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How We Use NAD+ at Envizion Medical We offer NAD+ injections in two ways: As an add-on to your weekly Semaglutide or Tirzepatide shot As a step-down when transitioning off GLP-1 medications Typical dose: 0.5 mL once per week (50 units), given by intramuscular (IM) injectionusually in the glute (hip), deltoid (upper arm), or outer thigh