All Tests

NAD+ Blood Test

£198 ✓ In Stock

What's covered in the price: Laboratory-supplied test kit with sample collection materials and prepaid return packaging. Results turnaround varies by test — see the estimated turnaround time shown above.
Results ready within 7–10 working days

Your sample goes to a UKAS accredited laboratory meeting ISO 15189 standards.

Date of birth required

After you receive your order confirmation email, please reply with your date of birth.

Blood sample
Clinic visit
(phlebotomy charges apply)
CQC registered Accredited UK labs ISO 15189

How it works

Your testing journey

From order to results in four simple steps. Full transparency on where each step happens and what it costs.

1
Medi Test Direct kit delivered by post

Receive your kit by post

Dispatched same working day if ordered before 3pm. Royal Mail Tracked delivery, typically 1–3 working days. 90% of kits arrive within 24 hours.

2
Clinic sample collection

Visit a partner clinic

Book a phlebotomy appointment at one of our 365+ UK partner clinics. Take your kit with you — the phlebotomist will collect your sample using the materials provided.

Phlebotomy fee applies (paid at clinic)
3
Venous blood draw at a clinic

Venous blood draw at a clinic

A trained phlebotomist takes a small blood sample from a vein in your arm using the vacutainers provided in your kit. The appointment takes around 10 minutes.

4
Return sample by prepaid envelope

Return by prepaid envelope

Seal your sample in the biohazard bag provided and drop it in any Royal Mail postbox using the prepaid Tracked 24 envelope. Post Monday–Thursday for best results.

Measure your cellular NAD+ and NADH levels with this at-home blood test. NAD+ (Nicotinamide Adenine Dinucleotide) is a critical coenzyme found in every cell of your body, playing an essential role in energy metabolism, DNA repair, and the regulation of sirtuins — the proteins associated with healthy ageing. As we age, NAD+ levels naturally decline, which is why monitoring this biomarker has become central to longevity science.

This test is particularly valuable if you are supplementing with NAD+ precursors such as NMN (Nicotinamide Mononucleotide) or NR (Nicotinamide Riboside), receiving NAD+ IV therapy, or following a longevity protocol. By measuring both the oxidised (NAD+) and reduced (NADH) forms, the test provides insight into your cellular redox balance and metabolic efficiency.

What's covered in the price: Your kit contains everything needed to collect a finger-prick blood sample at home. Simply follow the instructions, post your sample using the prepaid envelope, and receive your results within 7–10 working days.

Venous Blood Collection Kit

This kit is sent to you and taken to your chosen clinic. The phlebotomist will collect your sample using the materials provided.

  1. 1Vacutainer blood collection tubes
  2. 2Needle and butterfly needle
  3. 3Tourniquet
  4. 4Alcohol swab
  5. 5Cotton wool and gauze
  6. 6Adhesive plaster
  7. 7Biohazard specimen bag
  8. 8Prepaid return envelope (Royal Mail Tracked 24)
  9. 9Laboratory request form
  10. 10Instructions for the phlebotomist
Fasting: Fasting is not required for this test. You may eat and drink normally before collecting your sample. Supplements: Continue taking your NAD+ precursors (NMN, NR) or other supplements as usual. This ensures the test reflects your current supplementation status. If you wish to establish a baseline before starting a new protocol, consider testing prior to beginning supplementation. Hydration: Drink plenty of water before collection to improve blood flow and make the finger-prick easier. Timing: Morning samples are preferred but not mandatory. Try to collect at a consistent time if you plan to retest for comparison. Biotin Supplements: Stop biotin (vitamin B7) supplements for at least 2 days before testing. Biotin can interfere with some assays, potentially causing inaccurate results. Return Shipping: Post your sample on the same day as collection, ideally Monday to Wednesday to avoid weekend delays. Do not post samples on Fridays or before public holidays.

NAD+ is the active, oxidised form of nicotinamide adenine dinucleotide. It serves as an electron acceptor in metabolic reactions, driving cellular energy production in the mitochondria. NAD+ is also a substrate for sirtuins (SIRT1–7) and poly-ADP-ribose polymerases (PARPs), which regulate DNA repair, inflammation, and cellular stress responses. Higher NAD+ levels are associated with improved metabolic function and cellular resilience. As we age, NAD+ levels decline naturally — by age 50, levels may be half what they were at age 20. This decline is linked to reduced energy, slower recovery, impaired DNA repair, and accelerated ageing processes. Low NAD+ levels may suggest suboptimal cellular energy production, increased oxidative stress, or the natural decline associated with ageing. Many individuals with low levels choose to increase NAD+ precursor supplementation (NMN, NR) or explore other interventions such as caloric restriction, exercise, or NAD+ IV therapy. Tracking your NAD+ allows you to validate your supplementation strategy and optimise your longevity protocol.

NADH is the reduced form of NAD+, created when NAD+ accepts electrons during glycolysis and the citric acid cycle. NADH carries these electrons to the mitochondrial electron transport chain, where they are used to produce ATP — your cells' primary energy currency. The ratio of NAD+ to NADH reflects your cellular redox state and metabolic efficiency. A healthy ratio indicates efficient cellular metabolism. A low ratio (relatively more NADH) may suggest metabolic inefficiency, while an unusually high ratio could indicate oxidative stress. Your results should be interpreted alongside other health markers and discussed with a healthcare professional if you have concerns. For those tracking the efficacy of longevity interventions, consider retesting every 3–6 months to monitor changes over time.

Medical Disclaimer

This test is for screening and information only — it is not a medical diagnosis or professional advice. Please have your results reviewed by a qualified doctor or healthcare provider who can explain what they mean for your personal health situation. If your results show anything outside the normal range, or if you're worried about your health, see your doctor as soon as you can. Don't change any medications or treatments based on these results alone — always talk to your healthcare provider first.

NO CLINICS, NO QUEUES, NO HASSLE

Four steps to clarity

Pick your panel 01

Pick your panel

Browse over 200 clinically designed test kits and choose the one that fits your goals.

Kit to your door 02

Kit to your door

Everything you need arrives in discreet packaging with step-by-step instructions inside.

Collect your sample 03

Collect your sample

Follow the simple instructions in your kit — whether it's a finger-prick at home or a venous draw at a partner clinic.

Insights delivered 04

Insights delivered

Clear, easy-to-understand results sent to you online with actionable health guidance.

Frequently asked questions

This test measures NAD+ (Oxidised Form), NADH (Reduced Form). Check the full biomarker list on this page for detailed descriptions of each marker and what it tells you about your health.

Check the Special Instructions section on this page. As a general rule, if the panel includes cholesterol, triglycerides, glucose, or insulin, fast for 8-12 hours. For most hormone, vitamin, and antibody tests, fasting is not required. Morning collection (7-10am) is preferred.

Follow the instructions in your kit. For finger-prick tests: warm your hands, use the lancet as directed, fill the tube to the marked line. For venous tests: attend a phlebotomy clinic with your laboratory request form. Post your sample the same day — avoid Fridays and bank holidays.

Results are typically available within the timeframe shown on this page. You will receive a notification when ready to view online. Results include reference ranges and guidance.

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