing real experiences because the information online feels all over the place.

Quick question for those using NAD+ regularly.

I recently started and have been trying to understand what a typical routine looks like long term. One thing that surprised me is how quickly it seems to go depending on how it’s used.

At lower amounts it feels manageable, but as you increase, it looks like you could go through a vial pretty quickly.

Interested to know how others are approaching this:

• Are you staying at a lower, consistent level
• Cycling it
• Or gradually increasing and maintaining higher amounts

Trying to figure out what’s sustainable over time, not just what works short term.

I’m currently in the middle of adjusting my GLP-1 plan and staying consistent with training and nutrition.

I’ve been looking into adding Sermorelin to support recovery, sleep, and overall performance, but trying to approach it the right way instead of rushing into it.

My initial thought was to start more conservatively and build up gradually rather than jumping straight into a full protocol.

Also considering options like B12/MIC for energy support, but want to make sure I’m not overcomplicating things.

Keen if anyone here has experience layering these approaches. Did you introduce things slowly or all at once? And what actually made a noticeable difference for you?

Hey All, somewhat new here. I’m 43m and started my health journey last year on 8/8/25.

A little quick background, I was 280-320lbs 2021 to 2025 when doctor and I decided to start Zepbound in August (starting weight 308lb). Happy to say that after 6.5 months that today I’m at 190lbs. I’m still on the 5mg Zepbound pens.

First 3 months I only walked, 4th month added cardio and after that added weights, cardio and hiit. I’m emphasizing weights more today.

I’m conservative and stick to prescribe meds, so obviously Zepbound is prescribed (zero co-pay since insurance covers it). I’m ready to jump into Sermorelin and my doctor prescribed me 300mcg nightly doses 5 days on 2 days off. She had access to my labs, which included a 136 IGF1 number and 350 testosterone.

ChatGPT says this is aggressive considering all my other labs were good and I’m metabolically fine. What say you guys? Should I go with the 300mcg or should I start at 200mcg or what ChatGPT says, 250mcg for 8 weeks, recheck igf1 and depending on range, up to 300mcg or stay the same.

I’m looking for a little boost and may add chc/ipa or tesa once more available. I hear a lot of peptides are coming off fda category 2 to category 1 and that’s when I may try those.

Thanks all!