NAD+, NR & NMN Therapy

NAD+, NR & NMN Therapy | SoHo Men's Health | Dr. Bortecen NYC

SoHo Men's Health — Doctor-Led IV Therapy · NYC

NAD+, NR
& NMN Therapy

Three names for the same cellular currency — but they are not the same treatment. Dr. Kerem Bortecen breaks down NAD+, NR, and NMN so you can choose the option that actually fits your goals, your schedule, and your tolerance.

Doctor-led NAD+, NR and NMN IV therapy at SoHo Men's Health
MD
Doctor-Led IV Therapy · Dr. Bortecen
Session Time
30 Min – 3 Hrs
Downtime
Zero
Best Tolerated
NR (Niagen)
Add-On Peptide
MOTS-c

NAD+, NR & NMN — What's Actually the Difference?

NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme found in every cell of the body, essential for converting food into cellular energy, repairing DNA, and regulating the enzymes that govern aging. NAD+ levels decline steadily from your late 20s onward — accelerated by stress, poor sleep, and alcohol.

NR (Nicotinamide Riboside) and NMN (Nicotinamide Mononucleotide) are not NAD+ itself — they are precursors your body converts into NAD+. NR converts to NMN, which converts to NAD+ (NR → NMN → NAD+). NMN sits one step closer to NAD+ in that chain.

At SoHo Men's Health, Dr. Kerem Bortecen offers all three as IV therapy or injection, and will most often recommend Niagen® NR as the preferred starting point — the best-studied precursor in human trials, with rapid uptake and the lowest rate of reported side effects of the three.

NAD+ IV Therapy Niagen® NR Injection NMN IV Therapy MOTS-c Peptide Add-On Physician Administered No Downtime
NAD+ precursor vials — NR and NMN
NAD+ · NR · NMN
Cellular Energy & Longevity Protocols

A Private IV Room —
Bring a Friend or Partner

SoHo Men's Health is a spacious, upscale clinic with multiple private treatment rooms — including a dedicated IV suite built for comfort. Settle into a reclining chair, relax, and let your infusion run at an unhurried, physician-monitored pace.

Coming in with your partner, spouse, or a friend? You can receive your NAD+, NR, NMN, or iron IV side by side in the same room — turning your session into shared time rather than solo downtime.

Side-by-side IV seating Multiple private rooms Physician-monitored
Private IV therapy room at SoHo Men's Health for NAD+, NR and NMN infusions

NAD+, NR & NMN,
Explained

Still deciding between an IV and an injection — or which molecule is right for you? Dr. Bortecen breaks down how NAD+ and its precursors NR and NMN actually work inside your cells, and how doctor-led IV therapy at SoHo Men's Health puts them to use.

Doctor-Led IV Therapy

What Raising Your NAD+ Levels
Can Do For You

01

Cellular Energy Production

NAD+ is a core coenzyme in the Krebs cycle and mitochondrial ATP production — the pathway your cells use to convert food into usable energy. Restoring NAD+ supports the machinery behind sustained energy.

02

DNA Repair Support

NAD+ is a required substrate for the enzymes (sirtuins and PARPs) that detect and repair damaged DNA — a process that becomes less efficient as NAD+ levels decline with age.

03

Cognitive Function & Focus

The brain has high energy demands and is especially sensitive to oxidative stress. Patients on NAD+ precursor protocols at SoHo Men's Health commonly report sharper focus and reduced brain fog.

04

Metabolic & Detox Support

NAD+ drives the GSH enzyme system, a key antioxidant and detoxification pathway that neutralizes free radicals and supports overall metabolic health.

05

Physical Performance & Recovery

Because NAD+ underpins mitochondrial energy output, replenishing it is associated with improved stamina, workout recovery, and reduced fatigue — a common goal among SoHo Men's Health patients.

06

Zero Downtime

Whether you choose an IV drip or a quick injection, there's no recovery period. Walk in, get treated, walk out — straight back to your day.

NAD+ vs. NR vs. NMN

All three raise NAD+ levels — but they get there differently, feel different in the body, and suit different patients. Here's how Dr. Bortecen breaks it down.

NR
Niagen®
NMN
Intermediate
NAD+
Active Coenzyme
  NAD+ NR (Niagen®)
Recommended
NMN
What It Is The active, oxidized coenzyme itself A precursor — converts to NMN, then NAD+ A precursor — one step closer to NAD+ than NR
Delivery at SMH IV drip (slow, monitored infusion) IV drip (slow, monitored infusion) IV drip (slow, monitored infusion)
Session Time 30 min – 3 hrs (varies by bag size) 30 min – 3 hrs (varies by bag size) 30 min – 3 hrs (varies by bag size)
Common Reactions Flushing, chest tightness, nausea, cramping — especially if infused too quickly Mild warmth at most; side effects are rare and infrequently reported Generally well tolerated; some report mild flushing with IV delivery
Human Trial Data Extensive — decades of use in IV form Well studied in human clinical trials as a patented, FDA safety-notified ingredient Growing evidence; a 2023 trial showed doses up to 900 mg/day raised blood NAD+ over 60 days with no adverse effects reported
Best For Patients who want the most immediate, direct NAD+ boost via infusion Patients who want consistent, well-tolerated NAD+ support from the best-studied precursor Patients who want a precursor that sits one step closer to NAD+ than NR

Individual response varies. Dr. Bortecen reviews your health history and goals at consultation to confirm the right option and dose for you.

Which Option Is Best For You?

There's no single "best" NAD+ therapy for every patient — only the one that best fits your goals, schedule, and tolerance. Here's how Dr. Bortecen typically guides the conversation.

Option 1
NAD+ IV Therapy
Direct, immediate, longer session
  • You want the most direct NAD+ boost available
  • You have time for a longer infusion — 30 minutes to 3 hours depending on bag size
  • You're comfortable with a slower drip to manage flushing or cramping
  • You want a one-time "reset" rather than a recurring routine
Option 3
NMN Therapy
One step closer to NAD+
  • You want a precursor that converts more directly to NAD+ than NR
  • You're comfortable with an IV or injection format
  • You're building a longevity-focused, research-informed protocol
  • You want a middle ground between NR's tolerability and NAD+'s directness

What Is MOTS-c,
and Why Combine It?

16
Amino acids — one of the smallest known bioactive peptides
2015
Year MOTS-c was first identified and characterized
AMPK
Key metabolic pathway MOTS-c activates
0
Added downtime when combined with NAD+ therapy

MOTS-c is a mitochondrial-derived peptide — encoded not in your nuclear DNA but in the DNA of your mitochondria themselves. First identified in 2015, it's produced naturally in response to exercise and physical stress, and its levels decline with age, alongside NAD+.

  • Activates the AMPK pathway, a central regulator of cellular energy balance
  • Supports healthy glucose uptake and metabolic function in skeletal muscle
  • Research links MOTS-c to improved insulin sensitivity and reduced age-related decline in physical function
  • Complements NAD+ precursor therapy — MOTS-c signals metabolic regulation while NAD+ fuels the cellular energy pathways it regulates

At SoHo Men's Health, Dr. Bortecen offers MOTS-c as an add-on to any NAD+, NR, or NMN protocol for patients focused on metabolic health, exercise recovery, and longevity. Research on MOTS-c is still emerging, and it is offered as part of a broader wellness conversation with Dr. Bortecen — not as a substitute for medical treatment of diagnosed conditions.

Iron Infusion at
SoHo Men's Health

Low iron is one of the most common — and most missed — causes of fatigue, poor recovery, brain fog, and hair thinning in men. When oral iron isn't enough or isn't tolerated, a doctor-led iron IV infusion restores your stores directly, without the stomach upset of pills.

As with every IV at SoHo Men's Health, your iron infusion is administered by board-certified Dr. Kerem Bortecen — dosed to your actual bloodwork, not a one-size-fits-all bag.

  • Direct IV deliveryBypasses the gut for full, reliable absorption
  • Dosed to your ferritinBloodwork drawn and reviewed before infusing
  • Monitored, physician-administeredGiven at a controlled rate by Dr. Bortecen
  • Targets real fatigueFor diagnosed iron deficiency and low ferritin
On a Peptide Combo?

CJC / Ipamorelin / Tesamorelin can quietly drop your iron.

Raising IGF-1 accelerates red blood cell production, which pulls iron out of storage — so growth-hormone-secretagogue patients frequently develop low ferritin without realizing it. If you're running a CJC-1295, Ipamorelin, or Tesamorelin protocol, get your ferritin checked at SoHo Men's Health before it starts costing you energy and recovery.

CJC-1295 Ipamorelin Tesamorelin ↑ IGF-1 → ↓ Ferritin
Check My Ferritin →

Why Choose Dr. Kerem Bortecen for Your NAD+ Protocol?

Not every clinic offering NAD+ therapy is a medical practice. At SoHo Men's Health, every NAD+, NR, NMN, and MOTS-c protocol is designed and personally overseen by board-certified Dr. Kerem Bortecen — with a real medical evaluation behind every recommendation.

Dr. Bortecen takes a conservative, evidence-first approach: matching the option, dose, and delivery route to your actual health history rather than defaulting to whatever is trending.

Board-Certified PhysicianExtensive training in aesthetic and men's health medicine
Men's Aesthetic & Wellness SpecialistSoHo Men's Health serves exclusively male patients with precision and discretion
Personalized NAD+ ProtocolsEvery recommendation is based on a full medical history and consultation — never one-size-fits-all
11 Broadway, Suite 570, New York CityPrivate, upscale clinical environment in downtown Manhattan
Dr. Kerem Bortecen, board-certified physician at SoHo Men's Health
"I default most patients to NR, not NAD+ IV, for one simple reason — it does the same job with a fraction of the reaction risk. I'd rather my patients feel nothing but the benefit."
— Dr. Kerem Bortecen, Board-Certified Physician · Founder, SoHo Men's Health
Doctor-Led IV Therapy

Our IV & Injection Prices

NAD+, NR and NMN are all offered as a quick injection or a full IV drip — every option administered by board-certified Dr. Kerem Bortecen.

Injections
$ 80
per injection · under 10 min
  • NAD+ injection
  • NR (Niagen®) injection
  • NMN injection
  • Flat $80 for all three
  • Ideal for a weekly routine
Schedule
Iron Infusion
Consult
IV infusion · ferritin checked first
  • For diagnosed low iron / ferritin
  • Especially for CJC / Ipamorelin / Tesamorelin patients
  • Ferritin bloodwork on site
  • Dosed to your labs — priced at consultation
Schedule
Every injection & infusion administered by board-certified Dr. Kerem Bortecen

Not sure whether an injection or an IV fits your goals?  Ask at your consultation →

Ready to Find Your
Right NAD+ Protocol?

Schedule your private consultation with board-certified Dr. Kerem Bortecen at SoHo Men's Health. Together you'll choose between NAD+, NR, NMN, and MOTS-c — no guesswork, no upsell, just the right fit for your goals.

Book Your Consultation
11 Broadway, Suite 570, New York City Mon – Fri Available · Weekends by Appointment Doctor-Led · Dr. Bortecen Same-Week Appointments

Additional FAQs About
NAD+, NR, NMN & MOTS-c

Is NMN better than NR?
NR is converted into NMN, which is then converted into NAD+ — so NMN sits one step closer in the chain and may convert slightly faster in some tissues. But NR has been studied in more human clinical trials as a patented, FDA safety-notified ingredient with a strong track record. At SoHo Men's Health, Dr. Bortecen most often recommends NR first for its combination of consistent uptake and tolerability, then discusses NMN as an alternative based on your goals.
Why does NAD+ IV therapy sometimes cause flushing or cramping?
When NAD+ is infused too quickly, it can trigger blood vessel dilation and smooth muscle contraction — producing the classic "niacin flush," chest tightness, or cramping. Slowing the drip rate almost always resolves this. It's a rate-of-infusion issue, not typically an allergic reaction, and it's the main reason many patients prefer NR, which is delivered as a quick injection rather than a titrated IV drip.
Why does Dr. Bortecen recommend NR over NAD+ for most patients?
NR (Niagen®) raises NAD+ levels effectively while being delivered as a fast subcutaneous injection instead of a long, carefully titrated infusion. That means far less exposure to the reactions associated with rapid NAD+ delivery — most patients report at most mild, brief warmth at the injection site. For patients who simply want reliable NAD+ support without the time commitment or reaction risk of an IV, NR is usually the most practical starting point.
Can I combine NAD+, NR, or NMN with the MOTS-c peptide?
Yes. MOTS-c is a separate mitochondrial-derived peptide that works through a different pathway (AMPK activation) than NAD+ precursors. Many patients at SoHo Men's Health combine MOTS-c with NR or NAD+ therapy as part of a broader metabolic and longevity protocol. Dr. Bortecen will confirm whether combination therapy fits your specific goals.
How often should I get NAD+, NR, or NMN therapy?
It depends on the option and your goals. NR injections are typically used weekly to a few times per week as an ongoing routine. NAD+ and NMN IV therapy are more often used as periodic sessions — weekly to monthly — depending on your response and objectives. Dr. Bortecen will set a cadence at your consultation and adjust based on how you respond.
How quickly will I notice a difference?
Many patients report subjective changes in energy and mental clarity within days of starting NR or NAD+ therapy, with some noticing effects the same day. Longer-term benefits — metabolic support, recovery, and overall vitality — tend to build over consistent weeks of use rather than a single session.
Is NAD+ therapy safe?
Yes, when administered by a qualified provider with proper monitoring. NAD+, NR, and NMN are naturally occurring molecules in the body. As with any IV or injectable therapy, a medical evaluation beforehand is essential — Dr. Bortecen screens every patient at SoHo Men's Health before starting any protocol.
Who should not get NAD+, NR, or NMN therapy?
Patients who are pregnant or breastfeeding, have active cancer, or have certain cardiovascular conditions should discuss NAD+ therapy carefully with Dr. Bortecen before proceeding — some may not be candidates. A full medical history review at consultation determines eligibility and the safest option for you.

Ready to Get Started?