IV Therapy
NAD+ Therapy in Spokane Valley
NAD+ stands for nicotinamide adenine dinucleotide. It is a coenzyme found in every cell in the body, and it is involved in normal cellular metabolism — the ordinary chemistry that keeps cells running. That is the factual description, and it is where this page starts, because it is where the honesty starts.
What the claims are, and what the evidence is
NAD+ therapy is widely marketed with claims about aging, energy, cognition, addiction recovery, and cellular repair. You have likely seen those claims — they are the reason most patients ask about NAD+, and they are the reason this page exists.
The evidence for those claims in healthy people is limited. The science is early. This practice is not going to tell you that NAD+ therapy will do things it has not been shown to do. Patients ask about it because they have read those claims elsewhere, and the honest answer is that the research has not caught up to the marketing — and this page is not going to pretend it has.
That is not a dismissal of NAD+ as a treatment offered here. It is available. It is the difference between offering something and promising things about it that the evidence does not support, and this practice chooses the first.
What actually happens here
NAD+ is available at this practice. It is provided only after an evaluation with Keanna. In Washington an intravenous hydration bag is a medication, and a medication order is required before IV therapy is started — Keanna is a nurse practitioner with prescriptive authority, she evaluates you herself, and she writes the order. Whether NAD+ is appropriate for a particular patient is a clinical decision, not a menu choice.
What the infusion is actually like
NAD+ infusions are frequently uncomfortable, and being warned about that before you sit down for one is the point of this section. Flushing, nausea, chest tightness, cramping, or a racing sensation during the infusion are commonly reported. They are usually managed by slowing the rate — and because Keanna is the person evaluating you and writing the order, she is the person managing that during the infusion, not a technician following a script.
A patient who is not warned is a patient who has a bad experience, and that is why this is stated here, plainly and early, rather than discovered in the chair. If you proceed, you go in knowing what it can feel like.
Who this is not for
NAD+ is not appropriate as a substitute for the care of a medical or psychiatric condition. Anyone considering this for a medical or psychiatric condition should be under the care of a clinician treating that condition — NAD+ here is not a treatment for illness, and it is not a replacement for the care a condition requires.
It is not appropriate for anyone with a known allergy to a component of what would be given. And it is not appropriate for a patient who has been told, or should be told, that what they actually need is something other than an infusion.
This may not be right for you if:
- You are considering it for a medical or psychiatric condition and are not under the care of a clinician treating that condition.
- You have a known allergy to a component of what would be given.
- You are expecting results the evidence does not support — because this practice is not going to promise them to you.
When Keanna treats you herself, she evaluates you as part of your care. When a registered nurse performs your treatment, Keanna completes a good faith exam first — in person or via face-to-face telehealth, whichever suits you — to meet Washington’s safety guidelines. Either way, the person responsible for your care is the one who decides whether the treatment is appropriate for you.
Questions and answers
What does the evidence actually show about NAD+ therapy?
Less than the marketing suggests. NAD+ therapy is widely promoted with claims about aging, energy, cognition, addiction recovery, and cellular repair. The evidence for those claims in healthy people is limited, and the science is early. This practice is not going to tell you it will do things it has not been shown to do.
Is NAD+ therapy safe?
It is not claimed here to be free of risk. NAD+ infusions are frequently uncomfortable — flushing, nausea, chest tightness, cramping, or a racing sensation during the infusion are commonly reported and are usually managed by slowing the rate. Whether it is appropriate for you is a clinical decision made at your evaluation.
Why do people ask about it if the evidence is limited?
Because they have read the claims elsewhere. Patients ask about NAD+ after seeing it marketed for aging, energy, and cellular repair. The honest answer is that the science is early, and this practice describes it that way rather than repeating claims it cannot stand behind.
Can I have NAD+ for a medical or psychiatric condition?
Not as a substitute for care for that condition. Anyone considering NAD+ for a medical or psychiatric condition should be under the care of a clinician treating that condition. NAD+ here is not a treatment for illness, and it is not a replacement for the care a condition requires.
Why isn't this a walk-in?
In Washington an intravenous hydration bag is a medication, and a medication order is required before IV therapy is started. Keanna is a nurse practitioner with prescriptive authority, she evaluates you, and she writes the order. NAD+ is provided only after that evaluation, and whether it is appropriate for you is a clinical decision.
Book your appointment
Every treatment starts with an evaluation with Keanna. Book online, or call or text the practice.