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Practical guide

NAD+ and Surgical Recovery: A Physician’s Perspective

A nurse in blue scrubs and gloves prepares an IV in a woman's arm at her kitchen table

A few years ago, I traveled to Louisiana to learn from Dr. Richard Mestayer, a psychiatrist specializing in addiction medicine who has used intravenous NAD+ for over 20 years. During my visit, I mentioned that I was preparing for rotator cuff surgery. Having recently undergone the same procedure and used NAD+ before and after surgery, he encouraged me to try it.

I received two infusions before and two after surgery. My experience was remarkable. Aside from some initial muscle spasms, my pain was minimal, and I used very few of the prescribed opioids. I followed my rehabilitation plan closely, and at a follow-up visit, my surgeon was surprised by my early range of motion.

Encouraged by this experience, I arranged NAD+ infusions for four friends undergoing various surgeries. Although these experiences cannot establish that NAD+ caused their outcomes, each reported less pain and a faster return to function than expected.

I am a family physician with experience in emergency medicine and over 20 years as medical director of post-acute rehabilitation facilities. Pain management and recovery are central to my work, and I have seen firsthand the challenges patients face after major surgery.

When I joined REVIVE, I saw an opportunity to make NAD+ infusions available to patients before and after surgery in the comfort of their homes or offices.

NAD+ infusions require careful administration over several hours to minimize side effects. Our goal is to provide a safe, personalized experience in coordination with each patient’s surgeon.

While NAD+ has gained popularity in the wellness and longevity communities, my primary interest is its potential role in surgical recovery.

Our vision is to help patients experience less postoperative pain and a smoother recovery, making this approach an accessible option for those preparing for major surgery.

This article describes one physician’s personal experience and informal observations. It is not a clinical study. NAD+ is a prescription treatment, not a supplement, provided under physician direction following a health assessment. Consult your surgeon or physician before starting any infusion therapy. Individual results vary.