The cellular energy your brain has been asking for, delivered effectively.
For women navigating the cognitive shifts of perimenopause, the energy drain of chronic stress, or simply the biology of getting older, this is the prescription-grade NAD+ protocol formulated to effectively combat age-related, steadily dropping levels. Since most people can't meaningfully restore their levels through pills alone, Cellular CPR Nasal Spray delivers NAD+ — the molecule your cells use to produce energy, repair DNA, and keep the brain running clearly.
Size
30ml (30-day supply)
WHAT TO EXPECT
NAD+ restores a foundational cellular process that has been declining gradually. Most patients describe the experience as progressive clarity rather than sudden change.
DAYS 7–14
Nasal absorption is faster than oral ingestion, so effects on energy or brain function are often felt more quickly than with oral supplements. Many patients report early improvements in mental clarity, sustained energy without peaks and crashes, and improved sleep quality within the first one to two weeks. These are consistent with early restoration of NAD+-dependent energy metabolism in neurons and mitochondria.
WEEKS 3–6
Sustained use allows NAD+ levels to build in tissues. Patients with brain fog — whether from perimenopause, long COVID, chronic fatigue, or stress — often report the most meaningful early improvements in this window: reduced mental fatigue, better word retrieval, improved concentration. For women in the menopausal transition, this may reflect partial restoration of the NAD+ depletion that compounds the hormonal cognitive changes of perimenopause.
MONTHS 2–3 AND BEYOND
NAD+ drives long-term restoration, which takes time. The regenerative effects at the cellular level — improved metabolic efficiency, reduced oxidative stress, better inflammatory regulation — accumulate over months of consistent use. Sustained use is where the longevity and anti-aging effects that NAD+ research has documented most robustly begin to manifest.
Human studies specifically evaluating the absorption, efficacy, and safety of NAD+ via nasal spray are still emerging. The mechanistic rationale for nasal delivery is compelling — and clinical observations from patients using this protocol are consistent and positive — but this is an area where the research is building. Your HerTeleMeds clinician will set appropriate expectations at your consultation.
ABOUT THE TREATMENT
NAD+ depletion can be understood as a primary driver of aging, and its effects are noticeable in difficulty concentrating and poor memory, particularly during menopausal transitions. Oral supplements deliver only 2–10% bioavailability, meaning that 90–98% of what you consume is essentially degraded before it reaches cells. The 300mg/mL clinical-grade concentration Cellular CPR Nasal Spray provides a theoretically direct nerve route to the brain via the olfactory pathway — without the time commitment and cost of IV infusion sessions. Give your cells a little CPR so they can keep you at the top of your game.
NAD+ is a molecule that every cell depends on. It powers three main things: energy production, DNA repair, and inflammation control. Without it, all three slow down. Our natural levels of NAD+ decline with age, beginning in the late 20s and steepening further around the time of menopause. As a result, you'll experience reduced energy, slower cognitive processing, and poorer recovery from stress and illness.
Beyond menopause, the conditions that NAD+ depletion affects overlap heavily with the experiences that bring patients to HerTeleMeds: brain fog from long COVID, chronic Lyme, anxiety, ADHD, inflammatory conditions, and the cognitive heaviness of sustained chronic stress. Each of these involves cells unable to repair and energize themselves at the rate the body needs.
HOW TO USE
STEP 01
Tilt your head slightly forward. Insert the nozzle gently into one nostril while using a finger to close the other.
STEP 02
Press down on the pump with a slow, gentle nasal inhale. Avoid sniffing sharply — a gentle, steady breath pulls the spray into the nasal passages where absorption occurs.
STEP 03
1 spray in each nostril, once daily. Do not exceed the prescribed dose.
STEP 04
Staying upright after administration allows the spray to be absorbed through the nasal mucosa rather than draining into the throat. Do not blow your nose for at least 10–15 minutes after application.
STEP 05
NAD+ restoration works cumulatively. Consistent daily use at the same time — most patients prefer morning to align with natural energy cycles — maintains steady nasal mucosal exposure and supports the gradual tissue-level NAD+ restoration that produces lasting results.
Store at cool room temperature or refrigerated, away from direct light. Do not share this spray with others.
Over 60% of women report difficulty concentrating and poor memory during menopause — cognitive changes now recognized as a distinct biological feature of the menopausal transition, not simply anxiety or stress
Oral NAD+ supplements deliver only 2–10% bioavailability — 90–98% is degraded before reaching cells. Nasal delivery bypasses digestion entirely
300mg/mL clinical-grade concentration — the same NAD+ compound used in IV protocols, delivered at home daily
IV NAD+ infusions require 1–4 hours per session in a clinical setting at several hundred dollars per visit. Cellular CPR delivers daily intranasal NAD+ at home, on prescription
How HerTeleMeds Works
Answer a few questions about your skin and medical history.
A U.S.-licensed provider reviews your information within 24 hours.
If prescribed, your compounded formula is made fresh and arrives discreetly — often within 2–3 days.
One application a day. Results build gradually with consistent use.
Product details
FAQ
NAD+ is a coenzyme present in every cell in the body, responsible for powering the mitochondria that produce cellular energy and activating the sirtuins and PARP enzymes that repair DNA. Without adequate NAD+, cells cannot produce energy efficiently, cannot repair oxidative damage, and cannot regulate inflammation. NAD+ levels decline significantly with age — beginning in the late 20s and accelerating through midlife. The effects of that decline show up as reduced energy, slower cognition, poorer recovery, and the cumulative cellular damage that underlies aging.
Oral NAD+ itself doesn't survive digestion. Oral supplements deliver only 2–10% bioavailability — 90–98% is degraded before reaching cells. OTC products like NMN and NR use precursor molecules that the body converts to NAD+ — which is why they're marketed as supplements rather than NAD+ directly. But conversion adds steps, metabolic inefficiency, and still doesn't deliver NAD+ to the brain well. Intranasal delivery bypasses the digestive system entirely. The nasal lining is highly vascularized, and the olfactory pathway offers a theoretically direct route to the brain not available through any other non-injectable delivery method.
IV NAD+ delivers the compound directly into the bloodstream and is the highest-bioavailability delivery method available. It is also expensive (typically $300–500+ per session), requires a clinical visit, and takes 1–4 hours per infusion. Cellular CPR Nasal Spray is designed for daily home use — building NAD+ levels consistently over time rather than in single large doses. Many patients use the nasal spray as their daily foundation, with occasional IV sessions as a complement. Discuss with your HerTeleMeds clinician which protocol fits your health goals and lifestyle.
The menopause transition represents a midlife window in women's brain aging — a period of heightened sensitivity when early intervention has the greatest potential to preserve cognitive health long-term. Over 60% of women report cognitive difficulties including concentration and memory problems during menopause, and research increasingly points to the intersection of hormonal change, NAD+ depletion, and neuroinflammation as the underlying biology. NAD+ is central to neuronal energy metabolism — it powers the mitochondria that keep neurons functioning. Restoring NAD+ during this transitional window supports the brain's capacity to adapt to hormonal change rather than simply being depleted by it.
NAD+ depletion is a documented feature of conditions involving chronic inflammation, neuroinflammation, and mitochondrial dysfunction — which include long COVID, chronic Lyme, anxiety, ADHD, and post-viral fatigue syndromes. The theory is that cellular energy depletion is a shared mechanism across these conditions, and NAD+ restoration supports the cellular repair capacity that each of them compromises. A HerTeleMeds clinician will assess whether this protocol is appropriate for your specific history and combination of conditions.
NAD+ supports cellular energy and repair — which is foundational to all cellular activity, including cellular replication. As a precautionary measure, Cellular CPR is not prescribed to patients with active malignancy, given the theoretical concern that increased cellular energy availability could support cancer cell activity. This is not a documented risk at these doses, but the evidence base is not yet sufficient to prescribe with confidence in active cancer patients. Your HerTeleMeds clinician will discuss this in detail if relevant to your situation.
Most telehealth NAD+ platforms offer IV protocols, oral NMN/NR, or subcutaneous injections. Nasal spray is less commonly offered and provides a distinct middle path: non-injectable, home-administered, and bypassing oral degradation. Cellular CPR is compounded at 300mg/mL — a clinical-grade concentration — by a women-of-color-owned pharmacy with 35+ years of specialized compounding experience, and prescribed following a clinical consultation that reviews your full health context. The quality and clinical oversight are meaningfully different from mass-marketed OTC precursor products.
Cellular CPR Nasal Spray is for women who've done the research on NAD+ and are ready for a prescription-grade, clinician-prescribed protocol that delivers it where it needs to go. A HerTeleMeds clinician will review your health history, confirm this is the right formulation for your goals, and get you started on daily NAD+ restoration built for how you actually live.
Start your consultationShips in 2–3 days. Prescription included with your visit. Cancel anytime.
