The Hidden Downsides of NAD+ Shots for Skin Health
- Northeast Dermatology
- 4 minutes ago
- 3 min read

NAD+ (nicotinamide adenine dinucleotide) has become a buzzword in the world of anti-aging and skin rejuvenation. Marketed as a cellular repair booster, NAD+ shots are often promoted as a way to achieve glowing, youthful skin from the inside out. But while the concept sounds promising, the reality for skin health is far less clear; and in some cases, potentially disappointing.
A closer look at NAD shots for your skin
Here’s a closer look at the negatives of NAD+ shots specifically when it comes to your skin.
1. Lack of Direct Evidence for Skin Benefits
One of the biggest issues with these shots is that there’s very little direct scientific evidence showing that NAD+ injections improve skin appearance in humans. While NAD+ plays a role in cellular repair, most of the research doesn’t specifically translate to visible skin improvements like reduced wrinkles, better texture, or increased hydration.
In other words, just because NAD+ supports cells doesn’t mean it will noticeably transform your
skin.
2. Results May Be Subtle—or Nonexistent
Even among users who report overall wellness benefits, skin improvements are often minimal or hard to detect. Unlike treatments specifically designed for skin such as retinoids, chemical peels, or laser therapy, NAD+ shots work systemically, not locally.
This means your skin may not receive enough targeted impact to produce visible changes.
3. Temporary Effects at Best
If there are any skin-related benefits (like a slight glow or improved tone), they are usually short- lived. Since NAD+ levels drop again over time, maintaining any perceived improvement often requires ongoing injections.
That makes it an expensive and inefficient approach compared to topical or dermatological treatments with longer-lasting results.
4. Potential for Skin Reactions at Injection Sites
Because NAD+ shots are administered via injection, they can cause localized skin issues such as:
Redness
Swelling
Bruising
Tenderness
For people already concerned about their skin’s appearance, these temporary reactions can be frustrating and counterproductive.
5. Indirect Side Effects That Affect Skin Appearance
Some of the common side effects of NAD+ shots are nausea, fatigue, or headaches. This can indirectly impact how your skin looks. Feeling unwell or dehydrated can lead to dullness, puffiness, or a tired appearance.
So in some cases, NAD+ shots may actually make your skin look worse, at least temporarily.
6. Overhyped Anti-Aging Claims
NAD+ is often marketed as a powerful anti-aging solution, but when it comes to skin, these claims can be exaggerated. Aging skin is influenced by many factors; sun exposure, collagen breakdown, hydration, and lifestyle habits… not just cellular energy levels.
Relying on NAD+ shots alone ignores more effective, evidence-based skincare approaches.
7. Better Alternatives Exist for Skin Health
Perhaps the most practical downside is opportunity cost. The time and money spent on NAD+ injections could often be better invested in proven skin treatments, such as:
Medical-grade skincare products
Sunscreen and UV protection
Professional dermatological procedures
A balanced diet and proper hydration
These options have far stronger evidence for improving skin health and appearance.
Final Thoughts on NAD+ Shots for Skin
While NAD+ shots may offer intriguing benefits for overall cellular function, their impact on skin health is uncertain and often overstated. From minimal visible results to potential side effects and high costs, the downsides make them a questionable choice for anyone focused primarily on improving their skin.
When it comes to skincare, targeted, evidence-based approaches still outperform trendy, system wide solutions. Before investing in NAD+ shots for your skin, it’s worth considering whether the hype truly matches the results.











