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Is Options Medical Weight Loss NAD+ worth it in 2026?
Editorial rating: 4.6/5
Short answer: Options Medical Weight Loss is the only brick-and-mortar clinic chain in our NAD+ comparison, and that in-person footprint is its core appeal. Founded in 2014 in Chicago, it now runs roughly 45 locations across nine states, employs American Board of Obesity Medicine diplomate providers, holds LegitScript certification, and was named to Newsweek’s “America’s Best Weight Loss Clinics & Centers 2025.” Its NAD+ is an injectable administered in-clinic under physician supervision at a flat, publicly listed $199/month — refreshingly transparent pricing in a category full of opaque quotes. The trade-offs are real: NAD+ is not shipped to your home and is unavailable outside the nine states served, and the corporate entity carries a BBB “F” rating with nine unanswered complaints tied to billing, refunds, and a 30-day cancellation-notice rule. If you live near a location and value supervised in-person care, it earns a strong recommendation. If you want ship-to-door convenience, look at telehealth options instead.
Last updated: June 2026 | Reading time: ~10 minutes | Reviewed by Dr. Marcus Tan, MD
Key takeaways
- What it is: A decade-old brick-and-mortar medical weight-loss and wellness clinic chain (~45 locations, 9 states) that offers in-clinic NAD+ injections alongside GLP-1s, TRT/HRT, and B12 shots.
- What it treats: NAD+ is offered for wellness, energy, cognitive support, and healthy-aging — not for any disease. Evidence is still emerging.
- Pricing: $199/month for NAD+, publicly listed and FSA/HSA eligible. Free initial consultation.
- Prescription speed: Provider consult required, then in-clinic administration scheduled at one of its locations — no ship-to-door option.
- Best for: People near a clinic who want physician-supervised, in-person care from an accredited, established operator.
- Biggest caveat: A BBB "F" rating with nine unanswered complaints over billing, refunds, and a 30-day cancellation-notice requirement — a customer-service red flag, not a safety or FDA one.
Editorial rating breakdown
| Category | Score | Notes |
|---|---|---|
| Pricing | 4.7/5 | $199/month is publicly listed, flat, and FSA/HSA eligible — rare transparency for NAD+. The free consult helps. |
| Ease of use | 4.0/5 | NAD+ is clinic-only, so you must travel to and schedule at a location — less convenient than telehealth ship-to-door. |
| Medical quality | 4.9/5 | ABOM diplomate providers, in-person physician supervision, LegitScript certified, Newsweek-recognized. |
| Customer support | 4.2/5 | Location-level Google reviews are strong (~4.7–4.8★), but corporate BBB is an "F" with unanswered billing complaints. |
| Selection | 4.8/5 | One of the broadest menus we review: NAD+, glutathione, GLP-1, phentermine, B12/lipotropics, TRT, HRT, diagnostics. |
NAD+ pricing at a glance
| Plan | Price | What's included |
|---|---|---|
| Initial consultation | Free | Provider visit to assess eligibility and build a plan. Available in-clinic or via telehealth for some programs. |
| NAD+ injection program | $199/month | In-clinic, physician-supervised NAD+ injections. Compounded by a licensed pharmacy. FSA/HSA eligible. |
| Add-on injectables | Varies | B12, lipotropic, and glutathione injections can be combined; pricing quoted at consult. |
What is Options Medical Weight Loss?
Options Medical Weight Loss is a physical, multi-location medical clinic chain — not a telehealth startup. It was founded in 2014 in Chicago by Matt Walker, with William Barton as co-founder and president, and has since grown to roughly 45 locations across nine states: Illinois, Ohio, Florida, Georgia, Michigan, Indiana, North Carolina, Arizona, and Pennsylvania. The company says it has served more than 100,000 patients, and individual locations consistently post Google ratings in the 4.7–4.8★ range.
The brand began as a weight-management practice and expanded into a broader wellness menu over its decade in business. Today a single clinic might handle GLP-1 medications (semaglutide and tirzepatide), phentermine, B12 and lipotropic injections, NAD+, glutathione, TRT, HRT, and basic diagnostics under one roof. Its providers are American Board of Obesity Medicine (ABOM) diplomates, and the company is LegitScript Certified — a third-party verification that it operates as a legitimate, compliant healthcare provider.
Recognition matters here too: Options Medical was named to Newsweek's "America's Best Weight Loss Clinics & Centers 2025" list. Within our NAD+ comparison, it occupies a unique slot — every other provider we rank is telehealth-first and ships product to your door, while Options is the lone in-person, brick-and-mortar operator.
Options Medical NAD+ therapy — full breakdown
Format and dosage
Options Medical offers NAD+ as an injectable administered in-clinic under physician supervision. It is compounded by a licensed pharmacy — the company does not publicly name the pharmacy, and it does not publish the dose or strength of its NAD+ injections. Unlike the telehealth brands in our comparison, there is no at-home subcutaneous pen, oral capsule, or nasal-spray version: you receive the injection on-site at one of its clinics, which means a provider handles administration directly. Because specifics like milligram strength and injection schedule are set at the clinical visit rather than disclosed up front, you'll get exact numbers from your provider during consultation rather than from the website.
Claimed benefits
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme involved in cellular energy metabolism and DNA repair, and its levels are known to decline with age — a decline documented in the peer-reviewed literature (see this NIH/PMC review on age-related NAD+ decline). On that basis, Options Medical positions NAD+ as wellness support — patients commonly pursue it for energy, mental clarity and focus, cellular health, and healthy-aging goals. It's important to be clear-eyed: NAD+ therapy is not an FDA-approved treatment for any disease, the clinical evidence is still emerging, and Options Medical does not market it as a cure or treatment for a medical condition. Treat any benefits as supportive and individual rather than guaranteed.
Intake and consultation flow
The process starts with a free consultation, which you can book online. A provider reviews your health history and goals, confirms eligibility, and builds a plan. Because NAD+ is administered in person, you then schedule your injection visits at a specific Options Medical location. Telehealth consults are available for some programs (the GLP-1 weight-loss track, for example), but the NAD+ injection itself requires you to come into a clinic — there is no mail-order pathway for it.
Shipping and ongoing care
There is no shipping for NAD+ — this is the single most important practical fact about Options Medical's program. You don't receive a package; you receive your treatment at the clinic. Ongoing care is therefore tied to your proximity to a location, and the in-person model means a provider sees you regularly, which is a genuine advantage for monitoring and dose adjustment. The flip side is geographic limitation: if you don't live within reach of one of the nine states served, the NAD+ program simply isn't accessible to you.
Side effects and safety
NAD+ injections are generally well tolerated, but they can cause transient effects such as flushing, nausea, fatigue, lightheadedness, or injection-site discomfort, particularly if administered quickly. The benefit of Options Medical's model is that administration happens under direct physician supervision rather than self-administered at home, so a clinician can manage the pace and respond to any reaction on the spot. As with any compounded injectable, discuss your full medication list and medical history with the provider before starting.
FDA disclaimer
NAD+ injections from Options Medical are compounded preparations, not FDA-approved drugs. The U.S. Food and Drug Administration does not review compounded medications for safety, effectiveness, or quality before they reach patients. For background on how compounding is regulated, see the FDA's compounding questions and answers. Nothing in this review is medical advice; consult a licensed clinician before starting NAD+ therapy.
Pricing and plan structure
Options Medical lists NAD+ at $199 per month — and the fact that the price is published at all is a meaningful differentiator. Across the NAD+ category, many providers hide pricing behind a consult or quote it per-session in ways that are hard to compare, so a flat, public monthly figure is a point in Options Medical's favor. The program is also FSA/HSA eligible, which can meaningfully lower the effective cost for patients with those accounts, and the initial consultation is free, so there's no upfront gate to find out whether you qualify.
To put $199/month in context: NAD+ delivered via in-office IV infusions elsewhere often runs several hundred dollars per session, while at-home subcutaneous telehealth programs typically land in the low-to-mid-hundreds per month. Options Medical's in-clinic injection model sits in a reasonable middle band — you're paying for physician-supervised, in-person administration rather than a shipped product. If you want to model your own break-even across delivery formats, our NAD+ cost calculator (IV vs. subcutaneous vs. oral) compares the real per-month math. One caveat worth flagging now: BBB complaints reference a 30-day cancellation-notice requirement, so read the program agreement carefully before you commit.
People also ask
How much does NAD+ therapy cost online?
NAD+ pricing varies widely by delivery format. At-home subcutaneous telehealth programs commonly run in the low-to-mid hundreds of dollars per month, while in-office IV infusions can cost several hundred dollars per session. Options Medical's in-clinic injection program is a flat $199/month and is FSA/HSA eligible, which is on the more transparent and affordable end of the in-person spectrum.
Is Options Medical NAD+ legit?
Yes — Options Medical Weight Loss is a legitimate, established medical operation. It has been in business since 2014, runs roughly 45 physical clinics across nine states, is LegitScript Certified, staffs ABOM diplomate providers, and was named to Newsweek's "America's Best Weight Loss Clinics & Centers 2025." The honest asterisk is customer-service-related: the corporate entity holds a BBB "F" rating with nine unanswered complaints centered on billing, refunds, and a 30-day cancellation-notice requirement. Those are billing/contract disputes, not safety or FDA issues, and they contrast with strong 4.7–4.8★ Google reviews at the location level.
How fast does NAD+ start working?
Many patients report a short-term energy or clarity lift within days of starting NAD+, but responses are highly individual and the underlying healthy-aging benefits, if any, accrue over weeks of consistent use. Because Options Medical administers NAD+ in-clinic, your provider can adjust pace and frequency based on how you respond rather than leaving you to self-titrate at home.
Options Medical vs. Revive Meds — which is better?
It depends on what you value. Revive Meds is a telehealth provider that ships three NAD+ formats nationwide, so it wins decisively on convenience, format choice, and reach — you can start without leaving home regardless of your state. Options Medical wins on real-world legitimacy and in-person care: a decade-old, accredited, brick-and-mortar operation with physician-supervised administration and published $199/month pricing. Choose Revive Meds if you want ship-to-door flexibility and a choice of formats; choose Options Medical if you live near a clinic and prefer supervised, in-person treatment from an established operator.
Pros and cons
Pros
- Established brick-and-mortar chain since 2014 — the only in-person clinic operator in our NAD+ comparison.
- Physician-supervised, in-clinic administration by ABOM diplomate providers.
- LegitScript Certified and named to Newsweek's "America's Best Weight Loss Clinics & Centers 2025."
- Transparent, publicly listed $199/month pricing — FSA/HSA eligible, free consultation.
- Strong location-level reputation, with Google ratings around 4.7–4.8★.
- Unusually broad menu (NAD+, glutathione, GLP-1, TRT/HRT, B12/lipotropics, diagnostics) under one roof.
Cons
- BBB "F" rating, not BBB-accredited, with nine unanswered complaints over billing, refunds, and a 30-day cancellation-notice rule.
- NAD+ is in-clinic only — no ship-to-door option and no at-home format.
- Available in just nine states (IL, OH, FL, GA, MI, IN, NC, AZ, PA); inaccessible elsewhere.
- Dose, strength, and the compounding pharmacy are not published.
- No published third-party COA, batch testing, or money-back guarantee.
- Requires travel to a physical location and scheduled visits — less convenient than telehealth.
Who Options Medical is best for
Options Medical Weight Loss is best for people who live within reach of one of its nine states and specifically want in-person, physician-supervised NAD+ care from an accredited, decade-old operator rather than a mail-order program. If you value sitting in front of a clinician who administers and monitors your treatment, appreciate transparent $199/month pricing you can run through an FSA/HSA, and want the option to bundle NAD+ with GLP-1s, TRT/HRT, or B12 injections at the same clinic, this is one of the strongest in-person choices in the category. It's also a sensible fit for patients who simply trust a brick-and-mortar practice over a telehealth interface.
Who should look elsewhere
If you want ship-to-door convenience, a choice of NAD+ formats, or nationwide availability, Options Medical isn't the right fit — its NAD+ is in-clinic only and limited to nine states. Telehealth providers like Revive Meds ship multiple NAD+ formats nationwide, and others such as CareBareRx and BreezeMeds offer at-home programs worth comparing. You should also weigh the corporate BBB "F" rating and 30-day cancellation-notice requirement if billing flexibility is a priority for you. To line up every option side by side, see our full NAD+ provider comparison, and if you want product specs disclosed up front, a transparency-first telehealth brand will serve you better.
Final verdict
Options Medical Weight Loss earns a 4.6/5 and the #3 spot in our NAD+ comparison on the strength of something none of its competitors can match: a real, decade-old, physically present clinic network with accredited providers and supervised in-person administration. LegitScript certification, ABOM diplomate clinicians, the Newsweek recognition, and a flat, published $199/month price (FSA/HSA eligible) make it a credible, transparent choice for anyone who prefers in-person medical care over a shipped product. For the right patient near a location, it's an easy recommendation.
The reasons it doesn't rank higher are equally concrete. NAD+ is clinic-only and limited to nine states, the dose, strength, and compounding pharmacy aren't published, and the corporate entity carries a BBB "F" rating with nine unanswered complaints over billing, refunds, and a 30-day cancellation-notice requirement — a customer-service weakness that stands in contrast to its strong location-level Google reviews. Note that these are billing and contract issues, not safety or FDA actions; there is no FDA warning letter against Options Medical. Go in with eyes open about the cancellation terms, confirm a convenient location, and it's a solid in-person pick.
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