Emerge Care
NAD+ and longevity

Lttl

Checked October 15, 2026 6 sources lttl.com ↗

Lttl, operated by The Commerce Group Holdings, LLC, is an online clinic offering compounded GLP-1s and a longevity line that includes NAD+ injections, nasal spray and oral liquid.

What it is

Longevity line lists NAD+ injectable (500mg and 1000mg), NAD+ nasal spray, NAD+ oral liquid, sermorelin, glutathione, L-carnitine, MIC+B12 and methylene blue.

Independent networks of US-licensed clinicians decide whether to prescribe after an online assessment.

Site states compounded medications are not FDA-approved and that Lttl does not manufacture medications.

Prescribes: Compounded NAD+ in injectable, nasal and oral forms plus other compounded longevity and GLP-1 medications (not FDA-approved).

What it costs

NAD+ (injectable, nasal or oral), plans start at$99/mo1
Glutathione, MIC+B12, L-carnitine, methylene blue$79/mo1
Sermorelin$99/mo1

Insurance: "No insurance required"; plans described as FSA/HSA eligible.

Prices change often. Check lttl.com before you sign up.

Pros and cons

Pros

  • Same monthly price at every NAD+ dose, with no contracts and cancel-anytime terms.2
  • Offers three NAD+ formats (injection, nasal spray, oral liquid).2

Cons

  • Compounded NAD+ is not FDA-approved, per the company's own disclaimer.2
  • Pharmacy partners, legal states served and multi-month terms are not stated on the NAD+ page.2
  • Small Trustpilot sample (11 reviews).4

What users say

Common themes in public posts on Reddit, Trustpilot, the Better Business Bureau and app stores, summarised and linked. Individual experiences vary.

  • Trustpilot reviewers describe simple onboarding, responsive clinicians and quick delivery; all 11 reviews are 5-star.4
  • Reddit mentions of Lttl for NAD+ are few.56

Sources

  1. 1Lttl homepagelttl.com ↗
  2. 2Lttl NAD+ pagelttl.com ↗
  3. 3Lttl Terms of Service (operator entity)lttl.com ↗
  4. 4Trustpilot: lttl.comtrustpilot.com ↗
  5. 5Reddit r/NicotinamideRiboside: NAD subq inject threadreddit.com ↗
  6. 6Reddit r/Wegovy: comment recommending Lttlreddit.com ↗

Emerge Care is not affiliated with Lttl and earns nothing if you use it. Lttl and its logo are trademarks of their owner, used only to identify it. This page lists public facts with sources and is not medical advice or a recommendation. Spotted something wrong or out of date? Email hello@getemergeapp.com and we will fix it.

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