Three months into her NAD⁺ experiment, a member in Delray — call her Karen, 58 — sent our dispatch a message that perfectly frames the frequency question: "I feel great. Which is confusing. Do I keep booking? Am I done? Is this like antibiotics where you finish the course, or like the gym where quitting undoes it?"
It's the gym. Entirely the gym. And once you see why, the whole scheduling question answers itself.
Why there's no finish line (the honest part first)
The reason you started — age-related NAD⁺ decline — is a process, not an event. Your body's production slides continuously; infusions restore supply, the restoration gets spent and metabolized over the following weeks, and the underlying slide resumes. No session, at any dose, changes the slope permanently. That's not a flaw in the therapy; it's the same deal as exercise, sleep, and every other maintenance input your body runs on. The question was never "how many sessions until done." It's "what rhythm holds the level I want."
The two-phase logic
Phase one — filling the hole. Your first sessions land on decades of accumulated decline, which is why some protocols run a loading phase: several sessions across the opening weeks to lift a deep baseline faster. It's legitimate but optional — simple monthlies reach the same altitude on a gentler slope, and most of our members take that road. (The impatient and the deeply flattened are the loading phase's natural constituency.)
Phase two — holding the level. This is the long game, and the interval is personal. Monthly is the center of gravity; the calibration tool is your fade point — the week the steadier-afternoons effect noticeably drains away. Fade at five weeks? Monthly is generous. Fade at two and a half? You're a biweekly physiology (common in heavy trainers and the 55+ set, whose baseline decline runs steeper). The 90-day arc covers what this feels like from inside.
The fade point is the whole calibration. Your body tells you the interval; the menu just needs to match it.
The sustainability math
One more honest layer, because NAD⁺ is the menu's premium molecule: the best protocol is the one your budget repeats without resentment. A sustainable 500mg monthly beats a heroic quarterly 1000mg (rhythm beats size), memberships exist precisely to make the rhythm math work (member rates, pause anytime), and alternating structures — Surge or NAD⁺ monthly with Niagen between — let members tune cost against effect. And the free multipliers still multiply: sleep, training and moderate drinking all slow the drain on whatever you infuse.
Rhythm over heroics
NAD+ $749
Monthly maintenance at member rates — the sustainable version of the protocol.
IV Fluids · B-Complex · + 3 IM Shots: B12 · D3 · CoQ10
Karen's answer
Karen tested her own fade point by skipping a month — scientific, if accidental (grandkids visited). Week five answered her question: the 4 PM fog returned like a tenant with a lease. She's monthly now, permanently, with her own summary of the antibiotics-versus-gym question: "It's the gym. Except the gym comes to my couch, and I get to watch Netflix during. Honestly better than the gym."
This article is for general education and is not medical advice. IV therapy at SurgIV is administered by registered nurses under physician-written protocols, with a health screening before your first visit. Talk to your doctor about what is right for you.
