Empagliflozin (SGLT2i)

A+
Cardiology Rx (Repurposed) kidneyscardiovascularliver

SGLT2 inhibitors (empagliflozin, dapagliflozin) are the highest-evidence longevity compound class in the registry, with A+ grades for both…

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Semaglutide

A+
Metabolic Rx (Repurposed) cardiovascularkidneysbrain

Semaglutide is the highest-evidence longevity compound in the ClinEvident registry. Originally approved for type 2 diabetes (Ozempic) and…

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Metformin

B+
Metabolic Rx (Repurposed) cardiovascularbrainliver

Metformin has extensive observational evidence suggesting longevity benefits, including the landmark UKPDS study showing reduced all-cause…

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Urolithin A (Mitopure)

C+
Musculoskeletal Supplement musculoskeletalcardiovascularimmune

Urolithin A is the cleanest evidence story in the supplement space. Timeline/Amazentis has published six human clinical trials showing…

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Rapamycin (Sirolimus)

C+
Longevity Rx (Repurposed) immunecardiovascularbrain

Rapamycin has the strongest preclinical lifespan extension data of any compound — consistent results across yeast, worms, flies, and…

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CoQ10 (Ubiquinol)

C+
Cardiology Supplement cardiovascularmusculoskeletal

CoQ10 has the longest clinical evidence history of any longevity supplement. A 2024 meta-analysis found CoQ10 supplementation significantly…

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NR (Nicotinamide Riboside / Tru Niagen)

C-
Longevity Supplement cardiovascularbrainliver

NR (Tru Niagen by ChromaDex) shares the NAD+ precursor mechanism with NMN but has a slightly stronger evidence base. ChromaDex has…

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Spermidine

C-
Longevity Supplement cardiovascularbrainimmune

Spermidine is an autophagy inducer with an interesting epidemiological signal — the Bruneck Study (n=829, 20-year follow-up) found that…

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NMN (Nicotinamide Mononucleotide)

D+
Longevity Supplement cardiovascularbrainmusculoskeletal

NMN is among the most popular longevity supplements, but its evidence grade is D+ — reflecting a significant gap between consumer…

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D+Q (Dasatinib + Quercetin) Senolytic

D+
Longevity Rx (Repurposed) immunelungskidneys

D+Q is the original senolytic combination, pioneered by James Kirkland at Mayo Clinic. The concept — selectively killing senescent cells…

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Quercetin (standalone)

D+
Inflammation Supplement immunecardiovascular

Quercetin as a standalone supplement has weak evidence for longevity. Its primary interest is as the 'Q' in D+Q senolytic therapy, but…

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Fisetin

C-
Longevity Supplement immunebrainmusculoskeletal

Fisetin exemplifies the senolytic evidence gap. A 2018 preclinical study identified it as the most potent senolytic flavonoid, extending…

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