How to Use Your Hōlte NAD+ Pen®
This guide provides step-by-step instructions to safely and effectively use your Hōlte NAD+ Pen® for subcutaneous injections. Please follow the steps carefully to ensure proper use.

1. Setting Up the Pen

• Prepare the Pen and Cartridge
  Remove the Hōlte NAD+ Pen® and an NAD+ cartridge from their packaging.
• Allow the NAD+ cartridge to rest at room temperature for 5–10 minutes.
  

2. Unscrew the Cartridge Holder

• Take the lid off the pen to expose the clear cartridge holder.
• Unscrew the clear cartridge holder from the base of the pen.
• If the plunger is exposed, press it into the base of the pen with your finger.
  

3. Insert the NAD+ Cartridge

• Take the NAD+ cartridge and insert it into the clear cartridge holder with the silver tip going in first.
• Screw the clear cartridge holder (with the NAD+ cartridge inside) back onto the base of the pen firmly.

4. Prime the Pen

• Twist the base of the pen until the dose meter is fully extended.
• Push the dose meter back in and watch the plunger move up inside the cartridge holder.
• Repeat this process until the plunger touches the bung at the bottom of the cartridge and you feel resistance.
• Your pen is now prepped and ready for daily use. Continue with the steps below.
  

Administering your NAD+ subcutaneous injection

1. Attach the needle

• Take a 4mm needle tip from the pack and gently but firmly screw it onto the end of the Hōlte NAD+ Pen®.
• Do not remove the needle tip cover yet

2 . Clean the injection site

• Use an alcohol wipe to clean the injection site.
• Choose a fatty area such as the abdomen (belly). Rotate the injection site each time to avoid skin damage or dimpling.

3. Set your dose

• Twist the base of the pen until the pointer lines up with your prescribed dose:
  30 units (0.3ml) for a high dose.
  15 units (0.15ml) for a maintenance dose.
• Remove both the outer and inner needle tip covers.
  

4. Administer the Injection

• Gently pinch the skin around the injection site, pulling it about 4mm away from the muscle.
• Place the needle at the injection site and press the pen down to pierce the skin.
• Press the button at the base of the pen to depress the plunger and administer the NAD+.
• Hold the pen steady and count down three seconds before removing the needle.

5. Dispose of the Needle

• Carefully replace the outer needle tip cover.
• Unscrew the needle tip with the cover on and dispose of it in the sharps bin provided.

6. Store the Pen

• Replace the pen lid.
• Store the Hōlte NAD+ Pen® in the fridge (between 2–8°C / 35.6–46.4°F) to keep the NAD+ cartridge fresh.

Important Notes for Safe Use

• Rotate injection sites to prevent skin damage or dimpling.
• It is normal to experience the following after an injection:
• A drop of NAD+ or blood on the skin.
• A small bruise if the needle wasn't kept steady.
• A temporary red mark at the injection site. This will fade and is harmless.
  If concerned about visible marks, consider injecting in areas covered by clothing.
• Use a free needles for each use
• Use NAD+ cartridges before their expiration date.
• Keep cartridge refrigerated
  

Confirmation of understanding

By using the Hōlte NAD+ Pen®, you confirm the following:

1. You will administer NAD+ subcutaneously only, as instructed.
2. You understand the risks (e.g., allergic reaction, infection) and commit to following the instructions exactly.
3. You are competent to perform subcutaneous injections and will dispose of needles appropriately.
4. Hōlte is not responsible for any adverse effects caused by improper use or failure to follow the instructions.

Important: This product is not intended to diagnose, treat, or cure any condition. Always consult a healthcare professional before starting NAD+ injections. Use sterile technique to avoid contamination or infection.