You may have noticed that you don’t bounce back from colds the way you used to. A simple bug lingers longer, fatigue feels heavier, and your energy never quite returns to baseline. Even when you’re eating reasonably well and trying to sleep enough, your body just doesn’t feel as resilient.
One often-overlooked factor behind this shift is declining NAD+ levels. As this essential molecule decreases with age and lifestyle stressors, your immune system can lose some of its efficiency. At Genesis Lifestyle Medicine, a proactive, whole-body approach is used to support your health at the cellular level. Understanding how NAD+ influences immunity and how NAD+ therapy can help may be a key step toward strengthening your body’s natural defenses.
How does NAD+ affect immunity?
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme found in every cell of your body. It plays a central role in cellular metabolism, helping convert nutrients into usable energy and supporting countless biochemical reactions. Without adequate NAD+, your cells struggle to function optimally, and this includes the cells that make up your immune system.

Because immune responses are highly energy-dependent and regulated, NAD+ availability has a direct impact on how effectively your body can detect threats, mount defenses, and recover from illness. Several key mechanisms explain this connection.
Supporting immune cell energy production
Immune cells require substantial energy to proliferate, migrate, and attack pathogens. When NAD+ levels are sufficient, your cells can efficiently produce ATP, the primary energy currency of the body. This allows immune cells to respond quickly and effectively when they encounter bacteria, viruses, or other invaders. Low NAD+ levels, on the other hand, can impair energy production, leaving immune cells sluggish and less able to carry out their protective roles.
Promoting healthy DNA repair
Every day, your cells experience DNA damage from normal metabolic processes and environmental exposures. NAD+ is essential for activating enzymes involved in DNA repair. In immune cells, this repair process is particularly important because these cells divide frequently and must maintain genetic integrity. When NAD+ is depleted, DNA repair becomes less efficient. Over time, this can compromise immune function and contribute to a weaker immune response.
Regulating inflammation
Inflammation is a natural part of immune defense, but it must be carefully balanced. Too little inflammation can allow infections to spread, while too much can damage healthy tissues and weaken immunity over time. NAD+ helps regulate inflammatory pathways, supporting a healthy immune response without tipping into chronic inflammation. Balanced NAD+ levels support an immune system that responds appropriately and then returns to equilibrium.
Supporting cellular communication
Your immune system relies on constant communication between cells to coordinate responses. NAD+ plays a role in cellular signaling and gene expression, helping immune cells “talk” to one another and respond to changing conditions. When NAD+ levels decline, these communication pathways may become less efficient, leading to delayed or poorly organized immune responses.

How NAD+ therapy can help with immunity
NAD+ therapy helps replenish and maintain healthy levels of this critical molecule, supporting cellular function throughout your body. By addressing NAD+ depletion, therapy works at the root of many age- and stress-related changes that affect immunity. Rather than simply masking symptoms, NAD+ therapy focuses on optimizing your body’s internal environment so your immune system can perform as intended. Here’s how it truly helps:
Restoring cellular energy balance
One of the primary benefits of NAD+ therapy is improved cellular energy production. As NAD+ levels rise, your cells regain the ability to efficiently convert nutrients into energy. This means your immune cells have the fuel they need to respond quickly, multiply when necessary, and carry out their protective functions. Many people notice improved overall vitality, which often goes hand in hand with stronger immune resilience.
Enhancing immune cell function
With adequate NAD+ available, immune cells are better equipped to perform complex tasks such as recognizing pathogens, producing antibodies, and eliminating infected cells. NAD+ therapy also supports the biochemical processes that underlie these actions, helping your immune system operate more smoothly and effectively.
Supporting healthier inflammatory responses
Chronic, low-grade inflammation is common with aging and can interfere with immune function. NAD+ therapy may help rebalance inflammatory pathways, promoting a more controlled and appropriate immune response. This balance is essential for reducing unnecessary immune strain while still allowing your body to defend itself when real threats arise.
Promoting overall cellular repair and resilience
Because NAD+ plays a role in DNA repair and cellular maintenance, therapy supports the body’s ability to repair everyday damage. Over time, this contributes to healthier tissues and organs, including those involved in immune regulation. Improved cellular resilience can translate into fewer setbacks from illness and faster recovery when you do get sick.

A personalized approach to immune support
NAD+ therapy is not a one-size-fits-all solution. At Genesis Lifestyle Medicine, your care is personalized based on your health history, symptoms, and goals. NAD+ is available through convenient options such as patches, injections, and nasal sprays, allowing your provider to tailor a plan that fits your lifestyle and needs. When combined with healthy habits, NAD+ therapy can become a powerful part of a comprehensive immune-support strategy.
Strengthening your immunity from the inside out
Your immune system works tirelessly to protect you, but it depends on strong cellular foundations to do its job well. By addressing NAD+ depletion and supporting your body at the cellular level, you give your immune system the tools it needs to function effectively. Genesis Lifestyle Medicine is committed to helping you take a proactive approach to wellness, so you can feel stronger, healthier, and more confident in your body’s natural defenses. Contact us today to schedule your personalized consultation.





