NAD+ injection + Methylene Blue capsule. Rapid cognitive lift plus sustained mental endurance.
Compounded NAD+ multi-dose vial (daily injection) and compounded Methylene Blue capsule (daily morning). Sterile syringes included.
Initial online visit, ongoing care, lab review, personalized titration.
Fast tracked delivery from a licensed US pharmacy. Discreet packaging.
Pause, adjust, or cancel from your account. No phone calls, no friction.
Cognition Injection pairs daily NAD+ injection with daily Methylene Blue capsule. Two molecules working on two different cognitive pathways:
NAD+ delivered subcutaneously bypasses the digestive system for maximum bioavailability — providing direct fuel to brain mitochondria. Fast cognitive lift, especially noticeable in the first hour after injection.
Methylene Blue acts as an alternative electron carrier in mitochondria, supporting sustained ATP production in brain cells throughout the day.
The result: rapid cognitive boost (NAD+) plus sustained mental endurance (Methylene Blue).
Week 1-2: Most clients notice mental clarity gains within days.
Week 3-4: Steadier focus throughout the day, less afternoon mental fatigue.
Week 6-8: Compound effects on cognitive endurance, memory, mood.
Beyond 2 months: Best-in-class cognitive support.
NAD+ Injection
• Volume: multi-dose vial, monthly supply
• Form: Sterile injectable solution
• Route: Subcutaneous
• Storage: Refrigerate, 2-8°C
• Shelf life: 30 days from compounding date
Methylene Blue Capsule
• Form: Compounded oral capsule (low-dose)
• Route: Oral, daily morning
• Strength: personalized by your physician
• Storage: Room temperature
• Shelf life: 60 days from compounding date
Compounded at: 503A-licensed US pharmacy partner
Sterility testing: Each batch USP <797> compliant
NAD+ injection: continuous daily, with possible 1-week breaks every 3 months.
Methylene Blue: continuous daily, with periodic 1-week breaks every 3 months.
Your physician guides timing and any breaks based on response.
NAD+ Injection (first 1-2 weeks):
• Mild flushing or warmth during/after injection
• Slight nausea (rare)
• Minor injection site sensitivity
• Sleep disturbance if injected too late
Methylene Blue:
• Blue or green tint to urine (harmless, expected)
• Mild headache or alertness
• Rare: serotonin syndrome if combined with SSRIs/MAOIs
Combined effects are usually well tolerated. Your doctor monitors response.
Both forms use the same active molecules — just delivered differently.
Injections enter the bloodstream directly, so around 95% of the compound reaches your cells. Oral forms pass through the digestive system or mucous membranes, with 30-40% reaching the bloodstream. To compensate, oral protocols use higher concentrations of the active ingredient.
In practice: injections act faster (results in 2-3 weeks). Oral protocols act gentler and more gradually (results in 4-6 weeks). Neither is "better" — they're different paths to similar outcomes.
The price difference reflects what each form requires to produce. Sterile injectables need clinical-grade processes (sterility testing, cold-chain shipping). Oral forms can be produced and shipped more simply.
Do not use Cognition Injection if you are:
• On SSRIs, SNRIs, or MAO inhibitors (Methylene Blue contraindication)
• Pregnant, breastfeeding, or planning pregnancy
• Diagnosed with an active malignancy
• Diagnosed with G6PD deficiency
• Severe kidney disease
• Unable to safely self-administer subcutaneous injections
Use with caution if you have:
• History of psychiatric conditions on medication
• History of bipolar disorder
• Bleeding disorders or on blood thinners
• Severe liver disease
Your physician carefully screens for medication interactions before prescribing.
Your protocol ships from a licensed US compounding pharmacy in discreet, unmarked packaging. Most orders arrive within 5-7 business days after your doctor approves your prescription.
Sterile injections ship refrigerated overnight when needed — at no extra cost. You'll get a tracking link by email the moment your box leaves the pharmacy.
Shipping is included in every monthly plan. We deliver to all 50 US states.
Stop using and contact your physician immediately if you experience:
• Symptoms of serotonin syndrome (agitation, rapid heart rate, fever, sweating, confusion)
• Severe allergic reaction
• Cardiac symptoms (palpitations, chest discomfort)
• Severe headache or vision changes
• Severe injection site reactions
• Any unexpected symptoms
Tell other healthcare providers about both medications — especially before procedures with anesthesia or if any new prescriptions are being considered. Never reuse syringes.
Take the 5-minute assessment. No commitment until your doctor approves your protocol.
Start Assessment →Free assessment. Pay only if your doctor prescribes.
Compounded medications are prepared based on specific patient needs and are not reviewed or approved by the FDA for safety or effectiveness. Prescription required. Results may vary. Final medication and dosing determined by your prescribing doctor based on your assessment. Available in most US states. Check eligibility during assessment.