One arrow holds in people. The payoff — living longer — has never been tested.
Short answer: an ad for a longevity powder walks through a whiteboard — dihydroberberine to AMPK to NAMPT to NAD+ to SIRT1, with resveratrol, taurine, spermidine and astaxanthin feeding in, and fisetin and quercetin clearing “zombie” cells. We traced every arrow. One is shown in people (NMN raises blood NAD+). Two are textbook biochemistry. Several are cells or mice only, one is disputed, and for some we found no study at all. No arrow reaches the box that matters: a longer, healthier life in people.
Green: shown in people. Amber: cells or animals only. Grey: textbook biochemistry. Red dashed: disputed, or we found no study. Tap to open full size.
The ad is from a doctor who says he helped formulate the product and gives a discount code — a connection he discloses, and one worth weighing. The same company’s Essentials powder cites a 12-week “randomized controlled trial”; we read its registration (below).
Not a powder. The everyday habits studied against how long people live — moving, eating mostly plants, and staying close to other people — are graded on our habits page. Related: urolithin A, another mitochondria supplement with real trials.
Longevity supplements (NMN, spermidine, taurine…) · evidence checked 2026-10-25
Grades are calculated from the studies listed, by fixed rules.
Malondialdehyde fell in pooled placebo-controlled trials; two inflammation markers (CRP, TNF-α) did not. A marker moving is not the same as a health outcome.
It does — that part of the whiteboard holds in people. Whether higher blood NAD+ makes anyone healthier or live longer is a separate question nobody has answered.
Pooled trials against control groups, many unblinded. This is berberine; dihydroberberine is a related form with no outcome trial of its own. If you take diabetes medicine, ask your doctor first — the effects add up.
Striking results in worms, mice and monkeys. In people, lower taurine goes with age-related disease — a correlation, not a test. Its own authors call for human trials.
Pooled placebo-controlled trials in adults over 60 found no effect on muscle mass, grip strength or walking speed.
A year-long double-blind trial at 0.9 mg a day found no change in memory. IM8 uses 3 mg; higher doses have not been tested for memory.
The famous result depended on an artificial fluorescent tag in the test; with natural substrates, resveratrol did not activate SIRT1. Researchers still disagree about special cases.
Fisetin clears senescent cells in mice. In people, the early signals come mostly from quercetin COMBINED with dasatinib, a prescription cancer drug — not quercetin alone. Fisetin trials are under way.
Longevity supplements (NMN, spermidine, taurine…) · evidence checked 2026-10-25
Grades are calculated from the studies listed, by fixed rules.
The trial the page cites compares the powder with a usual diet — no placebo, participants not blinded — and its main outcome is BMI and body measurements, not energy. No results are posted. "95% felt more energy" is a self-report from people who knew they were taking it.
No trial of the product. Its ten compounds range from one that does what it says to a marker (NMN → NAD+) to several with no human test at all — see the diagram above. The doctor recommending it helped formulate it and offers a discount code.
From a sponsored article for IM8 on libertyproject.com (it carries a reader discount code). Its own figure is a hypothetical — “you’re absorbing maybe 20%” — and we found no study measuring supplement absorption in “leaky gut” (PubMed, 2026-10-25). Its point about proprietary blends hiding doses is fair; IM8 does list its amounts.
“All in one NMN Longevity Complex with 11 different ingredients. Made in the USA, and 3rd party tested.”
Perpetua.Life · Facebook ad, seen Oct 2026
No trial of any NMN product has measured lifespan or how people age. The NMN rows above are what has been tested: it raises NAD+ in the blood, and has not reliably kept muscles strong. “Third-party tested” checks what is in the bottle, not what it does.
The trial is a preprint, not a published, peer-reviewed paper, paid for by the company that makes Cellitas. Its 32% is a rise in a blood protein (Beclin-1) within the Cellitas group, measured as an exploratory extra; the paper did not test it against placebo, whose group switched to Cellitas after 12 weeks. A blood protein is not autophagy measured in cells.
“Boosts energy and mental clarity / Supports cellular repair and healthy aging / Clinically backed, doctor-guided care”
ReadyRx · Facebook ad, seen Oct 2026
We found no placebo-controlled trial of injected, infused or nasal NAD+ for energy or thinking. The one human study of IV NAD+ we found measured tolerability: infusions caused moderate to severe stomach upset, a faster heart rate and chest pressure. A 2026 review calls IV “longevity therapy” experimental. Prescription compounded NAD+ is not an FDA-reviewed product.