By Advanced Scripts Pharmacy
In the world of medical weight loss, GLP-1 agonists like Semaglutide and Tirzepatide are the undisputed kings. They silence “food noise” and suppress appetite with incredible efficacy.
But for many patients, appetite suppression is only half the battle. The other half? Energy.
A common side effect of rapid weight loss (and GLP-1 medications themselves) is fatigue. When you drastically cut calories, your metabolic rate can slow down, and your energy levels can tank. This is where NAD+ (Nicotinamide Adenine Dinucleotide) enters the chat.
“Stacking” NAD+ with weight loss injections has become the secret protocol of top metabolic doctors in Florida. It addresses the energy crash, supports metabolic fire, and helps preserve lean muscle mass.
In this guide, we explain why NAD+ is the perfect “wingman” for your weight loss journey.
The “Low Energy” Trap of Weight Loss
When you are on a GLP-1 medication, you are eating significantly less. While this causes weight loss, it also signals your body to conserve energy. This “starvation mode” response can lead to: 1. Lethargy: Feeling too tired to exercise or be active. 2. Metabolic Adaptation: Your body burns fewer calories at rest to “save” fuel. 3. Muscle Loss: If you are too tired to strength train, you risk losing muscle along with fat.
This is where the NAD+ Stack changes the game.
How NAD+ Synergizes with Semaglutide & Tirzepatide
NAD+ is not an appetite suppressant. It is a metabolic activator. When you add it to a GLP-1 protocol, you are attacking obesity from two angles: * GLP-1: Reduces Input (Calories In). * NAD+: Maximizes Output (Energy Production & Fat Oxidation).
1. Boosting the “Furnace” (Mitochondrial Function)
Fat loss requires your cells to take stored fat (triglycerides) and convert it into energy. This happens in the mitochondria. NAD+ is the “spark plug” that allows this conversion to happen. * Benefit: You feel more energetic despite eating fewer calories, making it easier to stick to your diet and exercise plan.
2. Improving Insulin Sensitivity
NAD+ activates Sirtuins (specifically SIRT1), which play a huge role in regulating glucose and insulin. Improved insulin sensitivity means your body is less likely to store food as fat and more likely to use it for energy. * Benefit: It amplifies the blood-sugar-regulating effects of your weight loss medication.
3. Combating the “Ozempic Face” (Skin Health)
Rapid weight loss can sometimes lead to loose skin or a gaunt appearance. Because NAD+ is critical for DNA repair and collagen production, maintaining high levels can support skin elasticity and health during your transformation.
The Protocol: How to Stack Them
Most of our partner physicians in Florida prescribe a “dual therapy” approach:
- Weekly: Semaglutide or Tirzepatide injection (for appetite).
- Daily/Every Other Day: Low-dose NAD+ injection (50mg – 100mg).
Why separate injections? While some pharmacies try to mix them in one vial, we believe in keeping them separate. NAD+ is best absorbed with frequent, small doses (daily), while GLP-1s are long-acting (weekly). Separating them allows you to customize your energy support based on how you feel each day.
Real Patient Scenarios
Case Study A: The “Tired” Dieter
- Patient: 45-year-old female from Tampa.
- Issue: Lost 15 lbs on Semaglutide but felt “wiped out” and stopped going to Pilates. Weight loss stalled because her activity level dropped to zero.
- Solution: Added 50mg daily NAD+ injection.
- Result: Energy returned within 3 days. Resumed Pilates 3x/week. Weight loss accelerated again due to increased movement.
Case Study B: The “Plateau”
- Patient: 52-year-old male from Boca Raton.
- Issue: Hit a plateau after 6 months on Tirzepatide.
- Solution: Added NAD+ to improve metabolic flexibility.
- Result: Broke the plateau and lost an additional 8 lbs in 6 weeks without changing his Tirzepatide dose.
Is This Stack Right for You?
If you are currently taking a weight loss medication and experiencing: * Chronic fatigue * Brain fog * Stalled weight loss * Difficulty recovering from workouts
…then adding NAD+ could be the missing piece of your puzzle.
At Advanced Scripts Pharmacy, we specialize in creating custom “stacks” for metabolic health. We can ship both your weight loss medication and your NAD+ directly to your door in one convenient, temperature-controlled package.
Don’t just lose weight—gain life. Ask your provider about stacking NAD+ today.
(Disclaimer: This article is for informational purposes only. Consult your healthcare provider before combining medications.)
ocated in DeBary, Florida, Advanced Scripts Pharmacy has established itself as a leader in pharmaceutical compounding throughout the state. The pharmacy’s commitment to personalized patient care, cutting-edge technology, and uncompromising quality standards sets it apart.
Advanced Scripts specializes in a comprehensive range of compounding services, including hormone replacement therapy for men and women, weight management medications including semaglutide and tirzepatide, pain management solutions including LDN and ketamine, men’s health formulations including Trimix and PT-141, women’s health compounds, pediatric medications, veterinary compounding, and dental formulations.
The pharmacy’s state-of-the-art laboratory is equipped with advanced compounding technology and operates under strict quality control protocols. Every medication is prepared by specialized pharmacists with extensive training in pharmaceutical compounding. The team at Advanced Scripts works collaboratively with healthcare providers across Florida to ensure optimal patient outcomes.
One of the key advantages of choosing Advanced Scripts is convenience. The pharmacy offers next-day delivery throughout Florida, ensuring patients receive their customized medications promptly. The pharmacy also provides personalized consultations, with pharmacists available to answer questions and provide guidance on medication use.
As a women-owned business with a 4.9-star rating on Google, Advanced Scripts has built a reputation for exceptional customer service and pharmaceutical excellence. Patients consistently praise the pharmacy’s friendly, knowledgeable staff and their commitment to going above and beyond to meet patient needs.

