Emerge Care
NAD+ and longevity

System Labs

Checked October 15, 2026 9 sources systemlabs.com ↗

System Laboratories, Inc. runs an online peptide and longevity service that pairs patients with a clinician and ships compounded NAD+ injections, NAD+ nasal spray and related injections from licensed US pharmacies.

What it is

Lists NAD+ injection, NAD+ nasal spray, glutathione, MIC+B12, sermorelin injection and oral compounded sermorelin on its homepage.

Intake is a short online form; a licensed provider reviews it and follows up by chat, and medication ships with free 2-day shipping.

Site carries an "Important FDA disclosure" that its peptide medications and therapies have not been approved by the FDA.

Prescribes: Compounded NAD+ (injection and nasal spray) and compounded peptides; the site states these are not FDA-approved.

What it costs

NAD+ injection, quarterly supply (1000mg)$99/mo2
NAD+ injection (homepage list price)$149/mo1
NAD+ nasal spray$149/mo3
Glutathione$119/mo1
MIC+B12$89/mo1
Sermorelin injection$149/mo1

Insurance: Site says System is entirely cash-pay.

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

Pros and cons

Pros

  • Publishes per-product monthly prices on its site.1
  • Says refills can be paused or cancelled anytime and ships free 2-day.2

Cons

  • Its products are compounded and, per its own disclosure, not FDA-approved.2
  • Trustpilot's page for systemlabs.com shows a notice that the business was removed for going against Trustpilot's guidelines.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.

  • Several Reddit users who bought NAD+ report fast approval (hours) and shipping within days, and easy cancellation.56
  • Users note the NAD+ was filled by a different compounding pharmacy than some expected, and that low first-month promo prices step up afterwards.67
  • Some users report slow approvals, wrong prescriptions, mostly automated customer service, and side effects they attributed to the product.89

Sources

  1. 1System Labs homepagesystemlabs.com ↗
  2. 2System Labs: NAD+ treatment pagesystemlabs.com ↗
  3. 3System Labs: NAD+ nasal spray pagesystemlabs.com ↗
  4. 4Trustpilot: systemlabs.comtrustpilot.com ↗
  5. 5Reddit r/compoundedtirzepatide: "Has anyone used System Labs" (NAD+ experience)reddit.com ↗
  6. 6Reddit r/tirzepatidecompound: NAD dosage questionreddit.com ↗
  7. 7Reddit r/tirzepatidecompound: NAD+ pricing commentreddit.com ↗
  8. 8Reddit r/tirzdeals: SystemLabs OptioRx deal thread (critical comment)reddit.com ↗
  9. 9Reddit r/tirzepatidecompound: survey thread comment on approvals and wrong prescriptionsreddit.com ↗

Emerge Care is not affiliated with System Labs and earns nothing if you use it. System Labs 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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