- NAD+ Injection (compounded)
- From $199/month
- Sermorelin ODT (compounded)
- From $199/month
- Comprehensive Lab Panel
- $199
- Stimulant?
- No
The real cost of running on empty
Chronic overwork usually shows up first in sleep. You fall asleep fine but wake at 3 a.m., or you sleep seven hours and still feel unrefreshed. Afternoon energy dips get longer. Concentration frays. Alcohol at client dinners and frequent time-zone changes make it worse.
These symptoms can come from many sources: sleep apnea, low iron, thyroid disease, low testosterone, perimenopause, depression, alcohol, or simply too little sleep for too long. Several of these are common in high-performing adults and are easy to miss.
Rule out the usual suspects first
- Sleep apnea: loud snoring, witnessed pauses in breathing, morning headaches or daytime sleepiness warrant evaluation.
- Iron, B12 and vitamin D levels.
- Thyroid function.
- Testosterone in men, and perimenopause in women.
- Blood sugar, lipids and blood pressure, which often drift during high-stress periods.
- Alcohol intake, which fragments sleep even in moderate amounts.
Where NAD+ and sermorelin might fit
Once the basics are addressed, some people want to explore additional options for energy and recovery. A clinician may discuss:
- NAD+ injection (from $199/month): NAD+ is a coenzyme central to cellular energy metabolism. Injections can raise NAD+ levels, but evidence that this improves energy or focus in healthy adults is limited. Compounded NAD+ is not FDA-approved.
- Sermorelin (from $199/month): a growth hormone–releasing hormone analog sometimes explored for sleep and recovery. Compounded sermorelin is not FDA-approved, and response varies.
What peptides are not
Peptides are not stimulants and will not work like a strong coffee. They are also not a fix for chronic sleep deprivation. If you are sleeping five hours a night, no injection will make up the difference. We will be direct about that, and we may tell you a peptide is not worth it for your situation.
The evidence, plainly
Energy and performance peptides are heavily marketed, but long-term human research is limited. Most studies of NAD+ have used oral precursors rather than injections, and results on how people feel have been mixed. For sermorelin, research in healthy midlife adults is sparse. Results from trials of FDA-approved drugs do not apply to compounded products.
Habits that move the needle more than any peptide
For most busy professionals, the biggest gains come from unglamorous changes: a consistent wake time, even after late nights; a cut-off for caffeine by early afternoon; fewer drinks at work dinners; daylight and movement soon after arriving in a new time zone; and strength training two or three times a week, even in short sessions. These have stronger evidence for energy and sleep than any peptide.
Your clinician can help you choose the one or two changes most likely to help, so the plan is realistic for your calendar rather than a list you will abandon after a week.
Designed for a full schedule
Care at HealifyMD happens online, so visits and follow-ups fit around meetings and travel. Labs require a single blood draw. If a treatment is prescribed, it ships to you from a licensed pharmacy. Tell your clinician about frequent travel, since some medications need refrigeration and time-zone changes can affect dosing schedules.
Who should not use these options
NAD+ and sermorelin are not for anyone who is pregnant or breastfeeding, and people with active cancer should not use them without their oncologist's agreement. If your fatigue comes with unintended weight loss, fevers, night sweats, shortness of breath or chest pain, see a clinician in person promptly.