Seven days in Bangkok is enough time to complete a comprehensive diagnostic baseline, run a meaningful HBOT loading protocol, do a course of NAD+ IV therapy, have your hormonal profile assessed, and leave with a 90-day at-home plan designed around your actual biomarkers. This guide maps that protocol day by day, explains the reasoning behind the sequencing, and gives you real clinic names and 2026 pricing for every appointment.
The sequencing matters as much as the treatments themselves. Most people who come to Bangkok for health reasons make two mistakes: they book treatments randomly without a diagnostic foundation, and they underestimate how much rest and recovery is needed between high-intensity sessions. The protocol below is built on a specific logic: diagnose first, then treat, then assess and plan. Done in this order, every treatment decision is grounded in your actual biology rather than a generic menu.
Before you arrive: what to do in the two weeks before your Bangkok visit
The preparation phase is not optional. Several things done before you land in Bangkok make the visit significantly more productive.
Stop alcohol completely for at least 10 days before your visit. Alcohol elevates high-sensitivity CRP, distorts liver enzyme readings, and suppresses testosterone. Your Day 1 blood panel will be meaningfully cleaner if you arrive alcohol-free.
Stop any non-essential supplements for 5 days before your blood draw. High-dose biotin (vitamin B7), commonly found in hair and nail supplements, artificially suppresses TSH readings and can create false thyroid results. High-dose vitamin C can alter several markers. Unless your physician has specifically said to continue, pause supplementation before the diagnostic day.
Get your sleep consistent. A single night of poor sleep elevates CRP, cortisol, and glucose the following morning. Aim for 7 to 8 hours consistently in the week before you arrive. If you are flying long-haul, add at least one recovery day before Day 1 of the protocol.
Order your TruDiagnostic epigenetic age test kit in advance if you want GrimAge and DunedinPACE data. The kit ships internationally and requires a small blood spot sample. You can complete it on Day 1 in Bangkok alongside your hospital blood draw and mail it from the hotel. Results take 4 to 6 weeks and will arrive while you are back home, giving you an epigenetic baseline to complement the biomarker panel.
The 7-day protocol: day by day
07:00
Arrive at Bangkok Hospital or Bumrungrad International fasted
8 to 12 hours fasted. Water only. Arrive early to avoid queues at the health check centre. Both hospitals open their check-up departments at 07:00. At Bangkok Hospital, book the Prestige or Signature package and request ApoB, Lp(a), fasting insulin, homocysteine, and IGF-1 as add-ons.
~$500
07:30
Blood draw and baseline diagnostics
The draw takes 10 minutes. You will then wait 2 to 3 hours for results while the hospital runs the panel. Use this time to complete your TruDiagnostic blood spot kit if you have one. Most standard markers are ready within 2 hours. ApoB and IGF-1 may take slightly longer.
Included
10:30
DEXA body composition scan at BDMS Wellness Clinic
BDMS Wellness is a 15-minute taxi from Bangkok Hospital. The DEXA scan takes 20 minutes and requires no preparation beyond avoiding exercise that morning. It gives you precise lean mass, fat mass, visceral fat, and bone density readings that complement your blood panel.
~$180
13:00
Physician consultation to review results
Book a 45 to 60 minute consultation with a longevity-oriented physician to interpret your panel in full. BDMS Wellness has physicians on staff who specialise in this. Alternatively, Bumrungrad's Internal Medicine department has internationally trained physicians comfortable with longevity biomarker interpretation. Do not leave your results uninterpreted. The consultation turns numbers into priorities.
~$100
Afternoon
Rest, review, and plan
Day 1 is heavy. The rest of the afternoon is for recovery, processing your results, and adjusting the remainder of the protocol if needed. If your ApoB is very high, the physician may suggest adding a coronary calcium score tomorrow. If your testosterone is low, a referral for a hormone consultation can be booked. The protocol is always adjusted by the data.
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08:00
CT Coronary Calcium Score (if indicated by Day 1 results)
Available at Bangkok Heart Hospital, part of the BDMS group. The scan takes 15 to 20 minutes with no contrast injection. Strongly recommended for anyone over 40 with any cardiovascular risk factors, elevated ApoB, or a family history of heart disease. Results are available the same day.
$149
10:00
First HBOT session at Bangkok Hospital Hyperbaric Centre
Building C, 6th Floor, Bangkok Hospital. Medical-grade monoplace chamber at 2.0 ATA breathing 100% oxygen. Each session runs 60 to 90 minutes. The first session is often the one where the sensation of pressure equalisation takes some adjustment. Bring something to listen to, as the chamber has audio but no visual entertainment. Avoid HBOT if you have any ear or sinus congestion.
~$120
Afternoon
Light recovery: Lumpini or Benjakitti Park walk
Post-HBOT, the body continues to benefit from elevated tissue oxygen for several hours. Gentle aerobic activity, 20 to 30 minutes of walking at a conversational pace, enhances this effect without overstressing the system. Both Lumpini Park (Silom area) and Benjakitti Park (Asok area) are within easy reach of the Sukhumvit hospital cluster.
0
09:00
NAD+ IV therapy at a physician-supervised Bangkok clinic
250 to 500 mg NAD+ in normal saline, infused over 2.5 to 3.5 hours. Revival Clinic Bangkok or HE Clinic are recommended for their physician oversight and compound sourcing transparency. Bring headphones and something to watch. The infusion is slow by design: rushing it causes flushing, nausea, and chest tightness. If you experience significant discomfort, ask the nurse to slow the rate rather than stopping entirely.
~$240
13:00
Lunch and genuine rest
NAD+ IV is not a passive experience. Many people feel energised immediately after; some feel fatigued. Do not plan anything demanding for the afternoon of your first session. The afternoon is for eating well, hydrating, and letting your body process the infusion. Bangkok has exceptional food at every price point; the Thonglor and Ekkamai areas near the main hospital cluster have strong options from street food to restaurant quality.
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Evening
Sleep optimisation: early, dark, cool
The protocol works best when sleep quality is treated as a treatment, not an afterthought. Bangkok hotel rooms are reliably well air-conditioned. Use blackout curtains. Aim for 22 to 23 degrees. Target 8 hours. The combination of HBOT on Day 2, NAD+ on Day 3, and quality sleep tonight sets up Day 4 to feel noticeably different to how you felt on arrival.
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09:00
Second HBOT session
By the second session, most people have adjusted to the pressure and find the experience more comfortable. The protocol benefit of HBOT is cumulative: the angiogenic and stem cell mobilisation effects that are most relevant for longevity require multiple sessions rather than a single treatment. Sessions 2 through 5 are where the biological signal builds.
~$120
12:00
IV glutathione and vitamin C infusion
Available at most Bangkok IV clinics and at BDMS Wellness. Glutathione is the body's primary intracellular antioxidant. Its oral bioavailability is poor, making IV delivery one of the few ways to meaningfully raise tissue levels. Combined with vitamin C, it supports the antioxidant response that is particularly relevant in the days following HBOT. The session takes 30 to 45 minutes. Cost at Bangkok clinics runs 2,800 to 4,200 THB.
~$90
Afternoon
Optional: Thai massage or floating session
Traditional Thai massage is genuinely therapeutic and not purely recreational. A 90-minute session from a reputable therapist in the Sukhumvit area costs 400 to 700 THB. The mechanical effects on lymphatic drainage and parasympathetic nervous system activation complement the protocol. Alternatively, a float tank session at one of Bangkok's float centres provides 60 minutes of deep sensory rest that supports the recovery between treatment days.
~$15
09:00
Hormone optimisation consultation at BDMS Wellness
If your Day 1 results showed suboptimal testosterone, thyroid function, or other hormonal markers, Day 5 is when you have the specialist consultation with the full blood data in hand. BDMS Wellness has endocrinologists and integrative medicine physicians who approach hormone optimisation from a longevity perspective rather than a purely symptomatic one. The consultation covers your options including lifestyle-first approaches, TRT, peptides, and thyroid support depending on what your panel showed.
~$120
12:00
Second NAD+ IV session
The second session is typically more comfortable than the first because you know the sensation and can manage infusion speed expectations. Many people report the mental clarity effect of NAD+ being more pronounced after the second session, likely because circulating NAD+ precursor levels are now elevated from the first infusion. The 3-session package from Revival Clinic at 36,000 THB for 5 sessions means sessions 2 and 3 are the most cost-effective in the package.
~$240
Afternoon
Supplement protocol review and sourcing
Based on your blood results, Day 5 afternoon is when you finalise your going-home supplement protocol. Bangkok's Boots, Watsons, and Tops Market carry basic supplements. iHerb delivers to Thailand within 5 to 7 days. If you have time and a forward address, you can order specific items to arrive before you leave. Priority supplements to consider based on your panel: NMN (NAD+ maintenance), magnesium bisglycinate, vitamin D3 with K2, and omega-3s if not already taking them.
Varies
08:30
Third HBOT session
Three HBOT sessions completed by Day 6 is the minimum threshold for meaningful vascular and stem cell mobilisation effects in the longevity literature. A 2020 Tel Aviv University study by Efrati and colleagues found significant telomere elongation and senescent cell clearance after 60 sessions, but measurable biological effects were detectable from the 10th session onward. Three sessions is a foundation, not a complete protocol. It establishes the pattern your body needs and provides sufficient repetition for the oxygen-driven cellular signalling to begin.
~$120
11:30
Third NAD+ IV session
The third session completes your Bangkok NAD+ loading protocol. From here, the maintenance strategy is daily oral NMN at 500 mg, which sustains the elevated NAD+ baseline the IV sessions have established. The biological half-life of circulating NAD+ is hours, not days, so the oral supplement bridges the gap between IV sessions and keeps levels elevated over the following months.
~$240
16:00
Comprehensive nutrient repletion IV drip
A Myers' cocktail or equivalent comprehensive IV formula covering magnesium, B vitamins, vitamin C, and zinc. After a week of intensive clinical appointments and treatment sessions, this is a restorative session that addresses any micronutrient depletion and supports recovery before the final day. Available at most Bangkok IV clinics for 3,000 to 5,000 THB.
~$100
Morning
Final physician review and 90-day protocol design
A 45-minute follow-up consultation to review everything: your biomarker results, DEXA findings, what the treatment sessions surfaced in terms of how you responded, and any referrals initiated based on your hormone consultation. The output is a specific, written 90-day plan covering: daily supplement protocol with doses and timing, exercise prescription tailored to your VO2 max and body composition data, dietary targets based on your metabolic markers, and a follow-up testing schedule for when you return home.
~$100
Afternoon
Collect all records and prepare for departure
Request a complete digital copy of all results, imaging reports, and physician notes from each institution. Most Bangkok hospitals provide this on USB or via cloud download at no additional charge. These records form your health data baseline and should be stored securely and shared with your GP or specialist at home. Also: plan for jet lag recovery. The protocol you just completed requires consistent sleep to consolidate. The first week back home, prioritise sleep above everything else.
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Total protocol cost summary
| Treatment / Service |
Cost (USD approx.) |
| Comprehensive blood panel (80+ biomarkers incl. ApoB, fasting insulin, homocysteine, IGF-1) |
~$500 |
| DEXA body composition scan |
~$180 |
| CT Coronary Calcium Score (if indicated) |
$149 |
| Physician consultations (Day 1 + Day 5 + Day 7) |
~$320 |
| HBOT 3 sessions (medical-grade, 2.0 ATA) |
~$360 |
| NAD+ IV therapy 3 sessions (250 mg physician supervised) |
~$720 |
| IV glutathione and vitamin C (Day 4) |
~$90 |
| Nutrient repletion IV drip (Day 6) |
~$100 |
| Recovery activities (massage, walking, optional float) |
~$50 |
| Total protocol cost |
~$2,470 |
Adding 7 nights accommodation at a quality Sukhumvit hotel brings the total Bangkok spend to approximately $3,200 to $3,800 depending on your hotel standard. The equivalent clinical protocol purchased in London runs £9,000 to £14,000. In New York, $12,000 to $18,000.
Where to stay: the Sukhumvit corridor
All of the hospitals and clinics in this protocol are clustered along or near the BTS Skytrain's Sukhumvit line. Bangkok Hospital is near Phrom Phong (BTS). Bumrungrad is near Nana (BTS). BDMS Wellness is near Phloen Chit (BTS). Revival Clinic and most IV wellness clinics are in the Thonglor to Phrom Phong stretch.
Staying anywhere between Asok and Thonglor puts you within 15 minutes of every appointment in this protocol. Hotels in this range at the 4-star level cost $60 to $130 per night. At the 5-star level, the Emporium Suites, SO Sofitel, and Park Hyatt Bangkok are within the same corridor. A hotel with in-room refrigeration is useful for storing any supplements purchased during the visit.
The sequencing logic explained
The protocol is sequenced with diagnostics first because every treatment decision after Day 1 is informed by the data. If your ApoB comes back at 120 mg/dL, adding the coronary calcium score on Day 2 is an obvious next step that might not have been planned. If your testosterone is 280 ng/dL rather than the 600 you assumed, the hormone consultation on Day 5 becomes a priority rather than an optional add-on.
NAD+ IV on Day 3 rather than Day 2 is deliberate. HBOT on its own is the more comfortable of the two treatments and serves as an orientation session for the rest of the week. NAD+ IV requires 2.5 to 3.5 hours of sitting, which is more demanding. Starting with HBOT gives your body a day to adapt to Bangkok's heat, humidity, and time zone before the longer and more physiologically active NAD+ session.
The gap between HBOT sessions (Days 2, 4, 6) is also intentional. The biological effects of each HBOT session, including the hypoxic signalling that drives stem cell mobilisation, benefit from a 24 to 48 hour interval rather than back-to-back sessions. Daily HBOT is used for wound healing and specific medical conditions. For longevity protocols, the every-other-day cadence produces better results.
What to do after you leave Bangkok
The 7-day protocol is a concentrated intervention, not a self-contained solution. What happens in the 90 days after you return home determines whether the Bangkok visit was an isolated event or the start of a compounding health trajectory.
Start oral NMN at 500 mg per day within 48 hours of your last NAD+ IV session. This bridges from the IV loading protocol to oral maintenance and prevents the rapid decay of circulating NAD+ levels. Continue for at least 90 days before assessing.
Share your Bangkok results with your GP or specialist at home. The blood panel and DEXA data are valuable to any physician managing your long-term health, even if they are not familiar with longevity medicine as a discipline. The biomarkers are standard and interpretable by any clinician.
Book a follow-up blood panel at home 90 days after your Bangkok visit. At minimum, retest the markers that were out of optimal range on Day 1. This gives you the first trend data point: are interventions working, or do you need to escalate?
Plan your next Bangkok visit. The established HBOT literature suggests that 10 to 20 sessions produce more meaningful longevity effects than 3 to 5. A return visit in 6 to 12 months to extend the HBOT protocol, retest biomarkers, and reassess the hormone picture is the logical next step for most clients. At Bangkok's pricing, two visits per year to complete a proper therapeutic HBOT course still costs less than a single comprehensive longevity panel at a London clinic.
Frequently asked questions
Do I need to book all of these appointments in advance?
Yes, for the hospital appointments. Bangkok Hospital and Bumrungrad's health check departments can accommodate same-day or next-day bookings for some packages, but specific add-on tests like ApoB and Lp(a) require the lab to be notified in advance. BDMS Wellness appointments for DEXA and physician consultations book up quickly and should be secured at least 1 to 2 weeks before arrival. HBOT at Bangkok Hospital requires a physician referral, which can be arranged through their international patient services in advance. IV wellness clinics are generally more flexible and can accommodate same-week bookings. The safest approach is to confirm all appointments before you land.
Is 7 days enough to see results?
For some things, yes. Most people notice improved energy and mental clarity within 48 to 72 hours of NAD+ IV, and the subjective effects of HBOT often become apparent after the second or third session. The diagnostic baseline on Day 1 gives you immediate, actionable data about your biology. For the deeper biological effects, including meaningful changes to epigenetic age markers, telomere length, or senescent cell burden, 7 days of treatment is a foundation rather than a complete intervention. The value of a 7-day visit is establishing the baseline, beginning a protocol, and leaving with a specific, data-grounded plan for the next 12 months.
Can I combine this with sightseeing and tourism?
Yes, but manage your energy carefully. The mornings are clinical and should be treated as such. Afternoons and evenings are generally free, and Bangkok has genuinely world-class food, markets, temples, and culture within easy reach of the Sukhumvit corridor. The practical constraint is sleep: you need 7 to 8 hours to support the recovery between treatment days, which limits how late you stay out on treatment nights. Days 3 and 6, which involve NAD+ IV and multiple sessions, are not the evenings for a long dinner and a late night. Days 2 and 4, which are lighter treatment days, are better for evening activities.
What if my results on Day 1 are worse than expected?
This is actually the most valuable outcome of a Day 1 diagnostic visit. Finding a significant abnormality, whether it is an ApoB of 140 mg/dL, a fasting insulin of 22 mIU/L, or a testosterone of 200 ng/dL, while you are already in a medical environment with time to have a proper physician consultation is far better than finding it at a routine GP appointment at home where the follow-up is a letter in 3 weeks. If Day 1 reveals something significant, the remainder of the protocol can be adjusted to prioritise the most relevant interventions. Biovala's physician consultation on Day 1 is specifically designed to help clients navigate exactly this situation.
Is this protocol suitable for someone who has never done HBOT or IV therapy before?
Yes. Neither HBOT nor IV therapy requires prior experience, and Bangkok's top clinical providers are well-practised at orienting first-time clients. The Day 2 HBOT session is intentionally your first clinical treatment day, after a full rest day for settling into the city. The main preparation needed is disclosing any contraindications: untreated pneumothorax, certain ear conditions, and claustrophobia (for HBOT), and any medications or known allergies (for IV therapy). The pre-visit physician intake at Bangkok Hospital or Bumrungrad on Day 1 will screen for these. If you have any specific health conditions or take prescription medications, share them with the Biovala team during your discovery call so they can be considered in the protocol design.