
In the quest for a longer and healthier life, the science of longevity has shifted its focus from merely extending lifespan to dramatically improving healthspan, the number of years we live in good physical and mental condition. Emerging research highlights a powerful group of evidence-based supplements that may slow biological aging, reduce chronic inflammation, enhance cellular repair, and support metabolic health. From NMN, NR, resveratrol (or berberine), metformin, rapamycin, spermidine, nattokinase, pomegranate, cissus quadrangularis and yerba mate, these compounds target key hallmarks of aging such as mitochondrial dysfunction, senescent cells, and insulin resistance. While no supplement is a magic bullet, the strategic use of the best longevity supplements, backed by rigorous studies, offers a promising tool to help us not only live longer, but thrive well into our later decades.
Table of Content
- Nicotinamide Riboside (NR)
- Nicotinamide Mononucleotide (NMN)
- Resveratrol
- Metformin
- Rapamycin
- Spermidine
- Nattokinase
- Pomegranate
- Cissus Quadrangularis
- Yerba Mate
NAD+ (Nicotinamide Adenine Dinucleotide) is a critical molecule for storing and transferring electrons and is involved in over 500 distinct metabolic reactions in the body. NAD+ is required for every cell of our body to help facilitate energy production. However, NAD+ levels have been observed to wane as we age. Research suggests that by age 50 you have about half as much NAD+ as at age 20. This observation has given rise to the hypothesis that supplementing with NAD+ may help to reverse aging. Adding more fuel to this idea is the fact that DNA damage accumulates with age, and NAD+ plays a vital role in DNA repair. However, because NAD+ is poorly absorbed, oral supplementation is impractical, and the efficacy of intravenous NAD+ injections is questionable.
As a result, scientists have turned to biochemical precursors of NAD+, nicotinamide riboside (NR) and NMN, which show greater bioavailability and have been proposed to combat aging and extend lifespan by raising NAD+ concentration at the tissue and cell levels.
Nicotinamide Riboside (NR)

Nicotinamide Riboside (NR) is a form of vitamin B3, known for its role in cellular energy production and as a precursor to NAD+ (Nicotinamide Adenine Dinucleotide). NAD+ is crucial for numerous biological processes, including DNA repair, energy metabolism, and maintaining the health of mitochondria, which are often referred to as the powerhouses of the cell. As such, NR represents a frontier in the quest for longevity and healthspan extension, offering a scientifically-backed approach to enhancing cellular function and potentially mitigating some aspects of aging.
Always consult with healthcare providers before starting any new supplement regimen, especially for those with pre-existing health conditions or on medication.
Benefits and Applications
- Cellular Energy and Aging
NR supplementation has been studied for its potential to boost NAD+ levels, which naturally decline with age. This increase in NAD+ might slow down aspects of aging, enhance mitochondrial function, and improve cellular energy production. - Cardiovascular Health
Research suggests that NR could improve heart health by supporting the function of blood vessels and reducing oxidative stress, which is linked to cardiovascular diseases. - Neuroprotection
There’s growing interest in NR for its potential neuroprotective effects, possibly aiding in the prevention or mitigation of neurodegenerative diseases like Alzheimer’s by enhancing neuronal resilience and energy metabolism. - Metabolic Health
NR might help in managing metabolic disorders by improving insulin sensitivity and glucose metabolism, which could be beneficial for conditions like diabetes. - Physical Performance
Some studies indicate that NR might enhance exercise performance by improving muscle mitochondrial function, thereby potentially aiding in endurance and recovery.
Considerations
- Research Continuity
While promising, research on NR is still evolving. Long-term effects and optimal dosages for various health conditions are areas of ongoing study. - Individual Variability
Responses to NR can vary. Some might experience benefits in energy levels or cognitive function, while for others, the effects might be less noticeable.
- Dose: 500 mg
(typical dosages in human studies range from 250 – 1000 mg pr day. However, optimal dosing can vary based on individual health goals and existing NAD+ levels.) - Cadence: daily
- Time of day: anytime in the day (for those looking to leverage its benefits for physical performance, taking it before exercise might be beneficial)
- Synergy with other compounds: NR might work synergistically with other compounds like pterostilbene or resveratrol, which also aim at boosting NAD+ levels or enhancing cellular health.
- Recommended by:
- References:
- Nicotinamide riboside improves muscle mitochondrial biogenesis, satellite cell differentiation, and gut microbiota in a twin study (2023)
- Nicotinamide riboside and dietary restriction effects on gut microbiota and liver inflammatory and morphologic markers in cafeteria diet–induced obesity in rats (2023)
- Nicotinamide riboside supplementation alters body composition and skeletal muscle acetylcarnitine concentrations in healthy obese humans (2020)
- Where to Buy:
- Chromadex TruNiagen 300 mg | 30/90/120/180 capsules.
Amongst Chromadex’s scientific advisors is Charles Brenner, who first discovered NR, and showed it could extend the life of yeast cells.
Bryan Johnson‘s protocol is: TruNiagen NR 375 mg, 2x daily, 6 days/wk.
TruNiagen’s NR is about $4.44/gram, while NMN starts at around $1.80/gram.
The NR that Chromadex sells has a patent on it, which then reduces competition. Whereas NMN seems free of patents, and there are lots of sellers.
- Chromadex TruNiagen 300 mg | 30/90/120/180 capsules.
Nicotinamide Mononucleotide (NMN)

Lenney Guarente and a team from MIT incl. Dr. David Sinclair discovered a set of genes that controls aging in yeast cells. What the genes do is that they protect all organism plants, bacteria, humans, etc. from deterioration and disease. Nicotinamide Mononucleotide (NMN) is one of those molecules, so is resveratrol. Among other things, NMN has been shown to lead to faster-growing hair, elevated energy, and appetite reduction.
NMN is a direct precursor to NAD+ (Nicotinamide Adenine Dinucleotide), a coenzyme found in all living cells, crucial for energy metabolism, DNA repair, and maintaining mitochondrial health. As we age, NAD+ levels decline, which is associated with various age-related diseases and the aging process itself. As such, NMN represents a significant area of interest in the field of longevity and healthspan extension, offering a scientifically-backed approach to enhancing cellular function and potentially mitigating some aspects of aging.
Currently, there’s a lack of long-term human studies conclusively proving NMN‘s effect on human lifespan. Most human trials focus on immediate health markers or short-term outcomes. While not directly proving longevity, improvements in NAD+ levels, physical performance, and health markers could theoretically contribute to a longer, healthier life, but this is an inference rather than direct evidence. The field is active, with studies indicating ongoing research into NMN‘s effects on lifespan in mice, which might guide future human studies.
Always consult with healthcare providers before starting any new supplement regimen, especially for those with pre-existing health conditions or on medication.
Benefits and Applications
- Cellular Energy and Aging
NMN supplementation aims to boost NAD+ levels, potentially reversing some aspects of aging by enhancing mitochondrial function, improving energy production, and supporting cellular repair mechanisms. - Cardiovascular Health
Research suggests NMN might improve heart health by enhancing the function of blood vessels, reducing oxidative stress, and potentially aiding in the prevention of cardiovascular diseases. - Neuroprotection
There’s growing interest in NMN for its neuroprotective properties. It could help in mitigating neurodegenerative diseases like Alzheimer’s by supporting neuronal energy metabolism and resilience. - Metabolic Health
NMN has shown promise in managing metabolic disorders by improving insulin sensitivity, glucose metabolism, and reducing fat accumulation, which could be beneficial for conditions like diabetes. - Muscle Function and Recovery
Studies indicate NMN might enhance muscle function, aid in muscle recovery, and potentially combat age-related muscle loss (sarcopenia) by improving mitochondrial efficiency in muscle cells.
Considerations
- Research Continuity
While promising, research on NMN is still evolving. Long-term effects, optimal dosages for various health conditions, and its direct impact on human longevity are areas of ongoing study. - Individual Variability
Responses to NMN can vary. Some might experience benefits in energy levels or cognitive function, while for others, the effects might be less noticeable.
- Dose: 500 – 1 000 mg
- 1 000 mg is recommended by both Andrew Huberman and Dr. David Sinclair. Huberman takes NMN sublingually (“under the tongue”).
- Bryan Johnson‘s protocol: 500 mg, 2x daily, 6 days/wk
- Cadence: daily
- Time of day: anytime in the day (for those looking to leverage its benefits for physical performance, taking it before exercise might be beneficial)
- Synergy with other compounds: NMN might work synergistically with other NAD+ precursors like NR or with compounds like resveratrol, which also aim at enhancing cellular health.
- Recommended by:
- References:
- Long-Term NMN Treatment Increases Lifespan and Healthspan in Mice in a Sex Dependent Manner (2024)
- The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults: a randomized, multicenter, double-blind, placebo-controlled, parallel-group, dose-dependent clinical trial (2023)
- Valid Critique of study by Peter Attia
- The Science Behind NMN–A Stable, Reliable NAD+Activator and Anti-Aging Molecule (2020)
- Where to Buy:
- Bryan Johnson‘s protocol: Jinfiniti 500 mg, 2x daily, 6 days/wk
- There’s a mention of the brand Renue by Science for Liposomal NR.
Resveratrol

Resveratrol holds significant promise in the field of longevity science, primarily through its antioxidant, anti-inflammatory and sirtuin-activating properties. You can think of resveratrol as the accelerator pedal for the sirtuin genes, and NMN is the fuel (the gas in the car). Without the fuel, resveratrol will not work. However, translating the above-mentioned benefits from lab studies to practical, safe human applications still requires ongoing research. It would be recommended to take a balanced approach, integrating resveratrol within a broader context of healthy lifestyle choices rather than relying on it as a singular solution for longevity.
Role of Resveratrol
- Antioxidant Properties
Resveratrol acts as an antioxidant, which means it helps neutralize free radicals in the body. Free radicals are unstable molecules that can damage cells, leading to aging and various diseases. - Sirtuin Activation
Resveratrol is known to activate sirtuins, particularly SIRT1, which are proteins involved in regulating cellular processes like aging, inflammation, and stress resistance. Sirtuins are often referred to as “longevity genes” because they seem to play a role in extending lifespan in various organisms. - Anti-inflammatory Effects
By modulating various inflammatory pathways, resveratrol can reduce chronic inflammation, which is linked to many age-related diseases like cardiovascular disease, cancer, and neurodegenerative disorders. - Cardiovascular Health
Resveratrol improves vascular function by promoting vasodilation, reducing blood clotting, and decreasing inflammation in blood vessels, which can lower the risk of heart disease. - Neuroprotection
There’s evidence suggesting resveratrol can cross the blood-brain barrier, offering neuroprotective effects. This includes reducing oxidative stress in the brain, which could potentially mitigate neurodegenerative diseases like Alzheimer’s. - Cancer Prevention
While not a cure, resveratrol has shown potential in inhibiting the growth of cancer cells in lab studies. It can induce apoptosis (programmed cell death) in cancer cells and inhibit angiogenesis (the formation of new blood vessels that feed tumors).
Benefits in Longevity
- Lifespan Extension
Studies, particularly in lower organisms like yeast, worms, and flies, have shown that resveratrol can extend lifespan. While direct translation to humans is complex, these findings suggest a potential role in human longevity. - Healthspan Improvement
Beyond just extending life, resveratrol might improve “healthspan”, the period of life spent in good health. This is achieved by delaying the onset of age-related diseases, thereby allowing individuals to live more of their life in a healthier state. - Metabolic Health
Resveratrol influences metabolic pathways, potentially improving insulin sensitivity and reducing obesity, which are crucial for preventing diabetes and metabolic syndrome, conditions that significantly impact longevity. - Genetic Expression
It can influence gene expression in ways that mimic the effects of caloric restriction, a well-known method for extending life in many species, without the need to reduce calorie intake drastically.
- Dose: 1 000 mg (recommended by Dr. David Sinclair)
- Cadence: daily (Resveratrol is fat-soluble, so consuming it with a fat source like yogurt can enhance its bio-availability by up to 5x. However, if you’re taking it with a meal, then mixing it into yogurt isn’t necessary.)
- Time of day: morning (Dr. David Sinclair skips resveratrol on exercise days)
- Synergy with other compounds: take resveratrol alongside NMN, which acts as a precursor to NAD+. Resveratrol is known to activate sirtuins, particularly SIRT1, which require NAD+ to function. This combination is thought to enhance the anti-aging effects by boosting cellular energy and repair mechanisms.
- Recommended by:
- References:
- An Antiinflammatory and Reactive Oxygen Species Suppressive Effects of an Extract of Polygonum Cuspidatum Containing Resveratrol (2010)
- Effects of Resveratrol on Memory Performance, Hippocampal Functional Connectivity, and Glucose Metabolism in Healthy Older Adults (2014)
- Calorie Restriction-like Effects of 30 Days of Resveratrol Supplementation on Energy Metabolism and Metabolic Profile in Obese Humans (2011)
- Pilot Study of Resveratrol in Older Adults With Impaired Glucose Tolerance (2012)
- Resveratrol improves insulin sensitivity, reduces oxidative stress and activates the Akt pathway in type 2 diabetic patients (2011)
- Antihyperglycemic Effects of Short Term Resveratrol Supplementation in Type 2 Diabetic Patients (2013)
- The Effect of Resveratrol Supplementation on Cardio-Metabolic Risk Factors in Patients with Type 2 Diabetes: A Randomized, Double-Blind Controlled Trial (2019)
- Resveratrol improves insulin resistance, glucose and lipid metabolism in patients with non-alcoholic fatty liver disease: A randomized controlled trial (2015)
- Resveratrol supplementation improves inflammatory biomarkers in patients with nonalcoholic fatty liver disease (2014)
- Consumption of a grape extract supplement containing resveratrol decreases oxidized LDL and ApoB in patients undergoing primary prevention of cardiovascular disease: A triple-blind, 6-month follow-up, placebo-controlled, randomized trial (2012)
- One-Year Consumption of a Grape Nutraceutical Containing Resveratrol Improves the Inflammatory and Fibrinolytic Status of Patients in Primary Prevention of Cardiovascular Disease (2012)
- Where to Buy:
- Look for micronized formula (3.6x more bio-available) of trans-resveratrol (as opposed to cis-resveratrol) to activate the sirtuin enzyme with 98% or greater purity.
- Mega Resveratrol (99% purity) | 500 mg | 120 capsules
- Mega Resveratrol (99% purity) | 60 grams | powder
Metformin

Research suggests that Metformin may enhance longevity by improving insulin sensitivity, reducing inflammation, and activating pathways like AMPK, which mimic the effects of caloric restriction, a known longevity booster. Its potential to lower the risk of age-related diseases, such as cardiovascular issues and certain cancers, has sparked interest in large-scale studies like the TAME trial, which aims to explore its anti-aging benefits in non-diabetic populations. However, while the data is promising, the need for personalized approaches should is emphasized, as Metformin’s effects can vary based on individual health profiles and should be paired with a nutrient-dense diet and active lifestyle for optimal results.

image source
Metformin is derived from the French lilac plant (Galega officinalis), a traditional herbal remedy used for centuries to treat symptoms of diabetes due to its glucose-lowering properties. Scientists isolated and synthesized its active compound, guanidine, in the 1920s, eventually developing the modern pharmaceutical form through chemical modifications to enhance its efficacy and safety.
- Dose: 800 mg
- Cadence: daily
- Time of day: at night (except on nights when you plan to exercise the next day)
- Synergy with other compounds: NMN, NR, Resveratrol.
- Recommended by:
- References:
- Targeting Aging with Metformin (TAME) Trial (2025)
- A Critical Review of the Evidence That Metformin Is a Putative Anti-Aging Drug That Enhances Healthspan and Extends Lifespan (2021)
- Metformin in aging and aging-related diseases: clinical applications and relevant mechanisms (2022)
- Comparison of long-term effects of metformin on longevity between people with type 2 diabetes and matched non-diabetic controls (2023)
- Extended-release metformin improves cognitive impairment in frail older women with hypertension and diabetes: preliminary results from the LEOPARDESS Study (2023)
- Where to Buy:
- Metformin is a prescription drug in most countries.
- Berberine can be an interesting substitute for Metformin since it has similar properties, but is not a prescription drug.
Rapamycin

Research suggests that rapamycin may enhance longevity by inhibiting the mTOR pathway, a key regulator of cellular growth and aging. This inhibition promotes autophagy, improves protein homeostasis, and reduces inflammation, mimicking some effects of caloric restriction. In animal studies, it has consistently extended lifespan even when started late in life, and it shows potential to delay age-related diseases including cancer, cardiovascular decline, and neurodegenerative conditions. While human data is still emerging, its powerful effects have led to growing interest in low-dose, intermittent use for healthy aging.
The soil bacterium from Easter Island (Streptomyces hygroscopicus)
Rapamycin was discovered in 1965 in soil samples from Easter Island (Rapa Nui). The bacterium Streptomyces hygroscopicus produces it as a natural antifungal compound. Scientists later identified its ability to suppress the immune system and inhibit cell growth, leading to its development as the drug sirolimus (Rapamune). In recent decades, researchers have explored its potential as an anti-aging molecule due to its strong effects on the mTOR pathway.
- Dose: 5–10 mg
- Cadence: Once per week (intermittent dosing)
- Time of day: In the evening (with or without food)
- Synergy with other compounds: Often stacked with Metformin, NMN/NR, or Acarbose in longevity protocols.
- Recommended by:
- Rapamycin & the Biology of Aging with Dr. Matt Kaeberlein | The Peter Attia Drive Podcast
- References:
- Rapamycin fed late in life extends lifespan in genetically heterogeneous mice (2009)
- Rapamycin increases lifespan and inhibits spontaneous tumorigenesis in inbred female mice (2011)
- Rapamycin extends life and health in C57BL/6 mice (2014)
- Transient rapamycin treatment can increase lifespan and healthspan in middle-aged mice (2021)
- Rapamycin treatment during development extends life span and health span of male mice and Daphnia magna (2022)
- Rapamycin for longevity: the pros, the cons, and future perspectives (2025)
- What is the clinical evidence to support off-label rapamycin therapy in healthy adults? (2025)
- Where to Buy:
- For longevity purposes it is typically used off-label under medical supervision.
- Some compounding pharmacies offer low-dose capsules for research/anti-aging use, but availability varies by country. Always consult a knowledgeable physician.
Spermidine

Research suggests that spermidine may enhance longevity primarily by inducing autophagy, the body’s natural cellular cleanup and recycling process, which declines with age. It also supports mitochondrial function, reduces inflammation, and improves cardiovascular and cognitive health. Large observational studies and animal trials show higher spermidine intake is associated with lower all-cause mortality and protection against age-related diseases. Human trials are still emerging, but the compound is considered one of the most promising natural autophagy inducers. Effects can vary by individual, so spermidine works best when combined with a nutrient-dense diet, regular exercise, and other evidence-based longevity practices.

Wheat germ (Triticum aestivum)
Spermidine is a naturally occurring polyamine found in all living cells. It is especially abundant in wheat germ, soybeans, mushrooms, aged cheese, and certain vegetables. Modern supplements are typically derived from concentrated wheat germ extract, a traditional food source that has been consumed for centuries. Scientists began studying its anti-aging properties in the early 2000s after discovering its ability to trigger autophagy in yeast, leading to the development of standardized extracts for research and supplementation.
- Dose: 1–6 mg (most studies and commercial supplements use 3–6 mg)
- Cadence: daily
- Time of day: morning or with the first meal (to align with natural autophagy cycles)
- Synergy with other compounds: NMN / NR, Resveratrol, Fisetin, Quercetin and Metformin
- Recommended by:
- NMN, NR, Resveratrol, Metformin & Other Longevity Molecules | Lifespan with Dr. David Sinclair #4
(Dr. Frank Madeo, leading spermidine researcher, has also strongly endorsed it in multiple scientific interviews)
- NMN, NR, Resveratrol, Metformin & Other Longevity Molecules | Lifespan with Dr. David Sinclair #4
- References:
- Spermidine in health and disease (2018)
- Effects of Spermidine Supplementation on Cognition and Biomarkers in Older Adults With Subjective Cognitive Decline: A Randomized Clinical Trial (2022)
- Mechanisms of spermidine-induced autophagy and geroprotection (2022)
- Higher spermidine intake is linked to lower mortality: a prospective population-based study (2018)
- Where to Buy:
Spermidine is available as a dietary supplement in most countries (no prescription required).
Nattokinase

Research suggests that nattokinase may support longevity by promoting healthy blood flow, breaking down fibrin (a protein involved in clot formation), and reducing inflammation and oxidative stress in the cardiovascular system. Its potential to lower the risk of age-related cardiovascular issues, a leading cause of mortality, has generated interest in its role as a natural circulatory supporter. While human data is still emerging, studies indicate benefits for blood pressure regulation and vascular health, making it a promising compound when combined with a nutrient-dense diet, regular exercise, and other evidence-based longevity practices.
Nattokinase is derived from natto, a traditional Japanese fermented soybean dish consumed for over 1 000 years. In the 1980s, Japanese researcher Dr. Hiroyuki Sumi discovered its potent fibrinolytic (clot-breaking) enzyme while screening traditional foods. The enzyme is now extracted and purified from natto for use in supplements, retaining its natural ability to support healthy circulation without the strong taste or texture of natto itself.
- Dose: 200 mg (4,000 FU)
- Cadence: daily
- Time of day: morning on an empty stomach (or at least 30 min before a meal)
- Synergy with other compounds: NMN, NR, Resveratrol, Omega-3, Curcumin
- Recommended by: #407: Deep Dive on Nattokinase: A Special Enzyme with Cardiovascular Benefits and More with Julia Craven | Vitality Radio w/ Jared St. Clair
- References:
- Effective management of atherosclerosis progress and hyperlipidemia with nattokinase: A clinical study with 1,062 participants (2022)
- Nattokinase Supplementation and Cardiovascular Risk Factors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2023)
- Nattokinase: An Oral Antithrombotic Agent for the Prevention of Cardiovascular Disease (2017)
- Nattokinase atherothrombotic prevention study: A randomized controlled trial (2021)
- Lipid-lowering, antihypertensive, and antithrombotic effects of nattokinase combined with red yeast rice in patients with stable coronary artery disease: a randomized, double-blinded, placebo-controlled trial (2024)
- Where to Buy:
Nattokinase is available as a dietary supplement in most countries.
Pomegranate

Research suggests that pomegranate may enhance longevity primarily through its rich content of ellagitannins (such as punicalagins), which are converted by gut bacteria into urolithins, particularly Urolithin A. Urolithin A is a potent inducer of mitophagy, the selective recycling of damaged mitochondria, helping to restore cellular energy production, reduce inflammation, and improve muscle function and endurance with age.
Human studies show that Urolithin A supplementation can enhance mitochondrial biomarkers and physical performance in older adults, while pomegranate polyphenols also support cardiovascular health, reduce oxidative stress, and may help protect against age-related cognitive decline.
Although the longevity data is promising and growing, results can vary based on individual microbiome composition, and pomegranate is best used as part of a broader evidence-based longevity strategy that includes a nutrient-dense diet and regular physical activity.
Pomegranate fruit (Punica granatum)
Pomegranate is a fruit native to the Middle East and South Asia that has been used for thousands of years in traditional medicine for its antioxidant and anti-inflammatory properties. Modern research has focused on its ellagitannins, which are metabolized by the gut microbiome into bioactive urolithins. Scientists have isolated and studied these compounds extensively, leading to the development of standardized extracts and the first clinically tested Urolithin A supplement (Mitopure).
- Dose: 500 – 1 000 mg pomegranate extract (standardized for ellagitannins), or 250–500 mg Urolithin A (Mitopure)
- Cadence: daily
- Time of day: morning or with a meal (consistent daily use is more important than exact timing)
- Synergy with other compounds: N/A
- Recommended by: NMN, NR, Resveratrol, Metformin & Other Longevity Molecules | Lifespan with Dr. David Sinclair #4
- References:
- Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults (2022)
- The effects of pomegranate supplementation on biomarkers of inflammation and endothelial dysfunction: A meta-analysis and systematic review (2020)
- Urolithin A induces mitophagy and prolongs lifespan in C. elegans and increases muscle function in rodents (2016)
- The effects of pomegranate consumption on inflammatory and oxidative stress biomarkers in adults: a systematic review and meta-analysis (2023)
- Unlocking the Therapeutic Potential of Ellagitannins: A Comprehensive Review of Key Representatives (2025)
- Where to Buy:
Pomegranate is widely available as fresh fruit, juice, or dietary supplements (no prescription needed). For standardized potency, look for products with guaranteed ellagitannin or Urolithin A content.
Cissus Quadrangularis

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Research suggests that cissus quadrangularis may support healthy aging by promoting bone healing, increasing bone mineral density, reducing joint inflammation and pain, and aiding modest weight management through appetite regulation and fat metabolism improvements. Clinical trials show it can accelerate fracture union and improve mobility in osteoarthritis, while preclinical data indicate potential benefits for metabolic health and preservation of musculoskeletal integrity during aging. Although not as extensively studied for longevity as some pharmaceutical compounds, its traditional Ayurvedic use and modern evidence for bone and joint health make it relevant for maintaining strength, mobility, and metabolic balance in later life. Effects can vary by individual, and it should be paired with resistance training, adequate protein, vitamin D, and a nutrient-dense diet for optimal results.
The Cissus quadrangularis plant
Cissus quadrangularis (also known as Hadjod or Veldt Grape) is a perennial climber native to Africa and Asia. It has been used for centuries in traditional Ayurvedic medicine to promote bone and joint health, accelerate fracture healing, and treat inflammatory conditions due to its rich content of ketosteroids, flavonoids, and other bioactive compounds. Modern standardized extracts are derived from the stems and leaves of the plant.
- Dose: 300–600 mg (standardized extract, typically 2.5–5% ketosteroids)
- Cadence: 2–3 times daily
- Time of day: With meals
- Synergy with other compounds:
- Often stacked with vitamin D3, calcium, collagen, or other joint-support compounds for enhanced bone and cartilage benefits.
- Recommended by:
- References:
- The effects of Cissus quadrangularis on bone-related biomarkers in humans: a systematic review and meta-analysis (2025)
- Efficacy and Safety of Cissus quadrangularis L. in Clinical Use: A Systematic Review and Meta-analysis of Randomized Controlled Trials (2017)
- Cissus quadrangularis enhances UCP1 mRNA, indicative of browning of white adipose tissue, in human primary adipocytes (2021)
- A Critical Review of the Evidence for Cissus quadrangularis in Bone Healing and Metabolic Health (multiple reviews 2012–2023)
- Where to Buy:
Cissus quadrangularis is available as a non-prescription dietary supplement in capsule or extract form. Look for standardized extracts (2.5–5% ketosteroids) from reputable brands. Examples:
Yerba Mate

Research suggests that yerba mate may support longevity by improving metabolic health, enhancing insulin sensitivity, reducing oxidative stress and inflammation, and activating AMPK pathways, mechanisms that overlap with caloric restriction mimetics. Its high content of polyphenols (chlorogenic acids, quercetin, and saponins) has been linked in studies to better cardiovascular health, cognitive function, and potential protection against age-related metabolic decline. While large-scale human longevity trials are still limited, its traditional use and promising preclinical and clinical data have made it a popular natural compound in evidence-based longevity communities.
Ilex paraguariensis (Yerba Mate plant)
Yerba mate is derived from the leaves of the Ilex paraguariensis tree, native to the subtropical regions of South America (primarily Paraguay, Brazil, and Argentina). It has been used for centuries by indigenous Guaraní people as a traditional medicinal and ceremonial tea for its energizing, digestive, and health-promoting properties. Modern science has isolated its key bioactive compounds, leading to growing interest in its role as a natural aid for metabolic and longevity support.
- Dose: 500–1000 mg standardized extract or 3–5 g dried leaves (equivalent to 1–2 liters of traditional mate tea)
- Cadence: daily
- Time of day: morning (not after 12:00 due to its natural caffeine content)
- Synergy with other compounds: Often stacked with L-theanine (for smoother focus), NMN/NR, or resveratrol for enhanced metabolic and cognitive benefits.
- Recommended by: Found My Fitness | Dr. Rhonda Patrick | #104 Dr. Ben Bikman: How To Reverse Insulin Resistance Through Diet, Exercise, & Sleep
- References:
- Can Yerba Maté (Ilex paraguariensis A.-St.-Hil) and Its Constituents Affect Health and Obesity? (2024)
- Yerba Maté and its impact on glycemic control and metabolic health: a systematic review and meta-analysis (2025)
- Yerba Mate (Ilex paraguariensis St. Hill.) Tea May Have Cardiometabolic Beneficial Effects in Healthy and At-Risk Subjects: A Randomized, Controlled, Blind, Crossover Trial in Nonhabitual Consumers (2025)
- Ilex paraguariensis Extract Increases Lifespan and Protects Against the Toxic Effects Caused by Paraquat in Caenorhabditis elegans (2014)
- Where to Buy:
Yerba Mate is widely available as a non-prescription herbal product. Look for high-quality, organic loose-leaf or standardized extracts.
📚 Sources and References
Nicotinamide Riboside (NR)
- Nicotinamide riboside improves muscle mitochondrial biogenesis, satellite cell differentiation, and gut microbiota in a twin study (2023)
- Nicotinamide riboside and dietary restriction effects on gut microbiota and liver inflammatory and morphologic markers in cafeteria diet–induced obesity in rats (2023)
- Nicotinamide riboside supplementation alters body composition and skeletal muscle acetylcarnitine concentrations in healthy obese humans (2020)
Nicotinamide Mononucleotide (NMN)
- Long-Term NMN Treatment Increases Lifespan and Healthspan in Mice in a Sex Dependent Manner (2024)
- The efficacy and safety of β-nicotinamide mononucleotide (NMN) supplementation in healthy middle-aged adults: a randomized, multicenter, double-blind, placebo-controlled, parallel-group, dose-dependent clinical trial (2023)
- Valid Critique of study by Peter Attia
- The Science Behind NMN–A Stable, Reliable NAD+Activator and Anti-Aging Molecule (2020)
Resveratrol
- An Antiinflammatory and Reactive Oxygen Species Suppressive Effects of an Extract of Polygonum Cuspidatum Containing Resveratrol (2010)
- Effects of Resveratrol on Memory Performance, Hippocampal Functional Connectivity, and Glucose Metabolism in Healthy Older Adults (2014)
- Calorie Restriction-like Effects of 30 Days of Resveratrol Supplementation on Energy Metabolism and Metabolic Profile in Obese Humans (2011)
- Pilot Study of Resveratrol in Older Adults With Impaired Glucose Tolerance (2012)
- Resveratrol improves insulin sensitivity, reduces oxidative stress and activates the Akt pathway in type 2 diabetic patients (2011)
- Antihyperglycemic Effects of Short Term Resveratrol Supplementation in Type 2 Diabetic Patients (2013)
- The Effect of Resveratrol Supplementation on Cardio-Metabolic Risk Factors in Patients with Type 2 Diabetes: A Randomized, Double-Blind Controlled Trial (2019)
- Resveratrol improves insulin resistance, glucose and lipid metabolism in patients with non-alcoholic fatty liver disease: A randomized controlled trial (2015)
- Resveratrol supplementation improves inflammatory biomarkers in patients with nonalcoholic fatty liver disease (2014)
- Consumption of a grape extract supplement containing resveratrol decreases oxidized LDL and ApoB in patients undergoing primary prevention of cardiovascular disease: A triple-blind, 6-month follow-up, placebo-controlled, randomized trial (2012)
- One-Year Consumption of a Grape Nutraceutical Containing Resveratrol Improves the Inflammatory and Fibrinolytic Status of Patients in Primary Prevention of Cardiovascular Disease (2012)
Metformin
- Targeting Aging with Metformin (TAME) Trial (2025)
- A Critical Review of the Evidence That Metformin Is a Putative Anti-Aging Drug That Enhances Healthspan and Extends Lifespan (2021)
- Metformin in aging and aging-related diseases: clinical applications and relevant mechanisms (2022)
- Comparison of long-term effects of metformin on longevity between people with type 2 diabetes and matched non-diabetic controls (2023)
- Extended-release metformin improves cognitive impairment in frail older women with hypertension and diabetes: preliminary results from the LEOPARDESS Study (2023)
Rapamycin
- Rapamycin fed late in life extends lifespan in genetically heterogeneous mice (2009)
- Rapamycin increases lifespan and inhibits spontaneous tumorigenesis in inbred female mice (2011)
- Rapamycin extends life and health in C57BL/6 mice (2014)
- Transient rapamycin treatment can increase lifespan and healthspan in middle-aged mice (2021)
- Rapamycin treatment during development extends life span and health span of male mice and Daphnia magna (2022)
- Rapamycin for longevity: the pros, the cons, and future perspectives (2025)
- What is the clinical evidence to support off-label rapamycin therapy in healthy adults? (2025)
Spermidine
- Spermidine in health and disease (2018)
- Effects of Spermidine Supplementation on Cognition and Biomarkers in Older Adults With Subjective Cognitive Decline: A Randomized Clinical Trial (2022)
- Mechanisms of spermidine-induced autophagy and geroprotection (2022)
- Higher spermidine intake is linked to lower mortality: a prospective population-based study (2018)
Nattokinase
- Effective management of atherosclerosis progress and hyperlipidemia with nattokinase: A clinical study with 1,062 participants (2022)
- Nattokinase Supplementation and Cardiovascular Risk Factors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2023)
- Nattokinase: An Oral Antithrombotic Agent for the Prevention of Cardiovascular Disease (2017)
- Nattokinase atherothrombotic prevention study: A randomized controlled trial (2021)
- Lipid-lowering, antihypertensive, and antithrombotic effects of nattokinase combined with red yeast rice in patients with stable coronary artery disease: a randomized, double-blinded, placebo-controlled trial (2024)
Pomegranate
- Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults (2022)
- The effects of pomegranate supplementation on biomarkers of inflammation and endothelial dysfunction: A meta-analysis and systematic review (2020)
- Urolithin A induces mitophagy and prolongs lifespan in C. elegans and increases muscle function in rodents (2016)
- The effects of pomegranate consumption on inflammatory and oxidative stress biomarkers in adults: a systematic review and meta-analysis (2023)
- Unlocking the Therapeutic Potential of Ellagitannins: A Comprehensive Review of Key Representatives (2025)
Cissus Quadrangularis
- The effects of Cissus quadrangularis on bone-related biomarkers in humans: a systematic review and meta-analysis (2025)
- Efficacy and Safety of Cissus quadrangularis L. in Clinical Use: A Systematic Review and Meta-analysis of Randomized Controlled Trials (2017)
- Cissus quadrangularis enhances UCP1 mRNA, indicative of browning of white adipose tissue, in human primary adipocytes (2021)
- A Critical Review of the Evidence for Cissus quadrangularis in Bone Healing and Metabolic Health (multiple reviews 2012–2023)
Yerba Mate
- Can Yerba Maté (Ilex paraguariensis A.-St.-Hil) and Its Constituents Affect Health and Obesity? (2024)
- Yerba Maté and its impact on glycemic control and metabolic health: a systematic review and meta-analysis (2025)
- Yerba Mate (Ilex paraguariensis St. Hill.) Tea May Have Cardiometabolic Beneficial Effects in Healthy and At-Risk Subjects: A Randomized, Controlled, Blind, Crossover Trial in Nonhabitual Consumers (2025)
- Ilex paraguariensis Extract Increases Lifespan and Protects Against the Toxic Effects Caused by Paraquat in Caenorhabditis elegans (2014)