He & She MD vs Shed: NAD+ Therapy Compared
He & She MD starts at $149/mo (12-month supply) and offers injection, topical cream & nasal spray, while Shed starts at $144/mo nasal (20% off first month) with nasal spray, injection & oral tablets. Below we line them up on price, delivery formats, dosing, shipping, and overall value so you can see which prescription NAD+ provider fits you best.
- Physician-Prescribed Only
- 22 Providers Compared
- Results in 2–4 Weeks

He & She MD
Our #1 NAD+ pick — three formats (injection, cream, and nasal spray) at one flat $149/mo. No membership, no hidden fees, free shipping.
Visit He & She MD →
Shed
Three NAD+ formats: nasal, injections, and oral. Coaching resources included.
Visit Shed →| Feature | He & She MD | Shed |
|---|---|---|
| Editorial score | 9.90 / 10 | 8.94 / 10 |
| Starting price | $149/mo (12-month supply) | $144/mo nasal (20% off first month) |
| Renewal / ongoing | Flat $149/mo across every format | $144 nasal / $169 injection & oral |
| Delivery formats | Injection, topical cream & nasal spray | Nasal spray, injection & oral tablets |
| Dose strengths | Supplied as a 12-month course | Provider-determined |
| Shipping | Free expedited | To your door |
| Membership / fees | None — no membership cost | None — 1:1 coaching is an optional add-on |
| Guarantee | — | — |
| Best for | People who want a choice of injection, cream, or nasal spray at one flat, transparent price with included ongoing care | People who want format choice plus built-in wellness coaching resources |
Where He & She MD stands out
- + Higher editorial score (9.90 vs 8.94)
Where Shed stands out
- + Lower entry price — $144/mo nasal (20% off first month)
- + More delivery formats — nasal spray, injection & oral tablets
Pros & cons, side by side
He & She MD
Pros
- + Three delivery formats — injection, topical cream, and nasal spray
- + Two needle-free options (cream and nasal spray), rare in this market
- + One flat $149/mo price across every format
- + No membership cost and no hidden fees
- + Board-certified providers and FDA-regulated dispensing pharmacies
- + Unlimited provider messaging for ongoing care
Cons
- − Compounded NAD+ — not an FDA-approved finished drug product
- − The $149/mo rate is tied to a 12-month supply commitment
Shed
Pros
- + Three delivery formats: nasal spray, injection, and oral tablets
- + Health courses and community included
- + Strong 4.6-star Trustpilot rating
Cons
- − 1-on-1 coaching is a paid add-on
- − Cancellation requires completing at least two months
The verdict: He & She MD vs Shed
In our editorial ranking, He & She MD places higher (#1 vs #13), making it the default pick for most readers — it's best for people who want a choice of injection, cream, or nasal spray at one flat, transparent price with included ongoing care. That said, Shed is the stronger choice for people who want format choice plus built-in wellness coaching resources. Both are prescription NAD+ services, so the right answer depends on the delivery format and price structure that match how you want to start.
More head-to-head comparisons
Pricing and product details were verified against each provider's official pages and may change — always confirm current terms on the provider's site. Rx required; a licensed provider determines whether NAD+ therapy is appropriate for you. We may earn a commission from links on this page, which never affects our rankings.