32 Comments
User's avatar
Dr. Ashori MD's avatar

Great summary. It's easy to get swayed by the charming talking heads when it comes to supplements. In my health coaching practice, I stress that each supplement should be treated like any drug. For the right person, in the right setting, it could be really important or cause more harm than good.

Expand full comment
Paul von Zielbauer's avatar

Dr. Ashori, I appreciate your comment very much. Last week, I saw an article in Fortune magazine on "the top 5 NAD supplements" (they forgot to add the +) that completey failed to note that NAD+ hasn't been proven to work in humans. So the hype is real. We need more doctors like you giving patients a dose of realism.

Expand full comment
Paul von Zielbauer's avatar

Dr. Ashori, I appreciate your comment very much. Last week, I saw an article in Fortune magazine on "the top 5 NAD supplements" (they forgot to add the +) that completey failed to note that NAD+ hasn't been proven to work in humans. So the hype is real. We need more doctors like you giving patients a dose of realism.

Expand full comment
Moran Hermesh's avatar

Well done Paul. Very concise, informative and valuable! 🙏👏🏻

Expand full comment
Paul von Zielbauer's avatar

Moran, I'm glad you, a certified nutritionist, find this helpful.

Expand full comment
Moran Hermesh's avatar

Functional Medicine Dietitian. And Yes! You hit all the right supplements and the credible support for each.

Now… do you know of a company that bottles some of these into one pill? 😂

Expand full comment
Paul von Zielbauer's avatar

Sorry! I stand corrected, Madame FMD. I’m working on putting all these supplements into one, branded AGING with STRENGTH superpill. What could go wrong?

Expand full comment
Moran Hermesh's avatar

Nothing more than you’ll likely make more $$$ than writing 😉

Expand full comment
Tricia's avatar

This is really great. Thank you! I appreciate you start by saying sleep, diet, exercise and social are the most important for our overall longevity. Those alone are tough to get down.

At 61 I do, and have for decades, take Omega 3s. And also Vitamin D. So yay! But I’m a hiker / walker / biker and get good safe sun amounts. So important.

I’d like to hear about Calcium, DHEA, Methyl B!

Expand full comment
Paul von Zielbauer's avatar

Tricia, congratulations on nailing the fundamentals. That's impressive.

Vit D is covered in this post but I'll add calcium, DHEA and Methyl B to the list.

Keep going.

Expand full comment
Janice Scherer's avatar

Quercetin

Expand full comment
Paul von Zielbauer's avatar

Janice, thanks.

Expand full comment
Brian Ford's avatar

Although not in the “longevity” category necessarily what about the use of beet root powder to natural increase nitric oxide. Would be nice to have a healthy blood pressure without pharmacological (ACE inhibitors, beta blockers, etc) which seem to be addressing symptoms and not cause?

Expand full comment
Paul von Zielbauer's avatar

Brian, thanks for this. I'll add them to the list. More to come.

Expand full comment
Mark Globerson's avatar

Not exactly an enthusiastic endorsement. It sounds like your Caveat 1 are the first 100 things on the list to do first. Then it sounds like you are relying on Dr Internet to know if any of those supplements are good for you.

Expand full comment
Paul von Zielbauer's avatar

Mark, my enthusiasm is for people to not rely on shortcuts to moving one's body, eating whole foods, getting proper sleep and having a decent social life. No supplement is going to be more effective than those things. But also, yes, I'm skeptical of what's being sold by longevity chiselers as "anti-aging."

If by Dr. Internet you mean I've spent time researching each supplement, and the research has been online, you are correct, sir.

Expand full comment
Mark Globerson's avatar

Actually I meant that we frequently scour the internet to find answers or ideas even in the area of answering questions like "what supplement might help me with x". The problem is that most of us are certainly not experts that can pick apart the information we find and determine if it is applicable for our uses nor are we trained enough to go through the whatever actual studies might be available to understand the often very limited way these things are tested. Yes, the information we find might be useful for us, hopefully useful enough so we can understand if there are any side effects or what amounts of supplements are safe. But thats not really enough for us to self diagnose and feel confident that the choice is a good one. Most of these things, but not all, have very little real evidence of being beneficial in any material way for general consumption without any doctor feedback and the lack of studies often feeds into conspiracy theories that big pharma or the western medicine cabal deliberately overlook "natural" supplements. Clearly I hope that more research is devoted into the supplement world to find out of there are some combinations that will help over and above the "caveat 1" list. And it would be nice if doctors actively followed this information so they could decide whether or not to suggest any of these things for their patients.

Expand full comment
Paul von Zielbauer's avatar

Mark, it's true what you say. The online supplement world is self-fulfilling prophesy of many false statements, very often. But also, some of the researchers publishing studies on these supplements also start companies that sell the supplements and cite (their own) research in support. So its a tendentious circle, sometimes. Consumers are mostly left in the dark when that happens.

Expand full comment
Annie Fenn, MD's avatar

Great job on this Paul! I totally concur, especially wrt DHA and brain longevity. It’s worth adding that a simple multivitamin like Centrum showed dementia reduction benefit in a large RCT in adults over 65. It’s a kitchen sink approach to supplementing, but there’s proven benefit in that age group.

Expand full comment
Paul von Zielbauer's avatar

Annie, thanks for your informative note. A daily multivitamin seems like a no-brainer (pun intended). There's just no downside to taking one, it seems.

Expand full comment
AJ Ong's avatar

Excellent summary. Curious if the order had any meaning

Expand full comment
Paul von Zielbauer's avatar

AJ, good question. The order is not relevant in this list, alas. I didn’t want it to be predictable.

Expand full comment
AJ Ong's avatar

Ha of course, makes sense

May want to consider Taurine for future study. It's use is driven by longevity hopes/claims more so than magnesium

Expand full comment
Paul von Zielbauer's avatar

AJ, thank you for mentioning taurine. In fact, I had a write up on it ready to include in this list but I ran out of time trying to write what it does in simple, non-technical terms. Maybe I'll put in in, once I simplify it.

Expand full comment
JEAN COCHRAN's avatar

Very helpful 💕. Some of these are not fully baked, which is good to know given the attention they’ve received. Hopefully we’ll be getting more definitive answers ‘soon’.

Expand full comment
Paul von Zielbauer's avatar

Jean, I'm glad this is helpful to you. Yes, this post could have been alternatively titled, "11 not fully baked longevity supplements, and omega-3"

Expand full comment
JEAN COCHRAN's avatar

They’ve been fully hyped, however 😂

Expand full comment
JEAN COCHRAN's avatar

Lookin’ at you, Rapamycn! 👀

Expand full comment
Paul von Zielbauer's avatar

Indeed, Jean. But as mentioned that the top of this post, if you're taking supplements but not taking care of your physical, food, sleep and social health, you're not helping yourself.

Expand full comment
Anthony Passero's avatar

Thank you for this in depth article.

What about Metformin?

I keep reading it’s the longevity drug of choice

Expand full comment
Paul von Zielbauer's avatar

Anthony, good call out. I'd previously written about metformin (and rapamycin) but should have included it in this article. I've added a section on metformin, so it's now a post about the "top 12" longevity supplements (that may or may not work). Thanks for your gimlet eye.

Expand full comment
Cynthia LeBleu Wood's avatar

So Paul, what supplements do you take? I take my prescription meds, a multi-vitamin and a supplement for hair, skin and nails and that's it. At 85, I'm still physically active, play all the NY Times games, and get 5-7 hrs. of sleep nightly. Do I really want to live to 100? :-)

Expand full comment