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Glutathione vs NAD+ Compared: Benefits, Differences, and Which to Choose
You want to feel better: more energy, sharper focus, stronger immunity but are overwhelmed by options like glutathione and NAD+. One is called the “master antioxidant,” the other a “miracle coenzyme,” but all you’ve got are more questions.
Why does NAD+ work for some but not as well for others? Is oral glutathione even absorbed? Should you try injections, sprays, or IVs? And what about the side effects no one talks about like methyl group depletion or GI issues?
In this guide, we cut through the noise and give you a clear, side-by-side look at which therapy might work best for you.
What Is Glutathione?
Glutathione is a tripeptide made from three amino acids (glycine, cysteine, and glutamic acid) that your body produces naturally. Often called the "master antioxidant," it's present in nearly every cell in your body.
Your body's glutathione levels naturally decline with age, which may contribute to various health conditions. Glutathione forms "the first line of defense" against harmful reactive oxygen species that damage your cells.
How It Works
Glutathione neutralizes harmful free radicals and helps remove toxins from your body. It supports your liver's detoxification capabilities and helps recycle other antioxidants like vitamin C and E.
Your body uses glutathione to:
- Protect cell membranes from oxidative damage
- Support enzyme function in detoxification processes
- Maintain immune function and cellular processes
- Regenerate itself and other antioxidants
- Neutralize reactive oxygen species that contribute to aging
What Is NAD+?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in all living cells. It's essential for converting food into energy and maintaining healthy cellular functions.
Research describes NAD+ as "essential for maintaining metabolic homeostasis and preserving genomic integrity." It plays a key role in hundreds of metabolic reactions and serves as a critical component for energy production at the cellular level.
As with glutathione, NAD+ levels decline with age, which may contribute to many age-related health issues and neurodegenerative diseases.
How It Works
NAD+ plays multiple roles in your body's cellular processes. It helps:
- Convert food into usable energy (adenosine triphosphate or ATP)
- Support hundreds of metabolic reactions
- Maintain healthy mitochondrial function
- Facilitate DNA repair and gene expression
- Activate sirtuins, proteins that regulate aging processes
- Combat cognitive decline and support brain cells
You can learn more about NAD+ functions and how it supports overall wellness through its role in cellular energy production and longevity pathways.
Comparing Glutathione and NAD+ at a Glance
While both glutathione and nad are crucial for optimal health, they serve different primary functions in your body.
Both compounds are essential for cellular health, but they work through different mechanisms, making the choice between nad vs glutathione dependent on your specific needs.
How Do Glutathione and NAD+ Support Health and Wellness?
Glutathione
Glutathione works as your body's master antioxidant, neutralizing free radicals that cause oxidative damage to cells.
It supports skin health and brightening by reducing melanin production and fighting oxidative stress that contributes to aging. Many users report improved complexion and reduced hyperpigmentation with regular use.
Your liver relies on glutathione for detoxification, and many immune function processes depend on adequate glutathione levels. Research shows it may even help with insulin resistance and metabolic health, playing a crucial role in overall wellness.
NAD+
NAD+ excels at energy metabolism, making it effective for fatigue and low energy. Users often report improved vitality and stamina after beginning NAD+ treatments.
It activates sirtuins, enzymes that regulate aging processes and support cellular health. These help protect against age-related diseases including cognitive decline and metabolic disorders. The connection between NAD+ and longevity has made it popular among those seeking anti-aging benefits.
NAD+ helps maintain brain health by supporting mitochondrial function in brain cells and protecting against neurodegenerative diseases. Many users report improved mental clarity and reduced brain fog after starting NAD+ supplementation. This makes it particularly valuable for cognitive performance and focus.
Dosage and Delivery: Glutathione vs NAD+
Glutathione
- Typical dosage: 600–2,400 mg daily (oral/IV), with studies showing up to 600 mg 3x daily improves lung function.
- Delivery options: IV therapy (fastest absorption), injections, or liposomal supplements for daily use.
NAD+
- Flexible dosing: Ranges from 100-1,000 mg based on needs
- Fast absorption: Injections work within hours, nasal spray offers daily convenience
- Clinical use: Higher doses (400-1,000 mg) for recovery protocols
Typical NAD+ injection dosages start at lower levels and may increase based on individual response and health goals.
Effectiveness of Glutathione and NAD+
Glutathione
The benefits of glutathione are well-documented:
- Supports immune function and liver health for better detoxification
- Improves skin health and appearance by reducing hyperpigmentation
- Helps detoxify harmful compounds through glutathione redox cycles
Research notes glutathione's "remarkable antioxidant properties" and its ability to brighten skin tone through inhibition of melanin production pathways.
NAD+
NAD+ shows promise for several areas:
- Boosts energy levels and mitochondrial function for greater vitality
- May slow aspects of aging through efficient DNA repair mechanisms
- Helps maintain healthy metabolism and cellular energy production
- Supports cardiovascular health by protecting against cardiovascular disease
- May help prevent or manage age-related diseases through multiple pathways
NAD+ before and after benefits include improved energy, mental clarity, and overall vitality. Many users report significant improvements in energy and focus within days of starting treatment.
Potential Side Effects of Glutathione and NAD+
Glutathione
Glutathione side effects are generally mild:
- Occasional skin rash or allergic reactions
- Abdominal cramping (with oral forms)
- Temporary whitening of skin patches (with high doses)
Most people tolerate glutathione well, with side effects being rare and typically dose-dependent.
NAD+
NAD+ side effects can include:
- Flushing and warmth (especially during IV administration)
- Nausea or stomach discomfort
- Headache or dizziness
- Fatigue during initial treatment
- Muscle soreness or cramps
These effects typically subside quickly, with most users experiencing minimal discomfort during treatment.
Warnings and Precautions Before Taking These Therapies
Glutathione
Before starting glutathione therapy:
- Consult with a healthcare provider if pregnant or breastfeeding
- Disclose all medications, as glutathione may interact with some drugs
- Those with asthma should use caution as some forms might trigger symptoms
- Patients with diabetes should monitor blood sugar closely
NAD+
Important precautions for NAD+ therapy:
- Those taking blood pressure medications should monitor levels closely
- Patients with kidney or liver disease need medical supervision
- Avoid if you have a nicotinamide adenine dinucleotide sensitivity
- Be aware that it may temporarily exacerbate symptoms of methylation issues
Cost and Accessibility of Glutathione and NAD+ IV Therapies
Treatment costs vary based on location, clinic, and treatment protocol. IvyRx offers affordable, at-home options so you can easily fit these treatments into your wellness routine.
Here’s a quick breakdown of pricing:
Pro tip: Check if your provider offers package deals for multiple sessions, which can reduce the per-treatment cost substantially.
Can You Combine Glutathione and NAD+ Therapy?
Yes! Combining glutathione and nad therapies can offer comprehensive benefits for cellular health that exceed what either can provide alone.
Research in Frontiers in Molecular Neuroscience shows that NAD+ can enhance the antioxidant capacity of cells, suggesting these therapies may work synergistically. Many practitioners now recommend this combination approach for maximum benefit.
The combination can:
- Support both energy production and detoxification simultaneously
- Enhance both immediate and long-term benefits for overall wellness
- Address multiple aspects of cellular health simultaneously
- Provide more comprehensive anti-aging support
- Target both protective and regenerative pathways
Many clinics offer combination packages for those wanting to maximize their wellness routine. The synergistic effects can be particularly beneficial for those with complex health concerns or those seeking comprehensive anti-aging support.
Which Injection Therapy Is Right for You?
Choosing between glutathione vs nad depends on your specific health goals and concerns.
Glutathione might be your best choice if:
- Your primary concern is detoxification and removing toxins
- You want to support liver health and function
- You're looking for skin brightening benefits and improved complexion
- You need immune system support and enhanced resilience
- You're exposed to environmental toxins regularly
NAD+ might work better if:
- You're struggling with energy and fatigue as your main issue
- Anti-aging is your primary goal for treatment
- You're experiencing cognitive decline or brain fog
- You want to support mitochondrial function for better energy
- Athletic performance and recovery are important to you
For many people, the ideal approach involves using both therapies strategically, either alternating or combining them based on your unique health profile.
How to Get Glutathione or NAD+ Injection Therapy Online
Getting started with glutathione or NAD+ therapy is easier than ever with telehealth options. The process typically involves:
- Completing a health questionnaire
- Virtual consultation with a licensed provider
- Personalized treatment plan development
- Prescription and home delivery
- Follow-up support and adjustments
With IvyRx, you can access both NAD+ injections and glutathione injections through our comprehensive telehealth platform.
Take the first step toward renewed energy and vitality with a free online consultation today.
Start Your Personalized IV Therapy Journey with IvyRx
Everyone's body is different, which is why personalized wellness plans work best. IvyRx offers customized glutathione and NAD+ therapies tailored to your specific health needs and goals.
Our process includes:
- Free initial health assessment to identify your unique needs
- Consultation with licensed healthcare providers who specialize in metabolic health
- Customized treatment plans designed specifically for your body and goals
- High-quality, compounded medications prepared in specialized facilities
- Ongoing support and follow-up to monitor your progress
Whether you choose glutathione, NAD+, or a combination of both, working with qualified professionals ensures you get the right treatment for your unique body.
Don't wait to feel better. Start your personalized wellness journey with IvyRx today and take control of your cellular health.

Ivy RX patients
Members of Ivy RX branded medications were paid for their testimonials.
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