Shed Reviews: NAD+ Cost, the Two-Month Minimum, and the Verdict

The one-sentence version

Shed publishes three NAD+ prices — $169/mo for injections, $144 for the nasal spray, $169 for oral tablets — and then, in its own Terms and Conditions, requires a two-month minimum commitment that no product page mentions. It grades C, 6 points out of 14, the bottom band of our board, and it is a paid partner here; the grade is computed from published terms alone and cannot see who pays us. The single most useful thing in this review is not a price. It is section 14.1 of Shed's live terms, where the membership rate is printed as "$[X]" — an unfilled template placeholder, still on the page today.

What Shed is, and who it's for

Shed is a metabolic telehealth practice whose main business is compounded GLP-1s, with a "Longevity + Vitality" line beside it: NAD+ as an injection, a nasal spray or an oral tablet, plus sermorelin, low-dose naltrexone and methylene blue. You complete an intake — "A medical provider will look over your answers and determine if you're a good fit—no appointment required" — and an approved prescription is filled by a compounding pharmacy.

The corporate structure is spelled out more plainly than most of the field manages. Shed "provides administrative, technology, and membership services only and does not provide medical care, diagnosis, or treatment," and "all professional medical services are provided by independent, physician-owned or licensed entities." The operating company is named as well — Shed Holdings, LLC, South Jordan, Utah — and so, unusually, are the pharmacies. Credit where it is due: that is more disclosure than several better-graded rows offer.

The buyer this suits wants NAD+ in a route other than a needle and is willing to commit two months before learning the all-in figure. If that gives you pause, it should — see what longevity care actually costs.

What it actually costs — and the commitment nobody advertises

All figures verified on tryshed.com on 26 July 2026.

The headline. NAD+ injections "Starting at $169/month," taken three times weekly. Nasal spray "Starting at $144/month," daily. Oral tablets "Starting at $169/month," daily. Each is described as a one-month supply. The nasal route at $144 is genuinely among the cheaper non-oral NAD+ prices on our board.

The commitment those prices sit on. Shed's Terms and Conditions, section 11.1: "All programs require a minimum commitment of two (2) full months. Early cancellation within this period does not release you from payment obligations and will not result in a refund or credit." Elsewhere the same document puts it as "Subscriptions are only eligible for cancellation after two months or at the close of your renewal cycles, whichever is longer." Nothing on the NAD+ product page says this. The practical floor on a $169 plan is therefore $338, not $169.

Billing may not be monthly. Also from the terms: "Billing may occur either every twenty-eight (28) days or on a monthly basis, depending on your specific program." A 28-day cycle is thirteen charges a year, not twelve — roughly $2,197 on the injection rather than the $2,028 that "per month" implies.

Cancelling has a 72-hour tripwire. "You must cancel your subscription at least seventy-two (72) hours before your next billing date to avoid being charged for the upcoming month. Cancellations submitted less than 72 hours before your billing date will apply to the following month."

And the fees do not come back. Section 11.4: "All subscription fees are non-refundable once charged," explicitly including where "you attempt to cancel before fulfilling the two-month minimum commitment" or "you cancel after the 72-hour cancellation window." There is a 120-day weight-loss guarantee, but it is tied to the weight-loss program and its own engagement conditions, not to NAD+.

The membership is a second, unpriced layer. Shed Care Membership Plans are separate from medication and cover provider visits, coaching and triage messaging. Section 14.1 offers a 6-month and a 12-month membership; both prices read "$[X]," and section 14.2 describes a promotional discount off a standard month-to-month rate of "$[Y] per month." Those are unfilled placeholders in a live legal document. Early termination forfeits the promotional rate and triggers a "True-Up" back to the standard rate — a rate the terms never state.

What's included, and what the price is not

Here is the part that decides the grade. Shed's own financial-agreement clause says the money you send it is not payment for care: "Payments made to Shed are for administrative, technology, and membership services that provide access to the Shed Platform and related non-clinical resources. All professional medical services are provided by independent, licensed healthcare providers." Its corporate-practice clause is blunter still — "no portion of the membership fee paid to Shed constitutes payment for medical services."

So the honest answer to "is the consult included in $169?" is that Shed has published the opposite. The clinical fee may be collected by an independent medical group rather than by Shed, and its amount is not published anywhere public. That is why this row scores zero on clinical oversight and zero on price transparency: not because the care is absent, but because the total is unknowable before you commit. Compare that with a flat all-in figure — the distinction is the whole subject of longevity clinics versus lab memberships.

Not included at any point: baseline or follow-up bloodwork. Nothing here measures whether the protocol did anything.

Clinical oversight and the pharmacy

Prescriptions are reviewed by licensed clinicians in independent physician-owned entities before anything ships, which is the normal and appropriate structure.

On pharmacy, Shed is better than its grade suggests and worse than its marketing implies. Section 38 of the terms names three dispensing partners with street addresses — Strive Compounding Pharmacy in Gilbert, Arizona; Promise Pharmacy in Palm Harbor, Florida; Foothills Professional Pharmacy in Tempe, Arizona. Almost nobody on this board does that. But Shed's own blog hedges the standard: "we partner with both 503A and 503B pharmacies, which allows us to continue providing these medications." Those are different regimes — a 503B outsourcing facility must follow current good manufacturing practice, while a 503A pharmacy specifically need not¹ — and which one prepares your vial is not knowable in advance. Either way the product is compounded, and FDA is explicit that "compounded drugs are not FDA-approved… FDA does not verify the safety, effectiveness or quality of compounded drugs before they are marketed"¹.

The evidence behind what it sells

Shed's NAD+ page claims the product "supports normal cellular energy production," "supports normal cognitive function," "supports healthy aging as part of overall wellness" and helps with "mental clarity and focus maintenance."

The 2026 PRISMA-guided systematic review of NAD+ for anti-aging and wellness screened 113 studies, 33 of them human intervention trials. Its finding: oral nicotinamide riboside and NMN consistently raise NAD+ levels and are well tolerated, but effects on functional, metabolic and vascular outcomes were "heterogeneous and often null or endpoint-specific," and clinical effectiveness for anti-aging or wellness "remains inconclusive"². Crucially for a company selling injections: "No eligible outcomes trials evaluated intravenous or intramuscular NAD+ itself for anti-aging or wellness indications"². The route Shed charges most for is the one with the least human outcome data behind it.

On the specific promises: a 2025 meta-analysis of randomised trials in adults averaging over 60 found NMN and NR did not improve muscle index, grip strength, gait speed or chair-stand time, concluding that current evidence "does not support" them for preserving muscle mass and function³. Levels do move — oral NR reliably raises blood NAD+⁴ — and the strongest randomised trial to date improved six-minute walk distance by about 17.6 metres in peripheral artery disease, a disease endpoint rather than an aging one⁵. No completed human trial shows NAD+ repletion improves cognition, energy or the rate of aging. See NAD+ for longevity, do NAD+ peptides actually work and what's proven versus hyped.

"Shed complaints": what its own terms say

Every item here is in Shed's published documents, so you can check it in one click.

You cannot leave in month one. Two full months minimum, no refund or credit for trying.

The advertised price may not be the billing cadence. Twenty-eight-day cycles mean thirteen charges a year.

Cancel 72 hours early or pay again. Late requests roll to the following month.

Fees are non-refundable once charged, including when you cancel inside the minimum term.

The membership price is not published. It is a blank in the contract.

Where it's weak, and who should skip it

Skip Shed if you need to know your total before you commit — that is its defining failure, and no amount of route choice compensates. Skip it if you want a single all-in figure with the clinician's fee inside it; several partners on our board publish exactly that. Skip it, above all, if you are buying the cognition and energy claims, because the human trials do not support them.

If you proceed anyway, do it with your eyes open: budget two months, ask what the clinical fee is and who collects it, ask which of the three pharmacies will fill your prescription, and diarise the 72-hour cancellation window the day you sign up.

The verdict, against the rubric

Our rubric scores five things out of fourteen: price transparency (4), whether the provider sells real longevity medicine (4), clinical oversight (2), pharmacy disclosure (2) and human support (2). Shed takes the full four for a genuine longevity line — three NAD+ routes plus sermorelin is more than most — and two for stating a compounding standard on a surface it controls. It takes nothing for price transparency, nothing for oversight and nothing for support, because the all-in figure is not published, the terms deny the fee buys care, and no coaching or clinician time is bundled into the advertised rate. Six of fourteen. A C, and the lowest band on the board.

That is not a claim Shed is dishonest. Its terms are unusually detailed, its pharmacies are named with addresses, and its corporate structure is disclosed more candidly than several A-graded rows. The failure is narrower and harder to defend: a reader who wants to know what a year of NAD+ costs at Shed cannot find out from Shed. Until the membership rate replaces "$[X]" with a number, that is the review. The full graded field is at our provider rankings, the scoring is set out in how we grade, and two cleaner-priced neighbours are in our Enhance MD review and Sprout Health review.