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Evidence-Based Compounds for Extending Healthspan

Longevity science has exploded in the last decade — from Sinclair's NAD+ work to the TAME trial for metformin. But separating signal from noise is critical. Most anti-aging supplements are selling hope, not evidence. Here are the compounds with real mechanistic rationale and clinical data.

Top Compounds

NMN (Nicotinamide Mononucleotide)
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NR (Nicotinamide Riboside)
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Resveratrol (trans-Resveratrol)
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CoQ10 (Ubiquinol)
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Berberine
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Spermidine
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Epitalon
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GHK-Cu
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The BioAccelera Longevity Stack

Morning with breakfast (fat-containing)

FOUNDATION
  • NMN 500mg-1g daily (sublingual preferred)
  • CoQ10 (ubiquinol) 200mg daily
  • Vitamin D3 5000 IU + K2 MK-7 200mcg
ADVANCED
  • Resveratrol 500mg-1g with fat (activates SIRT1)
  • Berberine 500mg with meals (AMPK activation)
  • Spermidine 1mg daily (autophagy inducer)

💡 The longevity field moves fast. NMN vs NR debate continues — NMN has more recent human trial data. Resveratrol bioavailability is poor; take with fat. Berberine and metformin may blunt exercise adaptations — don't take them around workouts.

Frequently Asked Questions

Does NMN actually work?

Human trials are promising but still early. The NAD+ precursor rationale is solid (NAD+ declines 50% by age 50), and animal data is strong. Several human RCTs show improved muscle function, insulin sensitivity, and NAD+ levels. Not definitive yet, but the mechanistic case is compelling.

Should I take metformin for longevity?

The TAME trial will answer this definitively. Current evidence: metformin extends lifespan in diabetics but may blunt exercise-induced mitochondrial adaptations. If you exercise seriously, berberine (similar AMPK activation, less exercise interference) may be the better choice. Talk to your doctor either way — it's prescription-only.

What about rapamycin?

Rapamycin (mTOR inhibitor) has the strongest animal longevity data of any compound. But immunosuppression is a real concern. Intermittent/pulsed dosing protocols are being explored. This is firmly in 'work with a longevity physician' territory — not something to self-administer.

How do I know if these are working?

Track biological age markers: DNA methylation tests (TruAge, GrimAge), blood biomarkers (hsCRP, glucose, lipids, IGF-1), and functional metrics (grip strength, VO2 max, HRV). Run panels every 6-12 months and track trends.

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