WildBerryMD Informed Consent For NAD⁺ Injection Therapy
1. Purpose of Treatment
NAD⁺ (Nicotinamide Adenine Dinucleotide) is a naturally occurring coenzyme involved in cellular energy production, metabolism, and cellular repair processes. NAD⁺ injection therapy is offered for general wellness and supportive purposes only, including energy support, metabolic support, cognitive support, and healthy aging. Individual responses vary, and benefits are not guaranteed.
2. Nature of the Medication
- The NAD⁺ prescribed through WildBerryMD is a compounded medication prepared by a licensed U.S. compounding pharmacy
- Compounded medications are not FDA-approved and have not undergone FDA review for safety, effectiveness, or quality.
3. Administration of NAD⁺
- NAD⁺ is administered via subcutaneous (SQ) or intramuscular (IM) injection, as prescribed.
- Administration instructions are discussed, and patients must notify WildBerryMD if they do not understand proper injection technique.
- Once delivered, patients are responsible for proper storage, handling, and administration of the medication.
4. Possible Side Effects and Risks
Potential side effects may include, but are not limited to:
Common or Mild:
- Injection site pain, redness, swelling, or bruising
- Headache
- Nausea
- Fatigue
- Flushing or warmth
- Lightheadedness
Common or Mild:
- Chest tightness or pressure
- Anxiety or jittery sensation
- Muscle cramping
- Gastrointestinal discomfort
Rare but Serious:
- Allergic reactions (rash, itching, swelling, difficulty breathing)
- Infection at the injection site
- Unexpected or prolonged symptoms
I understand that I should seek immediate medical attention for chest pain, shortness of breath, signs of allergic reaction, or any concerning symptoms.
5. Contraindications & Precautions
I agree to inform my provider if I:
- Am pregnant or breastfeeding
- Have a history of cancer or active malignancy
- Have cardiovascular, liver, or kidney disease
- Have known allergies to injectable medications
- Am taking prescription medications or supplements
My provider may determine that NAD⁺ therapy is not appropriate based on my medical history.
6. Alternatives
Alternatives to NAD⁺ injection therapy may include, but are not limited to:
- Lifestyle modifications (nutrition, sleep, exercise)
- Oral supplements or vitamins
- Other wellness or metabolic programs
- No treatment
Participation in NAD⁺ therapy is voluntary.
7. No Diagnosis, Treatment, or Cure
NAD⁺ injection therapy is provided for general wellness and supportive purposes only. It is not intended to diagnose, treat, cure, manage, or prevent any disease or medical condition.
NAD⁺ therapy is not a substitute for medical care, prescription medications, or evaluation and treatment by a primary care provider or specialist.
8. No Guarantees and No Refunds
I understand that:
- No guarantees or promises have been made regarding outcomes
- Results vary between individuals
- Clinical response cannot be predicted
- NAD⁺ injections are non-refundable and cannot be exchanged for another program/product
9. Patient Responsibilities
I agree that I will:
- Follow dosing and administration instructions exactly as prescribed
- Not share, sell, or distribute my medication
- Report side effects or concerns promptly
- Understand that misuse or deviation from instructions may result in harm and discontinuation of care
10. Assumption of Risk
- I understand that NAD⁺ injection therapy involves known and unknown risks, including risks related to compounded medications, injections, self-administration, and remote medical care.
- By choosing to proceed, I voluntarily assume all risks associated with this therapy and agree to follow all prescribed instructions.
11. Indemnification and Hold Harmless
- To the extent permitted by law, I agree to hold harmless and indemnify WildBerryMD, its medical providers, employees, contractors, and partner pharmacies from claims or liabilities arising from my participation in NAD⁺ injection therapy, except in cases of gross negligence or willful misconduct.
12. Telemedicine Acknowledgment
I acknowledge and understand that medical services related to NAD⁺ injection therapy are provided via telemedicine. I understand that telemedicine has limitations, that no in-person physical examination has occurred, and that telemedicine-specific restrictions and limitation apply
13. Acknowledgment & Consent
By signing below, I acknowledge that:
- I have read and understand this consent in its entirety
- I had the opportunity to ask questions
- I understand the risks, benefits, and alternatives
- I understand this medication is compounded and not FDA-approved
- I voluntarily consent to NAD⁺ injection therapy through WildBerryMD
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