IV therapy at med spas: what you're actually paying for

IV therapy has moved from hospital rooms into med spas and wellness studios with remarkable speed. "Drip bars" — some operating inside med spas, some as standalone businesses — now offer everything from hangover recovery to immune support to anti-aging protocols. Here's what's worth knowing before you book one.

What IV therapy is (and isn't)

IV therapy administers vitamins, minerals, electrolytes, and sometimes amino acids directly into a vein. This bypasses the digestive system entirely — oral supplements are partially degraded during absorption; IV delivery achieves nearly 100% bioavailability for water-soluble nutrients.

What this means in practice: you can achieve blood concentrations of certain vitamins (most notably vitamin C) via IV that would be impossible orally without causing GI distress.

What this doesn't mean: "high bioavailability" doesn't automatically translate to meaningful clinical benefit for healthy patients. The evidence base for IV nutrient therapy is strongest for specific medical conditions and weakest for general wellness in healthy populations.

What the evidence actually supports

Strong evidence:
Deficiency correction — IV delivery is the fastest way to correct documented deficiencies (B12, iron, magnesium) in patients with absorption issues or severe depletion. This is standard medical practice.
High-dose vitamin C — evidence for immune support in patients receiving cancer treatment; some evidence for antiviral properties at concentrations only achievable via IV

Moderate evidence:
Migraine treatment — IV magnesium is a well-established abortive treatment for acute migraine in medical settings
Hydration and electrolyte repletion — straightforward: if you're dehydrated or hyponatremic, IV hydration restores balance faster than oral intake

Weak or emerging evidence:
Hangover recovery — anecdotal, no rigorous RCTs; rehydration and electrolytes help, but the marketing claims exceed the science
Athletic performance and recovery — some small studies; rigorous evidence is limited
"Anti-aging" and NAD+ — interesting mechanistic theory, limited human clinical evidence for meaningful longevity or anti-aging effects at doses delivered via drip

Being honest about the evidence isn't a reason not to try IV therapy if you're curious — it's a reason to calibrate expectations and choose a legitimate clinical provider over a hype-driven one.

Common IV formulas

Myers' Cocktail (the original)
Created by Dr. John Myers in the 1970s. Typically contains: B vitamins (B1, B2, B5, B6, B12), vitamin C, magnesium, calcium. Used for fatigue, migraines, fibromyalgia, and general wellness.

High-dose Vitamin C
50–75g of vitamin C administered over 1–2 hours. Used as immune support and adjunct in integrative oncology. Requires G6PD screening before first session — G6PD deficiency can cause hemolysis with high-dose vitamin C.

NAD+ (Nicotinamide adenine dinucleotide)
NAD+ is a coenzyme involved in cellular energy metabolism. IV administration is one way to raise cellular NAD+ levels quickly. Common protocols: 250–1,000mg over 2–4 hours. Often associated with brief flushing, chest tightness, and discomfort — typically transient.

Hydration / Electrolyte
Normal saline or Lactated Ringer's with electrolytes. The most medically straightforward option.

Glutathione push
Glutathione is the body's primary antioxidant. IV glutathione is absorbed into the bloodstream; whether it meaningfully raises intracellular levels is debated. Often added as a "push" at the end of a drip.

What a proper provider looks like

IV therapy is a medical procedure. A legitimate provider has:

Licensed clinician on site — at minimum a registered nurse (RN); ideally NP, PA, or MD overseeing the protocol
Medical intake process — health history, current medications, allergy review before first infusion
Emergency equipment — epinephrine, basic crash cart, or clear protocol for anaphylaxis and adverse events
Proper sterility — IV lines, needle preparation, and product mixing in appropriate conditions

Red flags:
Drip bars operated without a supervising physician or NP
No health history intake
Products mixed on-site without pharmacy verification
Operators who cannot explain what's in the bag or why that formulation is recommended for you

Pricing

IV therapy pricing ranges widely:

Basic hydration: $100–$200
Myers' Cocktail: $150–$350
High-dose Vitamin C: $150–$400 depending on dose
NAD+: $200–$600 depending on dose (250mg vs. 1,000mg)
Custom executive wellness panels: $300–$800

Add-ons (glutathione push, additional B12, zinc) typically run $25–$75 each.

Packages of 4–10 sessions are common at 15–25% savings. These make sense for established protocols (regular NAD+, monthly Myers') but not for first-time experimentation.

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Looking for a licensed wellness provider offering IV therapy? Browse wellness providers on MedSpot and check their clinical credentials and medical director information before booking.