Evidence
Evidence-based research
Every claim on Longevity Graded is tied to primary research or official labeling. Each row below shows how many primary sources the piece cites, and whether it puts an explicit evidence tier on the compounds it covers rather than leaving the verdict in the prose.
Top of the scorecard · Grade A
CoreAge Rx
Doctor-reviewed longevity peptides and NAD+ with one published per-protocol price and built-in human support.
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Clinics, tests & reviews
Are Longevity Clinics Worth It?
DTC and IV longevity clinics sit on the weakest evidence in the field. What a critical review found, and how to vet a provider before paying.
2 sourcesUpdated Jul 2026
Longevity Clinics vs Lab Memberships vs Rx Telehealth: What Each Delivers
The longevity market splits into four bands: concierge clinics, membership programs, DTC labs, single-product Rx. What each delivers, and who it's for.
4 sourcesUpdated Jul 2026
Biological Age Tests: Do Epigenetic Clocks Actually Work?
Epigenetic clocks (Horvath, GrimAge, DunedinPACE) predict aging well in populations — but are noisy and unproven for individuals. An honest evidence review.
11 sourcesGraded evidence tiersUpdated Jul 2026
What Do Longevity Biomarker Panels Actually Test?
Longevity panels mix genuinely useful, outcome-validated markers (ApoB, HbA1c, hs-CRP) with vanity numbers. An honest, evidence-graded breakdown.
13 sourcesGraded evidence tiersUpdated Jul 2026
Concierge vs Membership Longevity: What You Actually Get
Concierge clinics ($8k–$25k/yr) sell diagnostics; membership programs ($99–$300/mo) sell ongoing treatment. What each delivers, and where the money goes.
4 sourcesUpdated Jul 2026
How We Grade Longevity Providers: Our Methodology
The five-factor, 14-point rubric behind every letter grade: price transparency, longevity line, oversight, pharmacy identification, and support.
6 sourcesUpdated Jul 2026
What Is a Longevity Doctor (and Do You Need One)?
A longevity doctor blends preventive medicine, biomarker testing, and lifestyle coaching. What they really do, credentials to check, and who needs one.
9 sourcesUpdated Jul 2026
How Much Does a Longevity Clinic Cost?
Longevity care runs from ~$200/yr lab memberships to $20k+ concierge programs. A 2026 price-band guide to what each tier buys — and what's worth paying for.
5 sourcesUpdated Jul 2026
Free Biological-Age Tests & Calculators: Do They Actually Work?
Free biological-age calculators range from validated (PhenoAge from a basic blood panel) to entertainment. An honest guide to what's worth your time.
12 sourcesGraded evidence tiersUpdated Jun 2026
TruDiagnostic TruAge Review: Is the $229 Epigenetic Clock Worth It?
TruDiagnostic's TruAge uses the well-validated DunedinPACE clock — but no test proves the score predicts YOUR outcomes. An honest, evidence-graded review.
10 sourcesGraded evidence tiersUpdated Jun 2026
Function Health Review: Are 100+ Biomarkers Worth $499/yr?
Function Health's 100+ lab membership surfaces real outcome-validated markers — but roughly half are basic labs, and it tests without treating. Honest review.
11 sourcesGraded evidence tiersUpdated Jun 2026
Bryan Johnson's Blueprint Review: Evidence vs N-of-1 Hype
Bryan Johnson's Blueprint is a single-subject experiment with no control group — and roughly 90% of its likely benefit is replicable diet, sleep, and exercise.
8 sourcesGraded evidence tiersUpdated Jun 2026
Best Epigenetic Clock: GrimAge vs PhenoAge vs DunedinPACE
GrimAge predicts mortality, PhenoAge predicts disease, DunedinPACE measures pace of aging. No clock is validated to guide your treatment. An honest comparison.
11 sourcesGraded evidence tiersUpdated Jun 2026
GlycanAge Review: Is the Glycan Aging Test Worth It?
GlycanAge measures IgG glycans tied to inflammation, and they move with lifestyle — but independent validation is thin and it can't localize a problem. Graded.
10 sourcesGraded evidence tiersUpdated Jun 2026
Galleri Multi-Cancer Test Review: Is It Worth It?
Galleri's blood test can flag a cancer signal across many types — but no trial shows it saves lives, and false positives trigger costly cascades. Graded.
8 sourcesGraded evidence tiersUpdated Jul 2026
Fountain Life vs Human Longevity Inc: MRI Clinics Compared
Two whole-body-MRI longevity clinics compared. The headline isn't the price — it's the incidentaloma problem: most scary scan findings turn out to be nothing.
9 sourcesGraded evidence tiersUpdated Jul 2026
Outlive by Peter Attia: An Evidence-Based Review
Attia's Outlive popularized Medicine 3.0 and the Four Horsemen. We grade the framework honestly: where the evidence is strong, and where it's reasoned opinion.
10 sourcesGraded evidence tiersUpdated Jun 2026
Best Longevity Blood Test Services, Compared (2026)
Function, InsideTracker, Lifeforce, Superpower — graded honestly. The four cheap outcome-validated markers matter; the '100+ biomarker' count mostly doesn't.
6 sourcesUpdated Jul 2026
Best At-Home Biological Age Test (2026): Honestly Graded
Blood-methylation clocks are the only defensible at-home bio-age tier; saliva and telomere kits are noisier. None proves you're aging slower. Honestly graded.
9 sourcesGraded evidence tiersUpdated Jun 2026
InsideTracker Review: Worth It in 2026?
InsideTracker adds DNA and an 'InnerAge' score to blood panels. The core markers are real, but it's pricier per marker and recommendations skew to upsells.
7 sourcesUpdated Jun 2026
Lifeforce Review: Is the Membership Worth It?
Lifeforce bundles a clinician and Rx onto a ~50-marker quarterly panel for ~$129/mo. That crosses test-into-treat — but the panel is narrow and the upsell real.
9 sourcesUpdated Jun 2026
Superpower Health Review: Is the $499 100-Lab Membership Worth It?
Superpower's $499/yr 100+ lab membership is slick and cheap-per-marker — but it tests without treating, and the panel leans on padding. Honest, graded review.
6 sourcesGraded evidence tiersUpdated Jun 2026
Function Health vs Superpower: Which Lab Membership Wins?
Function Health vs Superpower, graded honestly: nearly identical 100+ lab memberships that both test without treating. The tiebreaker isn't the marker count.
6 sourcesGraded evidence tiersUpdated Jun 2026
NOVOS Core Review: Does the 12-Ingredient Longevity Drink Work?
NOVOS Core bundles 12 longevity ingredients into one daily drink. The formulation logic is real; the human lifespan proof isn't. An honest, graded review.
5 sourcesGraded evidence tiersUpdated Jun 2026
Tally Health Review: Is the TruAge Epigenetic Membership Worth It?
Tally Health pairs a TruAge epigenetic-age test with coaching and a supplement. The clock is real science; tracking your own aging with it isn't proven.
11 sourcesGraded evidence tiersUpdated Jun 2026
NOVOS vs Tally Health: Which Longevity Brand Is Worth It?
NOVOS sells a multi-pathway longevity supplement; Tally Health sells an epigenetic-age test plus its own pill. A graded, honest head-to-head on what's proven.
3 sourcesGraded evidence tiersUpdated Jun 2026
Spermidine vs Fisetin: Two Longevity Supplements, Honestly Compared
Spermidine targets autophagy; fisetin clears senescent cells. Different mechanisms, different evidence grades — an honest, head-to-head longevity comparison.
6 sourcesUpdated Jun 2026
Function Health vs InsideTracker: Which Lab-Test Membership Wins?
Function casts a wide 100+ marker net; InsideTracker pairs fewer markers with an algorithm. We grade breadth, actionability, price — and who each fits.
7 sourcesUpdated Jun 2026
Glycine vs GlyNAC: Is Adding NAC Worth It for Longevity?
GlyNAC adds N-acetylcysteine to glycine for glutathione restoration. Is the extra ingredient worth it for longevity? An honest, graded comparison.
10 sourcesGraded evidence tiersUpdated Jun 2026
AgelessRx Review: Wide Menu, Unpublished Prices
AgelessRx runs real trials and charges no membership — but its headline prices are quarterly rates, and rapamycin's true monthly cost isn't published.
12 sourcesGraded evidence tiersUpdated Jul 2026
Hone Health Review: Is TRT a Longevity Plan?
Hone prices every drug in plain sight and demands no commitment — but it sells hormone therapy as longevity care, which the label and the trials don't support.
12 sourcesGraded evidence tiersUpdated Jul 2026
CoreAge Rx Reviews: Cost, Complaints, and the Record
CoreAge Rx is our #1 pick: flat $93–$99 pricing, no membership, a 503A pharmacy. What the $93 actually buys, verified on its own pages, July 2026.
8 sourcesGraded evidence tiersUpdated Jul 2026
Shed Reviews: NAD+ Cost, the Two-Month Minimum, and the Verdict
Shed advertises NAD+ from $144/mo. Its own terms require a two-month minimum and print the membership rate as an unfilled blank. Verified July 2026.
5 sourcesUpdated Jul 2026
Sprout Health Reviews: What the $199 Becomes, and the Verdict
Sprout Health leads with $199 for NAD+. The recurring rate is $249 every four weeks. What that costs, what's included, and where it loses points.
6 sourcesGraded evidence tiersUpdated Jul 2026
Enhance MD Reviews: The $169 NAD+ Catch, and the Verdict
Enhance MD advertises NAD+ at $169/mo. That rate needs a 12-month prepay; month-to-month is $199 injection or $99 wafers. Verified July 2026.
4 sourcesUpdated Jul 2026
HealthRX Reviews: The $161 Is Real, and That's Rare
HealthRX advertises NAD+ at $161/mo and that is the month-to-month rate, not a prepay. What the price hides, and what it doesn't. July 2026.
4 sourcesUpdated Jul 2026
Direct Meds Reviews: The $99 NAD+ Is One Month Only
Direct Meds advertises NAD+ from $99. The ongoing price is $199 or $249/mo. Two of its pages name different compounding sections. July 2026.
5 sourcesUpdated Jul 2026
RxSpan MD Reviews: $249 Is the Month, $150 Is a Year
RxSpan MD prices NAD+ at $249/mo month-to-month, falling to $150 on a 12-month plan. It publishes no pharmacy statement at all. July 2026.
5 sourcesUpdated Jul 2026
Strut Health Reviews: The $99 Requires Auto-Refill
Strut Health's $99 sermorelin and $149 NAD+ are auto-refill rates. The one-off price is 18% higher and is published nowhere. July 2026.
5 sourcesUpdated Jul 2026
yourEra Reviews: A $249 NAD+ With No Route Named
yourEra prices NAD+ from $249/mo with no contract — genuinely month-to-month. It never says how the NAD+ is delivered. July 2026.
4 sourcesUpdated Jul 2026
Telos Rx Reviews: Named Pharmacies, No Monthly Price
Telos Rx names both dispensing pharmacies with addresses — and publishes no single-month price. "Cancel anytime, no penalties" isn't quite true.
5 sourcesUpdated Jul 2026
MadeMed Reviews: There Is No Monthly Plan
MadeMed sells no month-to-month plan. NAD+ is $209/mo on a 3-month prepay ($627) or $199/mo on six ($1,194), after a CMP you pay for. July 2026.
5 sourcesUpdated Jul 2026
Try Ageless Reviews: Every Price Is an Intro Price
Try Ageless advertises NAD+ at $199 and sermorelin at $126 — both are intro-code rates, and the page says the final amount comes after review. July 2026.
4 sourcesGraded evidence tiersUpdated Jul 2026
Gala Health Reviews: The $179 Is a Yearly Rate
Gala's "$179/mo, no hidden fees" is calculated on a yearly plan by its own footnote. Its cheapest quote is $199 on 3 months. No monthly price. July 2026.
3 sourcesUpdated Jul 2026
Next Health Reviews: The Membership Is Not the Bill
Next Health publishes memberships from $99/mo to $100,000/yr — then bills NAD+ IVs at $500 on top. And two of its own price lists disagree. July 2026.
4 sourcesUpdated Jul 2026
Marek Health Reviews: Deep Labs, No Drug Prices
Marek's intake is $299 and it requires a $450 minimum lab panel. Panels run $150–$1,950. What no page publishes is the price of the medicine. July 2026.
4 sourcesUpdated Jul 2026
Fountain Life Reviews: $10,500 In, and What Is Extra
Fountain Life's own store prices CORE at $10,500 and APEX at $21,500 a year. The cancer blood test is not in either. What the imaging evidence says.
4 sourcesGraded evidence tiersUpdated Jul 2026
System Labs Reviews: Every Price Is a First Month
System Labs publishes NAD+ at $89 and sermorelin at $109 — both struck through from $149 and $219, both first-month rates. What that means. July 2026.
5 sourcesUpdated Jul 2026
Wellorithm Reviews: The Longevity Line Is Unlisted
Wellorithm's sermorelin page prints $150 first month, then $200/mo* — and is absent from its own nav and sitemap. What the asterisk means. July 2026.
5 sourcesUpdated Jul 2026
Prescription protocols
Do NAD+ and Peptides Actually Extend Lifespan?
NAD+ precursors reliably raise NAD+ but show modest, mixed human outcomes. Peptides and growth hormone carry real cautions. An honest evidence review.
7 sourcesGraded evidence tiersUpdated Jul 2026
Rapamycin & Metformin for Longevity: The Evidence
Strong animal data, a glaring human RCT gap. What the PEARL pilot, the TAME rationale, and metformin's observational signal really show.
5 sourcesUpdated Jun 2026
Rapamycin for Longevity: Hype vs Evidence
Rapamycin is the most reproducible lifespan extender in mice — but there is no human longevity trial. An honest split of the hype from the evidence.
11 sourcesUpdated Jul 2026
What the PEARL Trial Actually Showed About Rapamycin
PEARL was the largest decentralized RCT of rapamycin in healthy aging — and it missed its primary endpoint. An honest readout of what it did and didn't prove.
7 sourcesGraded evidence tiersUpdated Jul 2026
NAD+ for Longevity: What the Trials Actually Show
NR and NMN reliably raise NAD+ in humans, but the trials mostly fail to show clinical or longevity outcomes. An honest review of the hype versus the data.
15 sourcesUpdated Jul 2026
GLP-1s for Healthspan & Longevity: The Evidence
GLP-1 drugs have the strongest human outcome data in longevity — but it's cardiometabolic risk reduction, not proven lifespan extension. An honest review.
9 sourcesUpdated Jul 2026
Peptides for Longevity: What's Real and What's Marketing
Most longevity peptides are sold on mechanism and anecdote, not human outcomes. An honest, citation-backed review of what the evidence actually supports.
14 sourcesGraded evidence tiersUpdated Jul 2026
Metformin for Longevity: The TAME Trial Evidence
Metformin's anti-aging case is mechanistic and observational — no completed RCT proves it. Why the TAME trial exists, and the exercise caveat.
7 sourcesUpdated Jul 2026
Hyperbaric Oxygen for Aging: Does the Telomere Claim Hold Up?
One small Israeli trial reported HBOT lengthened telomeres 38% and cut senescent cells. It's striking, unreplicated, and expensive. An honest, graded review.
5 sourcesGraded evidence tiersUpdated Jun 2026
Microdose Lithium for Longevity & Brain Aging: The Evidence
A 2025 Nature study tied lithium deficiency to Alzheimer's in mice. But that's mouse healthspan, not human lifespan — and lithium has a narrow safety window.
9 sourcesGraded evidence tiersUpdated Jun 2026
Acarbose for Longevity: The Strongest Mouse Drug You've Never Heard Of
Acarbose robustly extended mouse lifespan in the NIA's rigorous ITP — better replicated than most longevity drugs. But there are zero human longevity trials.
5 sourcesGraded evidence tiersUpdated Jul 2026
Supplements
Best Longevity Supplements, Rated by Evidence (2026)
We grade the popular longevity supplements — NMN, NR, spermidine, resveratrol, CoQ10, omega-3, vitamin D, fisetin, GlyNAC — on human evidence, not hype.
16 sourcesGraded evidence tiersUpdated Jul 2026
Spermidine for Longevity: What the Evidence Shows
Spermidine induces autophagy and dietary intake tracks with lower mortality — but the best human trial was negative. An honest, evidence-graded review.
10 sourcesUpdated Jun 2026
Taurine for Longevity: Does the 2023 Science Study Hold Up?
A 2023 Science paper called taurine deficiency a driver of aging. A 2025 Science follow-up questioned its core premise. An honest, evidence-graded review.
9 sourcesGraded evidence tiersUpdated Jun 2026
Urolithin A (Mitopure): Mitochondrial Hype or Real?
Urolithin A (Mitopure) has the cleanest human-trial record of any mitochondrial supplement — modest muscle gains in RCTs. But healthspan isn't lifespan.
7 sourcesGraded evidence tiersUpdated Jun 2026
GlyNAC (Glycine + NAC) for Aging: What the Baylor Trials Actually Show
Baylor RCTs report GlyNAC corrects glutathione deficiency and several aging hallmarks in older adults. But the trials are small and the headlines overstate it.
7 sourcesGraded evidence tiersUpdated Jul 2026
Alpha-Ketoglutarate (Rejuvant/AKG): Does the "8 Years Younger" Claim Hold Up?
The viral "8 years younger" AKG result came from a 42-person study with no placebo group and an unvalidated aging clock. An honest evidence review.
5 sourcesGraded evidence tiersUpdated Jun 2026
Creatine for Aging: The Cheapest Evidence-Backed Supplement?
Creatine has the strongest human evidence of any longevity supplement — for healthspan, not lifespan. With resistance training it adds muscle and strength.
10 sourcesGraded evidence tiersUpdated Jun 2026
Sulforaphane for Longevity: Promising Biology, Preclinical Proof
Sulforaphane from broccoli extends lifespan in worms and activates Nrf2 — but the human longevity evidence is preclinical. An honest, evidence-graded review.
9 sourcesGraded evidence tiersUpdated Jun 2026
Glycine for Longevity: The Other Half of GlyNAC
Glycine alone extended mouse lifespan ~6% in the ITP. But the dramatic 'reverses aging' results belong to the GlyNAC combo, not solo glycine. An honest review.
8 sourcesGraded evidence tiersUpdated Jun 2026
Ergothioneine: The "Longevity Vitamin"? An Evidence-Graded Review
Ergothioneine has a strong observational link to lower mortality — but no human trial, and the signal may just track a healthy diet. An honest grade.
10 sourcesGraded evidence tiersUpdated Jun 2026
Omega-3 for Longevity: What the DO-HEALTH Trial Actually Shows
DO-HEALTH found 1 g/day omega-3 slowed epigenetic clocks by ~3–4 months. Real, randomized — but a small, surrogate effect. An honest evidence grade.
7 sourcesGraded evidence tiersUpdated Jun 2026
CoQ10 & Ubiquinol for Aging: What the Evidence Actually Shows
KiSel-10 showed CoQ10 plus selenium cut cardiovascular mortality in elderly Swedes — but the benefit is CV-specific, not lifespan. An honest grade.
9 sourcesGraded evidence tiersUpdated Jun 2026
Does Resveratrol Actually Work for Longevity?
A skeptical, evidence-graded review: the SIRT1 story was an artifact, a 2025 primate trial found no lifespan benefit, and oral resveratrol barely reaches cells.
10 sourcesGraded evidence tiersUpdated Jul 2026
Collagen for Aging: What the Evidence Says
Industry-funded trials show skin and joint benefits; independent reviews are cautious. Collagen digests to amino acids, and the longevity claim is unproven.
10 sourcesGraded evidence tiersUpdated Jun 2026
Quercetin for Longevity: Senolytic Hype vs Evidence
Quercetin's senolytic effect needs the dasatinib combination. Standalone quercetin has no human senolytic evidence — just modest anti-inflammatory effects.
10 sourcesGraded evidence tiersUpdated Jun 2026
Berberine for Longevity: Nature's Metformin, or Marketing?
Berberine activates AMPK like metformin and lowers glucose and lipids in humans — but its longevity evidence is animal-only. An honest look at the hype.
11 sourcesGraded evidence tiersUpdated Jul 2026
Senolytics
Fisetin as a Senolytic: What "Hit-and-Run" Dosing Shows
Fisetin was the standout senolytic flavonoid in mouse screens and extended lifespan ~10%. In humans, the longevity data are essentially zero. An honest review.
8 sourcesGraded evidence tiersUpdated Jun 2026
Dasatinib + Quercetin: How Far Along Is the Flagship Senolytic?
Dasatinib + quercetin is the first-in-human senolytic — with small IPF and kidney signals. But it's a chemo drug plus a flavonoid, with no longevity RCT yet.
8 sourcesGraded evidence tiersUpdated Jun 2026
Training, diet & lifestyle
The Sitting-Rising Test & Longevity: What the Evidence Actually Shows
The sitting-rising and sit-to-stand tests predict mortality in research — but they're markers of strength, balance, and flexibility, not a verdict.
9 sourcesUpdated Jul 2026
VO2 Max and Longevity: The Strongest Fitness Predictor of Lifespan
Cardiorespiratory fitness is one of the best-validated predictors of mortality — low fitness carries risk on par with smoking, and it's trainable.
8 sourcesGraded evidence tiersUpdated Jun 2026
Grip Strength as a Longevity Biomarker: What the Evidence Shows
In the 140,000-person PURE study, grip strength outpredicted systolic blood pressure for mortality. A genuinely strong, free, at-home biomarker.
8 sourcesGraded evidence tiersUpdated Jun 2026
Fasting-Mimicking Diet (ProLon) Review: Does the Evidence Hold Up?
ProLon's 5-day fasting-mimicking diet has real human trials behind it — but most are tied to its inventor's company. An honest, graded look.
7 sourcesGraded evidence tiersUpdated Jul 2026
Sauna & Longevity: What the Finnish Studies Actually Show
Frequent sauna use is tied to ~40% lower all-cause mortality in Finnish men — but it's one observational cohort, not a randomized trial. An honest grade-B read.
8 sourcesGraded evidence tiersUpdated Jun 2026
Cold Plunge for Longevity: Hype vs Evidence
Cold exposure extends lifespan in worms and flies — but there's zero human lifespan data, and the human evidence is about recovery and mood, not living longer.
8 sourcesGraded evidence tiersUpdated Jun 2026
Zone 2 Training for Longevity: The Evidence, Graded Honestly
Zone 2 has a strong mitochondrial mechanism and builds the fitness that predicts lifespan — but no trial proves Zone 2 itself extends life. Graded honestly.
11 sourcesGraded evidence tiersUpdated Jun 2026
Intermittent Fasting for Longevity: What the Human Trials Actually Show
Time-restricted eating and 5:2 have strong animal data — but human trials show the benefit is mostly about eating less, not the clock. No lifespan proof.
6 sourcesGraded evidence tiersUpdated Jul 2026
The science of aging
Longevity Medicine: What's Proven vs Hyped
An honest, evidence-graded tour of the longevity toolkit — what has human outcome RCTs versus what is animal or mechanistic-only.
20 sourcesGraded evidence tiersUpdated Jul 2026
The Hallmarks of Aging, Explained (and Why They Matter)
The hallmarks of aging are the cellular processes that drive getting old. A plain-English guide to the 2013 and 2023 framework — and why each one gets targeted.
8 sourcesUpdated Jul 2026