What Is the Performance IV?
The Performance IV is a physician-formulated infusion designed for athletes, high-output professionals, and patients pursuing aggressive training goals. It combines amino acids, electrolytes, B-complex, and adaptogenic compounds to address the full spectrum of demands that intense training places on the body.
Where the Recovery IV restores, the Performance IV prepares — optimizing substrate availability, cellular energy capacity, and recovery resilience before and between high-demand training sessions.
How It Works
The protocol targets the physiological systems most taxed by athletic exertion:
- Amino acids (glutamine, taurine, carnitine) support muscle protein synthesis and fatty acid metabolism
- B-complex vitamins drive mitochondrial energy output and red blood cell production
- Electrolytes (magnesium, calcium, potassium) sustain neuromuscular function under load
- Adaptogenic compounds support the stress response and HPA axis resilience
Delivered intravenously, these nutrients reach therapeutic tissue concentrations on a timeline unattainable through oral supplementation.
The Infusion Experience
Patients are seated in a private clinical setting. Most report a focused, calm energy during and after the session — a common description is \"primed, not stimulated.\"
In-home Performance IVs are available for established patients, particularly useful during competition blocks or heavy training periods where clinic visits are difficult to schedule.
Protocol Details
The Performance IV is built on an amino acid complex (glutamine, taurine, carnitine), B-complex, B12, magnesium, and vitamin C in an isotonic carrier. Add-ons such as NAD+ precursors, adaptogenic support, or additional glutathione are selected by your physician based on your training phase and clinical goals.
Exact formulation, add-ons, and cadence are determined during your physician consultation based on your training cycle and goals.
What to Expect
Most patients report a clear improvement in training output in the days following the infusion — better endurance, faster recovery between sets, reduced post-session soreness. Benefits compound over a consistent training cycle.
No downtime is required. Many patients train the same day.
Safety & Physician Oversight
All Performance IVs at The FMR are administered under physician supervision. For competitive athletes subject to anti-doping testing, every component of our formulations is reviewed for compliance prior to administration.
The protocol has an excellent safety profile. Side effects are rare and generally limited to mild site sensitivity.
Frequently Asked Questions
Is this compliant with anti-doping regulations?
For WADA- or USADA-tested athletes, our clinical team reviews every component of the formulation for compliance. Please disclose your testing status at intake so we can tailor accordingly.
How is this different from the Recovery IV?
The Recovery IV focuses on restoration after exertion or illness. The Performance IV focuses on preparation and adaptation — optimizing what your body has available for the next training block. Many athletes use both strategically.
When should I schedule this around training?
Your physician will recommend timing based on your training calendar — typically well in advance of a heavy training day or competition to allow full uptake and benefit.
Can I combine this with NAD+?
Yes. NAD+ and the Performance IV complement each other well — NAD+ supports mitochondrial capacity at the cellular level, while the Performance IV optimizes substrate availability.
Is in-home delivery available?
Yes. Established patients may receive Performance IVs in-home — particularly useful during training travel or pre-competition rest days.