Patient FAQs

Axiva Wellness Centers is a concierge, medically-supervised wellness practice offering hormone therapy, medical weight management, IV vitamin therapy, sexual enhancement, aesthetics, and longevity medicine. Care is led by board-certified physicians and advanced-practice providers.

No referral is required. You can schedule a consultation directly, and we’ll build a personalized plan from your first visit.

We care for patients in Huntingdon Valley, PA; Pennington, NJ; and Havertown, PA, with a Ladue, MO location coming soon.

Your care is led by our board-certified physicians and advanced-practice providers. Meet them on our Our Team page.

Schedule a consultation online or by phone. We’ll discuss your goals, review your history, and design a plan tailored to you.

Most people notice appetite changes within the first 2 weeks, with meaningful fat loss by month 2. Clinical trials show gradual, sustainable weight reduction when paced for safety and aesthetics.

Mild nausea and fatigue are common early on. We monitor you monthly, adjust dosing as needed, and provide support and supplements for symptom relief.

Yes. Our team will guide your transition off medication, with lifestyle coaching to help you maintain results.

The full program is cash-pay and includes medication, injections, consults, lab work, and ongoing access. Pricing is set to reflect the comprehensive level of care and oversight provided, while remaining competitive with similar medically supervised programs. We’ll review all investment details during your consultation so you can make an informed decision with clarity and confidence.

In-person visits are preferred for accuracy and support, but we understand schedules change, and your time is valuable. For added flexibility, we offer limited telehealth options when needed.

Bioidentical hormones are plant-derived compounds that are chemically identical to those your body naturally produces. They’re compounded to match your body’s estrogen, progesterone, and testosterone structure, allowing for optimal absorption and utilization [1]. Axiva Wellness uses only bioidentical options in both pellet and non-pellet therapies. This supports natural energy, mood balance, and sexual wellness while maintaining your body’s rhythm.

You may benefit from hormone optimization if you’re experiencing symptoms such as decreased energy, mood changes, hot flashes, night sweats, reduced libido, sleep disturbances, brain fog, or weight changes that feel difficult to manage. Research shows hormone therapy during perimenopause can significantly improve psychological, emotional, and social well-being [2]. The Axiva team focuses on proactive optimization, not just treating deficiencies, so you can feel your best. Testing and consultation help us determine the right plan for your unique goals.

Our pricing is transparent and includes two components: Comprehensive Testing — a one-time female testing panel (CBC, metabolic panel, thyroid panel, vitamin D, sex hormones, and more) is required before starting therapy to establish your baseline and ensure safety. Monthly Membership — covers all hormone medications, ongoing lab work, consultations, dosage adjustments, and continuous support. We do not accept insurance, which allows us to provide more personalized, optimization-focused care. Full details are reviewed during your consultation.

Safety comes first. All treatments are overseen by licensed providers with specialized training in female hormone therapy. Every patient begins with a comprehensive female-specific lab panel to establish baseline hormone levels. From there, your provider works with you to define goals and create a personalized optimization plan. Ongoing monitoring occurs every 6–8 weeks for non-pellet therapy and pellet therapy, with adjustments as needed. This structured, wellness-focused approach ensures your plan remains safe, effective, and aligned with your long-term health. We’ve also redefined the treatment experience to be supportive and personal. Each visit is a one-on-one session in a professional office setting, where you have the time and space to ask questions, review progress, and adjust your plan. The goal is to make every appointment as comfortable, clear, and collaborative as it is clinical.

Hot flash reduction and sleep improvements often occur first, typically within the first 2–3 weeks, with many women reporting better sleep quality and reduced night sweats. Mood and energy improvements usually begin within 3–4 weeks of treatment, with research showing that hormone therapy during perimenopause significantly improves psychological, affective, and social well-being [2]. Sexual health and libido enhancement typically begin within 4–6 weeks of treatment, with continued improvement over several months as hormone levels stabilize. Studies demonstrate that hormone replacement therapy shows particular benefits for sexual dysfunction and overall well-being in hormone-deficient states [3]. Cognitive improvements such as reduced brain fog and improved mental clarity often become noticeable within 4–8 weeks of consistent treatment. Physical changes such as improved body composition and reduced menopausal weight gain typically become apparent within 2–3 months of treatment. Full hormone optimization usually occurs over 3–6 months, with ongoing adjustments based on regular monitoring results and individual response patterns. Research has confirmed significant improvements in mood, energy, sleep quality, and sexual function throughout the treatment period [4]. Both pellet and non-pellet delivery methods follow similar timelines for results, with identical monitoring and optimization protocols. However, not every woman follows this exact timeline. Some respond more quickly, while others require more gradual adjustments. Our team is here to provide hands-on support, tailoring your plan and pacing to your body’s unique needs so you feel guided and cared for every step of the way.

The length of therapy depends on your goals and health. Some women use hormone therapy short-term to manage symptoms, while many choose long-term optimization to maintain vitality as hormone levels naturally decline with age. Your plan is reevaluated regularly to ensure it continues to meet your needs.

Yes. You can transition between pellet and non-pellet therapy at any point. Because both methods follow the same testing and monitoring standards, switching is straightforward and fully supported by your provider.

Every patient undergoes a complete hormone panel and wellness assessment before beginning therapy. Treatments are delivered under licensed medical supervision, with ongoing monitoring at set intervals. Both pellet and non-pellet patients receive identical safety protocols, including hormone tracking, wellness assessments, and adjustments to keep therapy safe and effective.

Our medical team is highly trained in safety and complication management, ensuring every treatment is delivered with expert oversight. Potential side effects may include, but are not limited to, mild breast tenderness during initial optimization, temporary mood fluctuations as your body adjusts, minor changes in menstrual patterns (if still menstruating), or slight shifts in energy as your body adapts to new hormone levels. These effects are usually temporary and resolve as balance is restored. During your visits, our clinicians review potential risks in detail, adjust dosing in real time, and provide additional support if needed — all to maximize both your comfort and safety.

Progress is tracked through regular hormone panels, wellness evaluations, and vitality assessments. Non-pellet and pellet therapy are reviewed every 6–8 weeks. Based on results, we adjust dosage, timing, or add supportive wellness strategies. This continuous feedback loop ensures your plan evolves with you, so you maintain peak vitality over time.

Bioidentical hormones are chemically identical to the hormones naturally produced by your body. For men, these are derived from plant sources and compounded to match your body’s natural testosterone structure. Unlike synthetic alternatives, bioidentical testosterone mirrors your body’s own hormone, supporting optimal absorption and utilization. Axiva Wellness uses only bioidentical testosterone in both injectable and pellet delivery methods. This approach supports natural energy enhancement, strength optimization, and peak performance while maintaining your body’s natural hormone balance.

You may benefit from bioidentical testosterone therapy if you’re experiencing decreased energy and motivation affecting work and daily activities; reduced muscle mass and strength despite exercise; mood changes, including irritability and decreased motivation; sleep disturbances and poor recovery; decreased libido and sexual performance; brain fog and reduced mental clarity; or weight gain and difficulty maintaining body composition. Research shows testosterone optimization can improve quality of life, with men often experiencing gains in mood, vitality, libido, sexual interest, erectile function, and physical strength within the first 3 months of treatment. Axiva Wellness takes a proactive, performance-driven approach focused on enhancing your peak performance and vitality. Comprehensive testing evaluates your hormone levels and overall wellness status. Treatment decisions are tailored to your goals and needs — rather than rigid “normal range” thresholds.

Our pricing is simple and transparent, with two parts. Comprehensive Testing (one-time fee): every plan begins with a full hormone and wellness panel to establish safe baselines. This includes CBC, metabolic panel, thyroid, vitamin D, testosterone (free & total), estradiol, PSA, lipids, and more. Testing is required for all patients, regardless of delivery method. Monthly Membership: after testing, your membership covers everything — bioidentical testosterone (injections or pellets), ongoing lab work, consultations, dosage adjustments, and continuous support from our care team. Because we don’t accept insurance, we’re able to provide fully personalized, optimization-focused care without restrictions. All investment details are reviewed during your consultation so you know exactly what to expect.

Both use bioidentical testosterone and include the same testing, monitoring, and support. The only difference is how the hormone is delivered. Injectable bioidentical testosterone: weekly self-administration at home, precise dosing control and flexibility, a cost-effective optimization approach, rapid adjustment capability — ideal for men who prefer control over their protocol, with the same comprehensive care, testing, and monitoring as pellet therapy. Pellet bioidentical testosterone: quarterly clinic visits for implant procedures, consistent 24/7 hormone delivery, no daily medication routine required, steady energy and performance levels — perfect for busy professionals seeking convenience, with the same comprehensive care, testing, and monitoring as injectable therapy. Whichever you choose, you’ll receive identical monitoring, wellness assessments, and access to our care team. We’ll help you decide which fits your lifestyle best.

Your safety and comfort are central to every step of treatment. Before beginning therapy, you’ll complete a comprehensive male-specific lab panel to identify your baseline levels. From there, your provider works with you to define goals and create a personalized optimization plan. Your program is supervised by licensed healthcare professionals with advanced training in men’s hormone health, with regular monitoring every 6–8 weeks for injections and pellet therapy. Dosages are adjusted as needed to keep your plan safe, effective, and aligned with your goals. Each visit is a one-on-one session in a professional office setting, where you’ll have the time and space to ask questions, review progress, and adjust your plan. The goal is to make every appointment as comfortable, clear, and collaborative as it is clinical.

Individual results vary depending on your baseline hormone levels, overall health, and delivery method. Most men begin noticing improvements within 2–4 weeks of starting therapy. Energy and mood are usually the first to shift, with many reporting better motivation, reduced fatigue, and sharper focus in the first 2–3 weeks [3]. Research from long-term studies shows that men experience rapid and sustained improvements in quality of life, with fewer sexual, psychological, and somatic symptoms beginning within the first month [4]. Physical changes such as muscle mass improvement and body composition changes typically become noticeable within 2–3 months of consistent treatment, particularly when combined with appropriate exercise and nutrition protocols. Strength gains and workout performance improvements often become apparent within 4–6 weeks of treatment. Full hormone optimization usually occurs over 3–6 months, with ongoing adjustments based on your body’s response, with studies demonstrating continued improvements in energy levels, performance, and mood throughout the treatment period [5]. Both injectable and pellet delivery methods follow similar timelines, supported by identical monitoring and optimization protocols.

That depends on your goals. Some men use testosterone therapy for short-term performance or health concerns, while many continue long-term to maintain strength, vitality, and confidence as testosterone naturally declines with age. Your provider regularly reviews your progress and helps you decide whether to continue, pause, or adjust your plan. Both injectable and pellet options offer flexibility for either short- or long-term use.

Yes. Switching between injections and pellets is straightforward, since both follow the same testing and monitoring protocols. Many men begin with one method and later switch as their lifestyle or preferences change. Our team will guide you to ensure the transition is smooth and safe.

Every patient completes a full male-specific lab panel before starting treatment to establish safe baselines. All therapies are overseen by licensed providers with follow-up visits to track hormone levels, wellness markers, and performance. Both injectable and pellet therapies follow identical safety standards, ensuring consistent protection and oversight throughout your program.

Most men tolerate bioidentical testosterone very well. Possible side effects may include mild acne or skin changes, temporary sleep adjustments, minor mood fluctuations, or changes in energy levels as your body adapts. These effects are generally short-lived and resolve as hormone levels stabilize. Our licensed clinicians review potential risks with you in detail, adjust dosing in real time, and provide additional support if needed — ensuring your safety and comfort at every step.

Monitoring is continuous and personalized. We track hormone panels, wellness evaluations, and performance metrics every 6–8 weeks for both injections and pellets. Your provider uses this data to fine-tune dosing, timing, and supportive care, ensuring your plan evolves with your needs. This feedback loop helps maintain peak performance, vitality, and long-term results.

Our comprehensive membership includes everything needed for successful hormone optimization, regardless of delivery method. Core benefits: all bioidentical testosterone medications (injectable or pellet); a comprehensive initial wellness assessment and testing; regular monitoring and lab work (every 6–8 weeks for injectable and pellet); ongoing medical consultations and protocol adjustments; dosage optimization and fine-tuning; on-demand access to our wellness team for questions and support; and priority scheduling with concierge-level service. Injectable therapy also includes all injection supplies and equipment and comprehensive injection training; pellet therapy includes quarterly implant procedures. Both delivery methods receive identical comprehensive care, monitoring, and support, with transparent pricing and no hidden costs.

Most people benefit from IV therapy weekly to monthly, depending on their health and goals. Some choose more frequent IV drips during high stress, illness recovery, or athletic training. At Axiva Wellness, our medical team personalizes recommendations so your IV hydration plan supports your body’s unique needs.

Your first IV vitamin therapy session starts with a quick health check before our licensed professional places the IV. Our IV vitamin infusions last 20–60 minutes, depending on the formula. Most patients feel relaxed and comfortable, and many notice a boost in energy or well-being during or shortly after treatment.

IV drip therapy is generally safe when administered by licensed professionals. Mild effects, such as brief discomfort at the needle site, a cooling sensation, or a temporary metallic taste, may occur. Serious reactions are rare, and our trained team is always prepared to respond quickly.

All IV infusions at our Huntingdon Valley, Havertown, Pennington, and Ladue clinics are provided by licensed medical professionals, including registered nurses and trained healthcare providers, with up-to-date certifications and extensive IV therapy experience.

Certain conditions, such as kidney disease, specific heart issues, pregnancy, breastfeeding, or some medications, may require adjustments. Before any IV vitamin drip, our medical team screens your health history to ensure treatments are safe and appropriate for you.

IV drip therapy usually lasts 45–60 minutes, though smaller infusions like our IV Rush may take just 20 minutes. Athletic recovery IVs or migraine relief drips may run closer to an hour.

Eat a light meal, drink plenty of water, and wear comfortable clothing with easy arm access. Avoid alcohol 24 hours before your infusion. Be sure to tell our team about recent illnesses, medications, or health concerns.

Most patients describe their IV therapy sessions as calming and restorative. After a brief pinch at the start, you’ll settle into a private setting with heated massage chairs, Wi-Fi, and other amenities. Our team monitors your comfort throughout, adjusting as needed so your infusion feels smooth, supportive, and even like a moment of self-care in your day.

Many individuals notice effects during or immediately after treatment, including increased energy, improved hydration, or enhanced well-being. Benefits typically peak within 24–72 hours and may last several days to weeks, depending on the formulation, your health status, and lifestyle factors.

During a consultation, our medical team matches your goals with the right formula, whether that’s an Energy IV drip, Immunity IV, Beauty IV, Athletic Recovery IV, or general wellness support.

Yes. We offer nutrient “boosters” like B-complex, B-12, zinc, biotin, and glutathione. These can be added to most IV drips to create a personalized infusion that matches your wellness goals.

Oral supplements must go through “first pass” metabolism and are absorbed at about 20–50%, while IV vitamin drips deliver nutrients directly to your bloodstream for 100% bioavailability. That means faster, higher-dose replenishment that your cells can use immediately.

Absolutely. Our energy drips and hydration therapy help sustain motivation and optimize results. Many clients combine weight management injections with IV hydration for enhanced support.

Yes. IV therapy can be an excellent complement to your longevity program at Axiva Wellness. While your core longevity treatments target cellular energy and healthy aging, many patients choose to add nutrient-rich infusions to further support their goals. Depending on what you want to optimize, IV therapy can provide additional support for immune resilience, energy metabolism, skin health, and overall vitality — helping you feel and function at your best throughout your longevity journey. Because each therapy is medically supervised and personalized, your provider will guide you in selecting the infusions that best align with your longevity journey, ensuring all services work together to support your overall vitality.

Our pricing depends on the type of therapy you choose. IV vitamin infusions are generally among our most accessible options, while advanced longevity IV treatments and memberships represent a more significant investment due to their specialized nature. Single vitamin injections and add-on nutrients are also available at varying price points. During your consultation, we’ll review the full menu of infusion and injection options with transparent pricing, so you can select what best aligns with your goals and budget.

Yes. Frequent users can save with package pricing, and IV drips are also included in our broader wellness memberships. Our team can design a plan that fits your goals and frequency.

Some modifications are required during pregnancy or breastfeeding. Our licensed providers review your case individually and may recommend adjusted formulations or alternative treatments.

Our team is experienced with needle anxiety. We create a supportive, calming environment and use gentle techniques. Many patients who were nervous initially find IV therapy comfortable after their first session.

The most effective sexual enhancement treatment depends on your individual needs and health profile. Axiva Wellness takes a personalized approach that may include prescription medications, hormone optimization for men and women, and targeted libido boosters. By addressing the physical and hormonal aspects of intimacy, we create a plan that improves performance and overall sexual well-being.

Most adults experiencing changes in libido, performance, or stamina may benefit from our therapies. Ideal candidates are those who want safe, medically-supervised sexual enhancement treatment that complements their overall wellness plan. During your consultation, our team will review your health history to ensure the right fit for your needs.

Balanced hormones are the foundation of healthy sexual function. Our male and female hormone optimization memberships include comprehensive testing, ongoing monitoring, and personalized treatment plans to support libido, stamina, and performance. By addressing hormone imbalance, we create a stronger platform for the success of your sexual enhancement treatments.

Yes. Certain therapies, like PT-141 and targeted libido boosters such as Oxytocin, work directly with your nervous system to increase sex drive naturally. Combined with hormone support and wellness-based care, these treatments can help restore passion, strengthen connection, and improve overall sexual well-being.

Many patients notice results quickly. Some medications can take effect within minutes, while others are designed to provide longer-lasting support for several hours. During your consultation, we’ll discuss your goals and lifestyle to help you choose the option that works best for you.

Maintaining strong sexual health involves more than taking a pill. It’s about caring for your whole body. Staying active, eating nutrient-rich foods, managing stress, and getting quality sleep all play important roles in sustaining libido and stamina. The Axiva Wellness team can integrate lifestyle guidance, hormone optimization, and sex drive therapy into a comprehensive plan to support long-term vitality.

Yes. One of the most promising options is PT-141, which has been shown to improve arousal in women by acting on the central nervous system rather than just blood flow. Additionally, bioidentical hormone replacement therapy (BHRT) with testosterone can significantly enhance female libido by addressing hormonal imbalances that often contribute to decreased sexual desire.

Prescription sexual enhancement treatments work by targeting the physical mechanisms of arousal. For men, these medications increase blood flow to the genital area, making it easier to achieve and maintain erections. Other therapies act on the brain to enhance sexual desire in both men and women. Together, these ED treatment options and libido boosters can improve performance and help restore fulfilling intimacy.

All of our sex drive therapy and ED treatment options are prescribed under medical supervision. You’ll meet with licensed healthcare professionals who review your health history, monitor your response, and adjust your plan as needed to ensure treatments are both safe and effective for you.

Absolutely. Intimacy is personal, and we take confidentiality seriously. All consultations and treatments at our sexual wellness clinic are handled discreetly and respectfully, so you can feel fully supported and comfortable throughout your care.

Facial aesthetic treatment is a non-surgical approach that uses FDA-approved facial injectables to soften wrinkles, restore volume, and enhance natural balance. At Axiva Wellness, these treatments include tox injections, dermal fillers, biostimulators, chemical peels, and microneedling — all designed for subtle, natural-looking results.

The best facial treatments depend on your individual goals, but many patients start with tox treatment to smooth dynamic lines, dermal filler injections to restore facial structure, Sculptra® for long-lasting collagen support, VI Peel® for pigment and texture concerns, or SkinPen® microneedling for scarring and skin renewal. During a consultation, we create a personalized plan so you get results that align with your features and lifestyle.

Most facial aesthetic treatments deliver results that last several months to 2 years, depending on the service. Tox injections typically last 3–4 months, dermal filler injections typically last 6–12 months, and Sculptra® biostimulator results can last up to 2 years.

The frequency of aesthetic treatments depends on the injectable used and your desired results. Many patients refresh tox injections every 3–4 months, dermal filler injections once or twice a year, and Sculptra® sessions as part of a series with results lasting for 2 years. Your provider will recommend a schedule based on your anatomy and goals.

Our clinicians are extensively trained in both safety and complication management, so every treatment is delivered with the highest standard of care. Some potential side effects, including but not limited to, are mild swelling, redness, or bruising at the injection site. When you visit Axiva Wellness Centers, our medically trained staff will review all potential risks in detail, answer your questions, and ensure you feel informed and comfortable before moving forward.

Facial injectables are not permanent, which allows for adjustments in your treatment plan as your goals evolve.

The cost of facial filler injections varies depending on the product, treatment area, and number of syringes needed. During your consultation at Axiva Wellness, you’ll receive transparent pricing and a customized treatment plan that reflects your goals.

The best noninvasive facial treatment is different for everyone and depends on your unique goals, facial anatomy, and lifestyle factors. During your personalized consultation at Axiva Wellness Centers, our medically-trained team will assess your needs and recommend the most effective facial aesthetic treatments to help you achieve your ideal results.

A neuromodulator is a category of injectable that temporarily relaxes overactive facial muscles to smooth lines and wrinkles. Botox® is one specific brand of neuromodulator, while others include Dysport®, Xeomin®, Jeuveau®, and Daxxify®. All are FDA-approved facial injections with similar results when performed by trained professionals.

Most neuromodulators provide results for about 3–4 months. The differences are subtle, and results depend more on your unique physiology and treatment plan than the brand used.

Botox® does not directly treat dry skin. However, some patients notice improved skin texture after tox treatment because of reduced muscle movement and smoother light reflection. For hydration support, IV vitamin infusions or topical treatments are better options.

Our clinicians are trained extensively in safety and complication management, so every tox treatment is performed with precision and oversight. Potential side effects, including temporary redness, swelling, or bruising at the injection site, can occur, though they are generally mild and short-lived. At Axiva Wellness Centers, our medically trained staff will review all possible risks in detail during your consultation and answer any questions you have so you feel informed and confident before treatment.

Sculptra® and traditional dermal fillers work differently. Dermal fillers provide immediate facial volume and contouring results, while Sculptra® gradually stimulates collagen production for long-lasting structural support. Neither is “better” — Sculptra® is ideal for overall collagen restoration, while dermal fillers are best for instant, targeted enhancements. Many patients benefit from a combination of both.

Biostimulators like Sculptra® stimulate your body to rebuild collagen, leading to gradual and long-lasting improvements in skin structure and elasticity. Dermal fillers, such as Restylane® or Versa™, are gel-based facial injections that provide immediate volume and contouring. Both are safe, non-surgical aesthetic treatments, but they achieve results in different ways.

A chemical peel is a medical-grade exfoliation treatment that uses a carefully selected blend of acids to remove damaged outer layers of skin and stimulate renewal. At Axiva Wellness, we offer the VI Peel — a multi-acid peel featuring TCA, retinoic acid, salicylic acid, phenol, and vitamin C with a built-in anesthetic for comfort. It is custom-formulated to target hyperpigmentation, aging, acne, and uneven texture while delivering a brighter, more radiant complexion.

Recovery from a VI Peel typically involves approximately 3–5 days of visible peeling. The peel is applied in-office and stays on your skin for 4 hours before you wash it off at home. Peeling usually begins on day 3, starting around the mouth and expanding outward. Mild redness, skin tightness, and temporary sensitivity are normal, and you will receive a specialized post-peel homecare kit to support healing.

While a single VI Peel provides a noticeable refresh, a series of 3–4 treatments is typically recommended for optimal correction of deep pigment or scarring. Your provider will recommend a schedule based on your skin type, concerns, and goals during your consultation.

Most patients report a mild tingling sensation during the first minute of application, which quickly subsides as the built-in numbing agent takes effect. The VI Peel is designed for maximum comfort while delivering aggressive cellular turnover.

It is highly recommended to avoid makeup from day 3 until the peeling process is completely finished to avoid irritating the fresh, new skin beneath. Your provider will give you specific aftercare guidance to protect your skin throughout the healing process.

Microneedling is a non-surgical skin rejuvenation treatment that uses a medical-grade device to create controlled micro-injuries in the skin, triggering your body’s natural collagen and elastin production. At Axiva Wellness, we use SkinPen® — the world’s first FDA-cleared medical microneedling device — to remodel skin structure from underneath and improve texture, scarring, and signs of aging.

We apply a prescription-strength topical numbing cream prior to the procedure, making the treatment very comfortable. Most patients describe it as a light, vibrating sandpaper sensation. Medical supervision ensures the treatment depth is tailored to each area of your face for maximum comfort and safety.

You will notice improved skin texture and a healthy glow within the first week. Because collagen synthesis takes time, your most dramatic improvements in scarring and wrinkles will continuously develop over the course of 3–6 months. A series of 3 treatments spaced 4 weeks apart is the gold standard for transformative structural changes.

You should stick to the provided bland skincare and SPF for the first 72 hours. Avoid active ingredients like retinol, vitamin C, or exfoliating acids for at least 5–7 days. Your provider will give you specific aftercare instructions to support optimal healing and results.

NAD+ infusions require careful rate management, and some patients notice mild sensations, such as warmth or tingling, if the pace is too brisk. We adjust in real time for your comfort. Niagen® (NR) IV therapy flows steadily and is generally perceived as gentler. Intramuscular (IM) injections of both NAD+ and Niagen® (NR) involve only a brief, localized sensation. At Axiva Wellness, our team’s mission is to deliver restorative and enjoyable infusion experiences. Treatments are administered in heated massage chairs, with high-speed Wi-Fi and other amenities, so you can relax, stream, or catch up on work while supporting your long-term vitality.

Our clinicians continuously monitor you throughout every NAD+ and Niagen® (NR) therapy session. For NAD+, we begin conservatively and fine-tune the infusion rate based on your feedback. You’re always in control, and we respond immediately. If side effects arise, our team can also administer supportive medications to help you stay comfortable. This unhurried, physician-led environment reflects our commitment to clinical excellence in anti-aging science.

NAD+ IV infusions typically take about 4 hours, while Niagen® (NR) IV therapy is shorter, averaging around 50 minutes. We recommend staying well-hydrated and planning a relaxed schedule afterward. Most patients resume normal activities without issue, supporting healthy aging and lifestyle integration.

Yes. During your consultation, our medical team will review your goals in healthspan extension and optimizing longevity to craft a safe, effective plan. If appropriate, we’ll discuss how hormone therapy for aging, nutrition, or adjunctive longevity supplements and a tailored longevity diet might enhance your overall results.

Choose NAD+ IV therapy if you want immediate NAD+ delivery and don’t mind responsive rate adjustments. Opt for Niagen® (NR) IV therapy if you prefer a gentler, steady precursor infusion experience. Our clinicians will help you decide based on your health history, desired outcomes, and long-term longevity research.

These elective wellness services, sometimes called Niagen® (NR) therapy or NAD+ enhancers, are usually not covered by insurance. During your consultation, we’ll provide transparent cost details, membership pricing, and any available payment options.

Treatment frequency depends on your baseline NAD+ levels and healthy aging targets. Many patients begin with weekly or biweekly sessions for rapid support, then transition to monthly maintenance to sustain cellular energy and extend health span.

Our medical team is highly trained in safety and complication management, ensuring every longevity infusion is delivered with expert oversight. Potential side effects, including but not limited to mild nausea, headache, or fatigue, may occur early in NAD+ therapy, though they are typically temporary. Side effects from Niagen® (NR) IV therapy are rare and generally mild, including but not limited to tingling in the mouth and extremities, congestion, and head and ear pressure. During your visit, our clinicians will review potential risks in detail, adjust dosing in real time, or administer medication to maximize both comfort and safety.

NAD+ delivers the active coenzyme directly to your cells, while Niagen® (NR) provides a precursor your body converts into NAD+. Think of NAD+ as handing your cells the finished key, and Niagen® (NR) as supplying the materials to make that key.

Our longevity memberships are designed for flexibility — you can pause, upgrade, or cancel your plan with 30 days’ notice. When you’re ready for your first infusion, stay well-hydrated, eat a light meal a couple of hours beforehand, and arrive a few minutes early to complete your intake assessment. If you get hungry during your session, we have snacks and refreshments available. Comfortable clothing with easy arm access is recommended so you can relax during your NAD+ or Niagen® (NR) infusion.

Contraindications include pregnancy, active breastfeeding, certain hormonal conditions, and specific gastrointestinal disorders. Our thorough health screening will determine if these therapies are safe and appropriate for you.

Many patients notice energy boosts and improved mental clarity within the first few days. Over the first month, enhanced vitality, better sleep, and more efficient metabolism often emerge. Long-term, regular NAD+ and Niagen® (NR) therapy supports overall healthy aging, though individual results vary.

Our therapies are grounded in clinical research and administered under physician supervision. With regular monitoring and dose adjustments, long-term safety and effectiveness are maintained for most patients pursuing healthy longevity.

We offer tiered membership plans that provide ongoing NAD+ and Niagen® (NR) treatments at preferred rates. Your consultation will include a clear breakdown of membership tiers, benefits, and any financing or payment options available.

While our team does not provide formal dietary counseling, we recognize that overall lifestyle plays an important role in cellular health. Many patients choose to support their IV therapies with nutrient-dense food choices and supplemental options. Common infusions and injections at Axiva — such as vitamin C, B complex, and glutathione — can work alongside NAD+ and Niagen® (NR) therapies to help optimize cellular repair and resilience. During your consultation, we’ll review safe, evidence-based options that may enhance your results.

Axiva operates as a concierge wellness practice, and most services are offered on a self-pay or membership basis. Our team explains all costs clearly before you begin.

Costs vary by program and the plan we design together. You’ll always receive clear pricing before starting any treatment.

Many of our services qualify for HSA/FSA reimbursement, and we can provide the documentation you need.

Several services are offered through membership programs that bundle ongoing care and monitoring. Ask our team which option fits your goals.

Your first visit focuses on understanding your goals and health history. We take time to listen, review any relevant labs, and design a treatment plan tailored to your physiology.

Initial consultations are unhurried so we have time to understand your full picture and answer your questions.

Bring any recent lab results, a list of your current medications and supplements, and a summary of your health history.

If lab testing is part of your plan, we’ll let you know in advance whether fasting is needed.

Yes. Many consultations and follow-ups can be handled virtually for your convenience.

Consultations, follow-ups, and treatment planning are often virtual. In-person visits are needed for IV therapy, injections, and aesthetic treatments.

After scheduling, you’ll receive a secure video link. Join from your phone or computer at your appointment time.