Best Interventions for Longevity, Ranked by Evidence

Every intervention Outliyr has scored for longevity, ranked by its BioHarmony score for this use case rather than its overall rating. The number beside each name is how well that one thing works for longevity; the tier beside it is what it is worth once safety, cost and effort are counted across everything else.

84 of 147 evaluated interventions score 3.0+ out of 10 for longevity · 28 comparisons

Longevity is broad enough that "best for X" usually loses the plot. This list is ranked by each report's longevity-specific subrating, not by its overall BioHarmony score, so a genuinely elite general intervention can sit below a narrower one built for this goal specifically. Read the note under a row before assuming a higher spot means a better product across the board.

What is included

This hub covers single, individually scored interventions with a real longevity mechanism, not whole-body stacks, general wellness routines, or anything still awaiting a full BioHarmony write-up. A high position here reflects evidence quality and effect size specific to lifespan and healthspan outcomes, not affordability, ease of use, or how well-known the intervention is.

Ranked for Longevity

Category
  1. Zone 2 Cardio

    8.0–8.5 /10 for longevity 8.0–8.5/10 overall Strong recommend Cardiovascular

    The existing rationale points to this narrower claim: this verified source followed 55,137 adults and found leisure-time running associated with lower all-cause and cardiovascular mortality. This supports aerobic training for. That does…

    Zone 2 cardio tops this list because its longevity subrating (8.0–8.5/10) sits alongside genuinely elite general evidence (Strong recommend overall). Steady sub-threshold aerobic work is one of the few interventions here with both mechanistic plausibility (mitochondrial biogenesis, VO2max) and a large observational mortality literature behind it.

  2. Glycine

    8.0–8.5 /10 for longevity 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Kumar 2023 anchors the most relevant signal. Glycine fits longevity because glycine participates in sleep signaling, glutathione, collagen, methylation, and nervous-system balance, depending on the endpoint. The score stays bounded because many…

    Glycine ties for the top longevity subrating (8.0–8.5/10) on the strength of its role in glutathione synthesis and collagen turnover, two pathways that decline with age. It's cheap, well tolerated, and rated Strong recommend overall, which is part of why it ranks this high despite not being a headline longevity compound.

  3. Traditional Sauna (Finnish Dry-Heat)

    8.0–8.5 /10 for longevity 7.5–8.0/10 overall Strong recommend Sauna & Heat Therapy

    The signal is dose-dependent across frequency and session duration, and the cohort followed men for two decades, which is unusually long for any intervention. The honest caveat is residual confounding: healthier, wealthier,…

    Traditional Finnish sauna matches the top longevity subrating (8.0–8.5/10) on repeated-exposure cardiovascular mortality data, the same literature that anchors its Strong recommend overall rating. It ranks just above infrared sauna here because the dry-heat protocol has the deeper longevity-specific evidence, not because infrared is a weaker sauna.

  4. Rapamycin

    8.0–8.5 /10 for longevity 6.5–7.0/10 overall Worth trying Longevity & mTOR Drug

    Harrison 2009 anchors the most relevant signal. Rapamycin fits longevity when mTORC1 modulation, autophagy, immune aging, or senescence biology is the actual target. The score stays bounded because human longevity endpoints remain…

    Rapamycin ties for the highest longevity subrating on this list (8.0–8.5/10) even though its overall rating is Worth trying, a step below the tier the three interventions above it carry. That gap is intentional: rapamycin's mTOR-inhibition evidence is genuinely strong for lifespan extension specifically, but its side-effect and monitoring burden pulls the overall score down in a way that has nothing to do with this goal.

  5. Taurine

    7.5–8.0 /10 for longevity 8.0–8.5/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Singh 2023 reports Flagship aging paper; taurine declines with age and supplementation improved lifespan or healthspan markers in non-human models. The score stays conditional because Taurine still needs better outcome data for…

    Taurine actually carries a higher overall rating (Strong recommend) than glycine and traditional sauna above it, but its longevity subrating (7.5–8.0/10) is a step behind theirs, which is why it sits at position five instead of higher. The evidence for taurine's role in age-related decline is real, just not as longevity-specific as the two rows above it.

  6. Infrared Sauna

    7.5–8.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Sauna & Heat Therapy

    Kihara 2002 supports the strongest part of the claim. The existing rationale points to this narrower claim: Longevity signal comes mainly from traditional Finnish sauna observational data, especially this verified source, plus…

    Infrared sauna shares taurine's longevity subrating (7.5–8.0/10) and draws on much of the same heat-stress cardiovascular literature as its traditional counterpart, though with less direct mortality data of its own. There's a roundup of tested home units linked below.

  7. Norwegian 4×4

    7.5–8.0 /10 for longevity 8.0–8.5/10 overall Strong recommend Cardiovascular

    The protocol raises VO2max, a major marker of cardiorespiratory reserve. The original study reported about a 7% VO2max improvement after six weeks Helgerud 2007, while a broader umbrella review found that high-intensity…

    Norwegian 4x4 interval training carries the highest overall rating of anything in this top eight (Strong recommend), yet it sits at position seven because its longevity subrating (7.5–8.0/10) is a step behind the sauna and cardio protocols above it. The VO2max gains are exceptional; the longevity-specific literature is simply thinner than zone 2's.

  8. Spermidine

    7.5–8.0 /10 for longevity 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Kiechl 2018 anchors the strongest signal. The existing rationale points to this narrower claim: this verified source is the strongest human signal, with 20-year dietary follow-up linking higher spermidine intake to lower…

    Spermidine closes out the top eight on autophagy-linked evidence, with a longevity subrating (7.5–8.0/10) that tracks closely with its Strong recommend overall rating. There's a supplement roundup linked below if you want to compare tested brands.

  9. Red Light Therapy

    7.0–7.5 /10 for longevity 7.5–8.0/10 overall Strong recommend Light Therapy

    Red Light Therapy targets mitochondrial and inflammatory biology, with Hamblin 2017 supporting anti-inflammatory mechanisms. The case is healthspan-adjacent rather than lifespan-proven. No human trial shows Red Light Therapy extends life. The strongest…

  10. Vitamin D3 + K2

    7.0–7.5 /10 for longevity 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Jolliffe 2021 anchors the most relevant signal. Vitamin D3 + K2 fits longevity when deficiency, bone risk, immune seasonality, or fat-soluble nutrient gaps are present. The score stays bounded because benefits are…

  11. Ca-AKG (Calcium Alpha-Ketoglutarate)

    7.0–7.5 /10 for longevity 6.5–7.0/10 overall Worth trying Vitamin & Mineral & Nutrient

    The existing rationale points to this narrower claim: this verified source reported lifespan extension in aged mice, while this verified source supports a C. elegans longevity mechanism. Human lifespan data. That does…

  12. Semaglutide

    7.0–7.5 /10 for longevity 6.0–6.5/10 overall Worth trying Metabolic & Incretin Peptide

    Lincoff 2023 and Perkovic 2024 moved event risks that can affect lifespan in high-risk groups. The longevity case is therefore conditional, not universal. If obesity, diabetes, CVD, CKD, or MASH are shortening…

  13. Polyphenols (Dietary)

    6.5–7.0 /10 for longevity 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Grosso 2017 pooled 22 prospective studies and found high total-flavonoid intake associated with 26 percent lower all-cause mortality (RR 0.74), with flavonols especially strong (HR 0.64). These are associations, not proof of…

  14. Senolytics

    6.5–7.0 /10 for longevity 6.5–7.0/10 overall Worth trying Botanical Extract (non-adaptogenic)

    Yousefzadeh 2018 supports fisetin lifespan and healthspan effects in mice; Farr 2024 tempers human extrapolation for D+Q. The score stays bounded because Senolytics evidence for longevity can depend on age, disease context,…

  15. Neurofeedback

    6.5–7.0 /10 for longevity 8.0–8.5/10 overall Strong recommend Neurostimulation & Neurofeedback

    Longevity relevance is indirect: maintaining attention, sleep, emotional regulation, and cognitive flexibility protects functional aging. Neurofeedback does not have lifespan, epigenetic-age, or disease-incidence trials. The score is preserved because durable cognitive self-regulation…

  16. Molecular Hydrogen

    6.5–7.0 /10 for longevity 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Dhillon 2024 reports 25-article systematic review; mixed preliminary clinical evidence, heterogeneity, and need for stronger trials. Zhou 2024 points in the same direction, but route, dose, baseline status, and outcome tracking decide…

  17. GHK-Cu

    6.5–7.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Cosmetic & Dermatologic Peptide

    The v0 longevity score is preserved but explicitly bounded: Pickart 2014 and Pickart 2018 describe broad gene-expression effects, but no human lifespan, healthspan, or systemic injection RCT validates a longevity outcome. The…

  18. Rucking (Weighted Walking)

    6.5–7.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Cardiovascular

    Walking volume is one of the most robustly mortality-linked behaviors measured: across 47,471 adults the most active step quartile had a 53 percent lower all-cause death rate (Paluch 2022). Higher cardiorespiratory fitness,…

  19. Whole-Body Vibration

    6.5–7.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Vibration & Mechanical Stimulation

    Whole-Body Vibration may influence longevity indirectly by mitigating sarcopenia, improving balance, and reducing fall risk, pathways linked to mortality in aging populations. Systematic reviews report mixed effects on muscle loss in seniors,…

  20. Epitalon

    6.5–7.0 /10 for longevity 6.5–7.0/10 overall Worth trying Mitochondrial & Longevity Peptide

    The evidence points to a plausible use case without proving a universal response. Al-dulaimi et al. 2025 is the best anchor here because it reports independent in vitro study and normal epithelial…

  21. Sprinting (Sprint Interval Training)

    6.5–7.0 /10 for longevity 6.0–6.5/10 overall Worth trying Cardiovascular

    The mechanism is VO2max, a major marker of cardiorespiratory reserve that tracks tightly with survival in Mandsager 2018, where elite fitness was associated with about 80 percent lower all-cause mortality versus low…

  22. Tirzepatide

    6.5–7.0 /10 for longevity 6.0–6.5/10 overall Worth trying Metabolic & Incretin Peptide

    Evidence from the SURMOUNT-1 extension shows tirzepatide reduced progression to type 2 diabetes, a key longevity factor (Jastreboff 2025). Tirzepatide also improves cardiometabolic risk markers such as weight, blood pressure, and lipid…

  23. Time-Restricted Eating

    6.0–6.5 /10 for longevity 6.5–7.0/10 overall Worth trying Fasting Protocol

    The evidence points to a plausible use case without proving a universal response. Chen X et al. 2026 is the best anchor here because it reports 41 randomized trials, 2,287 participants and…

  24. Metformin

    6.0–6.5 /10 for longevity 6.5–7.0/10 overall Worth trying Metabolic & Glycemic Drug

    The rationale for Metformin and longevity rests on a few epidemiologic studies that note lower mortality among diabetic patients taking the drug, and on the TAME trial design that aims to test…

  25. TB-500 (Thymosin Beta-4 Fragment)

    6.0–6.5 /10 for longevity 7.5–8.0/10 overall Strong recommend Growth & Repair Peptide

    Longevity is speculative. Tissue repair, inflammation resolution, and injury resilience plausibly support healthspan, but no lifespan or age-related disease trial exists. The score remains moderate because chronic peptide use adds unresolved safety…

  26. Thymosin Alpha-1

    6.0–6.5 /10 for longevity 7.0–7.5/10 overall Strong recommend Immune Peptide

    Wu 2025 anchors the most relevant signal. Thymosin Alpha-1 fits longevity when immune modulation is medically relevant and monitored rather than casually guessed. The score stays bounded because the best evidence is…

  27. Vagus Nerve Stimulation

    6.0–6.5 /10 for longevity 7.0–7.5/10 overall Strong recommend Neurostimulation & Neurofeedback

    HRV is an observational mortality marker, but changing HRV with tVNS has not been shown to extend lifespan or reduce mortality in healthy adults. The score stays bounded because Vagus Nerve Stimulation…

  28. Coenzyme Q10 (CoQ10 / Ubiquinol)

    6.0–6.5 /10 for longevity 7.0–7.5/10 overall Strong recommend Vitamin & Mineral & Nutrient

    In Alehagen 2013 (KiSel-10), 200 mg CoQ10 plus 200 micrograms selenium daily in elderly Swedes cut cardiovascular mortality from 12.6% to 5.9% over roughly five years, a striking outcome that persisted at…

  29. Ergothioneine

    6.0–6.5 /10 for longevity 6.5–7.0/10 overall Worth trying Vitamin & Mineral & Nutrient

    Beelman 2020 argues ergothioneine is a longevity vitamin under-supplied by the American diet, building on Bruce Ames's triage theory in Ames 2018. Blood levels decline after age 60 and low levels track…

  30. Methylene Blue

    6.0–6.5 /10 for longevity 6.0–6.5/10 overall Worth trying Mitochondrial & Redox Drug

    Rothenberg 2025 gives the most relevant evidence anchor. The existing rationale points to this narrower claim: Longevity rationale is mitochondrial and preclinical, with no human lifespan or validated aging-biomarker RCT. this verified…

  31. PEMF (Pulsed Electromagnetic Field Therapy)

    5.5–6.0 /10 for longevity 7.5–8.0/10 overall Strong recommend PEMF

    Longevity claims are indirect and should stay modest. Lower pain, better mobility, and improved recovery can support healthspan behavior, but there are no human lifespan trials. The longevity rationale is far weaker…

  32. GlyNAC (Glycine + N-Acetylcysteine)

    5.5–6.0 /10 for longevity 6.5–7.0/10 overall Worth trying Amino Acid

    GlyNAC is one of the few supplements with human data on multiple hallmarks of aging, not just a surrogate marker. Kumar 2023 reported improvement in several aging hallmarks including mitochondrial dysfunction, inflammation,…

  33. NMN (Nicotinamide Mononucleotide)

    5.5–6.0 /10 for longevity 6.0–6.5/10 overall Worth trying Exogenous Metabolite

    Zhang 2024 anchors the most relevant signal. NMN fits longevity when raising NAD+ is likely to matter for older, metabolically stressed, or performance-tracking users. The score stays bounded because NAD+ rises more…

  34. High-Dose Melatonin

    5.0–5.5 /10 for longevity 6.5–7.0/10 overall Worth trying Exogenous Metabolite

    High-Dose Melatonin has a longevity story but not a longevity trial base. The mechanisms overlap with oxidative stress, mitochondrial function, immune aging, and cellular maintenance, yet no verified human study shows lifespan…

  35. HRV Biofeedback

    5.0–5.5 /10 for longevity 9.0–9.5/10 overall Top-tier Wearable & Tracker

    Higher HRV is a solid longevity biomarker; HRV-BF directly improves this marker. Mechanism strong, direct mortality endpoints absent. The score stays bounded because HRV Biofeedback evidence for longevity can depend on breathing…

  36. Astaxanthin

    5.0–5.5 /10 for longevity 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Liu 2024 reports 11 RCTs; 346 healthy participants; significant improvements reported across fatigue, cognition, and exercise-efficiency endpoints overall; endpoint details are limited. Maleki-Hajiagha 2024 points in the same direction, but route, dose,…

  37. Urolithin A

    5.0–5.5 /10 for longevity 6.5–7.0/10 overall Worth trying Exogenous Metabolite

    Ryu 2016 found lifespan extension in C. elegans and improved muscle function in rodents. Human lifespan evidence does not exist. That makes Urolithin A more defensible when longevity is a real bottleneck…

  38. Fucoidan (Brown Seaweed Polysaccharide)

    5.0–5.5 /10 for longevity 6.0–6.5/10 overall Worth trying Vitamin & Mineral & Nutrient

    Brown seaweed is a documented staple of the traditional Okinawan diet, one of the world's longest-lived populations, as detailed by Willcox 2014. That makes fucoidan a plausible contributor to a longevity-supportive dietary…

  39. NR (Nicotinamide Riboside)

    5.0–5.5 /10 for longevity 6.0–6.5/10 overall Worth trying Exogenous Metabolite

    Dollerup 2018 makes the claim plausible but incomplete. The existing rationale points to this narrower claim: NAD+ decline is an established aging biology theme, and the NRK pathway is well-characterized, but no…

  40. SS-31 (Elamipretide)

    5.0–5.5 /10 for longevity 6.0–6.5/10 overall Worth trying Mitochondrial & Longevity Peptide

    The evidence points to a plausible use case without proving a universal response. Ehlers JP et al. 2024 is the best anchor here because it reports 176 participants randomized and missed primary…

  41. Hyperbaric Oxygen Therapy

    4.5–5.0 /10 for longevity 5.5–6.0/10 overall Worth trying Hyperbaric

    Hachmo 2020 should be treated as hypothesis-generating because of methodological critique and financial conflicts. No authority body endorses HBOT as an anti-aging intervention.

  42. Essential Amino Acids

    4.5–5.0 /10 for longevity 7.5–8.0/10 overall Strong recommend Amino Acid

    Chronic mTORC1 activation remains the main longevity tension. The Vangipurapu 2019 Finnish cohort linked several amino acids with worse glucose and insulin-secretion patterns, though this is observational and not an EAA supplement…

  43. Vitamin C (Ascorbic Acid)

    4.5–5.0 /10 for longevity 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Adequate intake is clearly necessary for health, and severe deficiency is fatal, but the leap from adequacy to extended lifespan is not supported by human outcome data. Large antioxidant-supplement prevention trials have…

  44. Ketogenic Diet

    4.5–5.0 /10 for longevity 6.5–7.0/10 overall Worth trying Diet & Nutrition Protocol

    Longevity claims remain capped by missing hard-outcome trials. Mechanisms such as lower insulin, mTOR suppression, AMPK activation, and BHB signaling are interesting, but human lifespan or MACE RCTs do not exist. Iatan…

  45. Glutathione (GSH)

    4.5–5.0 /10 for longevity 6.0–6.5/10 overall Worth trying Amino Acid

    Glutathione decline tracks aging, and the GlyNAC work from the Sekhar group reported reversal of several aging hallmarks in older adults, but that is glycine plus N-acetylcysteine and comes from one small…

  46. J-147

    4.5–5.0 /10 for longevity 6.0–6.5/10 overall Worth trying Research Compound

    J-147 reduced age-associated transcriptional drift in aged mouse brains and extended median lifespan in fruit flies (Goldberg et al. 2018). It targets a real longevity pathway, but no mammalian lifespan or human…

  47. TRT (Testosterone Replacement Therapy)

    4.5–5.0 /10 for longevity 5.5–6.0/10 overall Neutral Hormone Therapy

    TRT has no proven longevity benefit. TestES 2024 found short-to-medium-term safety reassurance but mortality evidence remained sparse, so TRT should not be sold as a lifespan intervention.

  48. SLU-PP-332

    4.5–5.0 /10 for longevity 4.5–5.0/10 overall Neutral Research Compound

    Exercise mimetics are theoretically longevity-relevant, but SLU-PP-332 has no lifespan data. Any longevity framing should be limited to pathway-level inference from ERR energy-homeostasis biology described by Giguere 2008.

  49. Quercetin

    4.0–4.5 /10 for longevity 6.5–7.0/10 overall Worth trying Botanical Extract (non-adaptogenic)

    Human longevity evidence rests on senolytic class pilots. Hickson 2019 reduced senescence markers in 11 days. Justice 2019 showed feasibility and physical function improvement in IPF. The bone trial Farr 2024 was…

  50. Blood-Flow Restriction Training

    4.0–4.5 /10 for longevity 8.0–8.5/10 overall Strong recommend Resistance & Strength

    BFR supports longevity-adjacent muscle-preservation pathways, but no direct lifespan or hard healthspan trials exist.

  51. NAC (N-Acetylcysteine)

    4.0–4.5 /10 for longevity 8.0–8.5/10 overall Strong recommend Amino Acid

    Longevity interest comes mostly from the glycine-plus-NAC (GlyNAC) glutathione-restoration work in older adults; standalone NAC has no human lifespan data. See /reports/glynac/ for the combination.

  52. Spirulina

    4.0–4.5 /10 for longevity 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Indirect only. Cardiometabolic risk-factor improvement is consistent with healthier aging, but there are no human lifespan or hard-outcome trials for spirulina.

  53. Shilajit

    4.0–4.5 /10 for longevity 7.0–7.5/10 overall Strong recommend Adaptogenic Herb

    Traditional Rasayana use, antioxidant effects, bone preservation, and hormone support fit a healthspan story. No human lifespan or hard aging-outcome data exist.

  54. Ashwagandha

    4.0–4.5 /10 for longevity 6.5–7.0/10 overall Worth trying Adaptogenic Herb

    Longevity remains indirect. Rasayana use in Ayurveda, stress reduction, sleep support, and inflammatory modulation all point in a healthspan-friendly direction, but there are no human lifespan trials. The practical longevity case is…

  55. Omega-3

    4.0–4.5 /10 for longevity 6.5–7.0/10 overall Worth trying Vitamin & Mineral & Nutrient

    Longevity claims are not proven. Cochrane 2020 found little or no effect on all-cause mortality despite large trial volume.

  56. MOTS-c

    4.0–4.5 /10 for longevity 6.5–7.0/10 overall Worth trying Mitochondrial & Longevity Peptide

    Fuku 2015 associated a MOTS-c polymorphism with exceptional longevity in Japanese centenarians, and endogenous levels relate to aging biology. No lifespan-extension study from exogenous MOTS-c exists.

  57. Tesamorelin

    4.0–4.5 /10 for longevity 6.0–6.5/10 overall Worth trying Growth Hormone Secretagogue

    Longevity scoring remains cautious because GH/IGF-1 biology cuts both ways: metabolic improvements may help high-VAT adults, while higher IGF-1 can raise theoretical cancer-growth concern in susceptible users.

  58. Thymalin

    4.0–4.5 /10 for longevity 5.5–6.0/10 overall Worth trying Immune Peptide

    Longevity is the most eye-catching claim and the weakest-supported. The flagship 266-person elderly cohort reported mortality falling roughly 2 to 4 fold over 6 years, per Khavinson 2003. That is an extraordinary…

  59. Pine Pollen

    4.0–4.5 /10 for longevity 5.5–6.0/10 overall Neutral Adaptogenic Herb

    Mao 2012 reported that pine pollen improved memory, lowered inflammatory cytokines, and delayed fibroblast senescence in a D-galactose mouse aging model. That is a reasonable anti-aging signal, and TCM positions pine pollen…

  60. Thymosin Beta-4 (Tβ4)

    3.5–4.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Growth & Repair Peptide

    No longevity or lifespan data exists for Tβ4 in any species. The peptide is studied as a tissue-repair agent, not a longevity intervention; the antifibrotic Ac-SDKP arm is mechanistically interesting for aging…

  61. BPC-157

    3.5–4.0 /10 for longevity 7.5–8.0/10 overall Strong recommend Growth & Repair Peptide

    Tissue repair and cytoprotection; no lifespan studies. Maintenance use for longevity is community practice without trial support.

  62. Collagen Peptides

    3.5–4.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Amino Acid

    Glycine and connective-tissue maintenance fit healthspan logic, but collagen peptides have no human lifespan or mortality trials. Longevity claims should stay conservative.

  63. Full-Body EMS

    3.5–4.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Resistance & Strength

    Muscle preservation tracks with longevity, but WB-EMS has no lifespan or mortality trials. This is a muscle-maintenance proxy score, strongest when EMS helps someone train who otherwise would not.

  64. Saffron

    3.5–4.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Botanical Extract (non-adaptogenic)

    Longevity evidence is mechanistic and indirect through mood, sleep, metabolic markers, and retinal preservation; saffron has no human lifespan, mortality, or aging-clock endpoint.

  65. Semax

    3.5–4.0 /10 for longevity 7.0–7.5/10 overall Strong recommend Neuropeptide

    Neuroprotection is longevity-adjacent, but Semax has no lifespan, all-cause mortality, dementia-prevention, or long-term healthspan trial.

  66. Chlorella

    3.5–4.0 /10 for longevity 6.5–7.0/10 overall Worth trying Vitamin & Mineral & Nutrient

    The nutrient density and modest cardiometabolic effects are longevity-adjacent, but there is no human lifespan or healthspan outcome evidence for chlorella, so this is mechanistic optimism, not data.

  67. Resveratrol

    3.5–4.0 /10 for longevity 5.5–6.0/10 overall Worth trying Botanical Extract (non-adaptogenic)

    The longevity use case is the original resveratrol story and the weakest clinical reason to supplement. Pacholec 2010 found resveratrol was not a direct SIRT1 activator under native-substrate assays, and Mansouri 2025…

  68. Berberine

    3.0–3.5 /10 for longevity 6.5–7.0/10 overall Worth trying Botanical Extract (non-adaptogenic)

    AMPK, mTOR, glucose, inflammation, and microbiome mechanisms are longevity-adjacent, but there is no human lifespan data. Berberine is better seen as metabolic risk management in selected users than a broad longevity supplement.

  69. Curcumin

    3.0–3.5 /10 for longevity 5.5–6.0/10 overall Worth trying Botanical Extract (non-adaptogenic)

    No human longevity data. Mechanistic and animal signals only. The marketing outruns the evidence here.

  70. Electrolytes

    3.0–3.5 /10 for longevity 8.5–9.0/10 overall Top-tier Vitamin & Mineral & Nutrient

    Chronic dehydration and extreme sodium patterns track with risk, but ordinary supplementation is preventive support rather than a longevity intervention.

  71. Lion’s Mane

    3.0–3.5 /10 for longevity 7.0–7.5/10 overall Strong recommend Functional Mushroom

    Longevity support is indirect through neuroprotection, gut, immune, and inflammation pathways. No lifespan RCT, human cohort, or validated aging-biomarker trial supports a high score.

  72. Phosphatidylserine

    3.0–3.5 /10 for longevity 7.0–7.5/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Membrane integrity and cortisol regulation are aging-relevant, but no lifespan, mortality, or long-term disease-prevention RCTs support PS as a longevity intervention.

  73. Tongkat Ali

    3.0–3.5 /10 for longevity 6.5–7.0/10 overall Worth trying Adaptogenic Herb

    No longevity endpoint data exist. The mechanism is functional and short-lived, not a durable aging-pathway intervention.

  74. Exogenous Ketones

    3.0–3.5 /10 for longevity 5.5–6.0/10 overall Worth trying Exogenous Metabolite

    Animal lifespan data on ketogenic states exist, but there is no human longevity evidence for exogenous ketones, and the acute-only pharmacology makes a durable aging effect unlikely from intermittent dosing.

  75. Quinton Marine Plasma (Seawater Minerals)

    3.0–3.5 /10 for longevity 5.5–6.0/10 overall Worth trying Vitamin & Mineral & Nutrient

    No human longevity or healthspan endpoint has been tested. The pitch rests on historical mystique, not outcome data.

  76. Apigenin

    3.0–3.5 /10 for longevity 5.5–6.0/10 overall Worth trying Botanical Extract (non-adaptogenic)

    CD38 inhibition is the primary longevity claim. Escande 2013 showed apigenin inhibited CD38 and increased NAD+ in cells and mice. No human trial confirms NAD+ elevation, healthspan benefit, or longevity-relevant outcomes at…

  77. Retatrutide

    3.0–3.5 /10 for longevity 5.5–6.0/10 overall Neutral Metabolic & Incretin Peptide

    Retatrutide has no lifespan or long-term disease-outcome evidence. Treating it as a longevity intervention in healthy adults overreaches the data and ignores the FDA and authority gaps documented in the audit.

  78. CJC-1295

    3.0–3.5 /10 for longevity 5.5–6.0/10 overall Neutral Growth Hormone Secretagogue

    Chronic IGF-1 elevation has epidemiological cancer-risk associations, including Endogenous Hormones Collaborative Group 2010. Longevity trade-off is negative to neutral.

  79. Humanin

    3.0–3.5 /10 for longevity 5.5–6.0/10 overall Neutral Mitochondrial & Longevity Peptide

    Longevity is humanin's most interesting and most cited use case, yet it stays modest because the human evidence is correlational, not interventional. Children of centenarians carry much higher circulating humanin, the peptide…

  80. Adaptogenic Mushrooms (Reishi, Cordyceps, Chaga)

    3.0–3.5 /10 for longevity 5.0–5.5/10 overall Neutral Functional Mushroom

    Traditional longevity tonics with antioxidant and immune mechanisms, but no human lifespan or healthspan outcome data. Mechanism-only.

  81. BAM15

    3.0–3.5 /10 for longevity 5.0–5.5/10 overall Neutral Research Compound

    Mild mitochondrial uncoupling is a long-standing longevity hypothesis, and BAM15 improved several aging-relevant endpoints in mice, but no lifespan study exists for it in any species.

  82. NAD+ (Direct)

    3.0–3.5 /10 for longevity 5.0–5.5/10 overall Neutral Exogenous Metabolite

    Longevity is the central pitch because NAD+ declines with age, per Massudi 2012, and restoring it is a major aging hypothesis, per Rajman 2018. But no human longevity or healthspan trial exists…

  83. C15 (Pentadecanoic Acid)

    3.0–3.5 /10 for longevity 3.0–3.5/10 overall Caution Vitamin & Mineral & Nutrient

    No human longevity trial has tested C15:0 supplementation against mortality, frailty, biological-age clocks, telomeres, or healthspan endpoints. Ciesielski 2024 (Ciesielski 2024) frames essentiality as controversial rather than settled. The longevity pitch is…

  84. C60 (Buckminsterfullerene)

    3.0–3.5 /10 for longevity 3.0–3.5/10 overall Caution Research Compound

    C60 longevity remains weak because Baati 2012 is small animal evidence and Shytikov 2021 found C60 similar to water controls, not a clean lifespan extension. The 2024 to 2026 audit found no…

What each one costs

Monthly out-of-pocket cost at the most accessible legitimate channel, at the dose the score was given for. 27 of 84 are not priced yet; those cells are left blank rather than guessed.

InterventionMonthly costAt doseHow you get it
Zone 2 Cardio Not priced yetOver the counter
Glycine $2–$33 g oral glycineOver the counter
Traditional Sauna (Finnish Dry-Heat) $5015 to 20 minutes at 80 to 100 COver the counter
Rapamycin $15–$503 mgPrescription
Taurine $3–$101-3 g, 30-60 minutes before sleepOver the counter
Infrared Sauna $36–$7355-60 degrees C, 20-30 minOver the counter
Norwegian 4×4 Not priced yetOver the counter
Spermidine $40–$901-3 mg/day oral WGEOver the counter
Red Light Therapy $17–$4310-20 min at 6-12 inches, full chest/face/back rotationOver the counter
Vitamin D3 + K2 Not priced yet
Ca-AKG (Calcium Alpha-Ketoglutarate) $15–$301 g/day generic Ca-AKG oralOver the counter
Semaglutide $199–$3490.25 mg weeks 1 to 4, 0.5 mg weeks 5 to 8, 1.0 mg weeks 9 to 12, 1.7 mg weeks 13 to 16, 2.4 mg week 17 onwardPrescription
Polyphenols (Dietary) Not priced yet
Senolytics Not priced yet
Neurofeedback Not priced yet
Molecular Hydrogen Not priced yet
GHK-Cu $30–$1000.5-3% topical serum or creamOver the counter
Rucking (Weighted Walking) Not priced yet
Whole-Body Vibration $50–$10030 Hz, roughly 0.3g, 10-20 min standingOver the counter
Epitalon $95–$1,1005-10 mg/day subcutaneousGrey market
Sprinting (Sprint Interval Training) Not priced yet
Tirzepatide $299–$4492.5 to 5 to 7.5 to 10 to 12.5 to 15 mgPrescription
Time-Restricted Eating Not priced yet
Metformin $4–$30500 mg with dinner for 1 week, then 500 mg twice daily for 1 week, then increase by 500 mg/week toward 1000 mg twice daily as toleratedPrescription
TB-500 (Thymosin Beta-4 Fragment) Not priced yet
Thymosin Alpha-1 $100–$4001.6 mg subcutaneousPrescription
Vagus Nerve Stimulation $4–$810-20 min auricular tVNS at comfortable perceptible intensityOver the counter
Coenzyme Q10 (CoQ10 / Ubiquinol) $15–$40100-200 mg/dayOver the counter
Ergothioneine Not priced yet
Methylene Blue $13–$400.5-5 mg oralOver the counter
PEMF (Pulsed Electromagnetic Field Therapy) $3–$11720-30 min mat sessionOver the counter
GlyNAC (Glycine + N-Acetylcysteine) $10–$30Glycine and NAC at ~100 mg/kg/day eachOver the counter
NMN (Nicotinamide Mononucleotide) $40–$100500 mg/day oralOver the counter
High-Dose Melatonin Not priced yet
HRV Biofeedback $520 min/session at individual RF (4.5 to 6.5 bpm)Over the counter
Astaxanthin Not priced yet
Urolithin A $50–$100500 mg/dayOver the counter
Fucoidan (Brown Seaweed Polysaccharide) Not priced yet
NR (Nicotinamide Riboside) $40–$50250-300 mg/day oralOver the counter
SS-31 (Elamipretide) $200–$5005-10 mg/day subcutaneousGrey market
Hyperbaric Oxygen Therapy $3,000–$6,0002.0 ATA for 90 minutes with air breaksIn clinic
Essential Amino Acids Not priced yet
Vitamin C (Ascorbic Acid) Not priced yet
Ketogenic Diet $100Standard keto, 40-50 g total carbohydrate/dayOver the counter
Glutathione (GSH) $20–$451,000 mg/dayOver the counter
J-147 Not priced yet
TRT (Testosterone Replacement Therapy) $50–$300Clinician-selected formulation at the lowest dose likely to restore physiologic testosteronePrescription
SLU-PP-332 $30–$803-5 mg/day oralResearch use only
Quercetin $20–$50200 mg/dayOver the counter
Blood-Flow Restriction Training Not priced yet
NAC (N-Acetylcysteine) $5–$15600 to 1,200 mg/dayOver the counter
Spirulina $10–$251 to 4.5 g/dayOver the counter
Shilajit $25–$50500 mg purified shilajitOver the counter
Ashwagandha $15–$30300 mg KSM-66 with breakfast and 300 mg with dinnerOver the counter
Omega-3 $20–$401-2 g/day combined EPA+DHAOver the counter
MOTS-c $100–$2005-10 mg SCResearch use only
Tesamorelin $250–$5002 mg subcutaneous daily in the eveningPrescription
Thymalin $113–$5905 to 10 mgGrey market
Pine Pollen $20–$455 to 10 g powder per dayOver the counter
Thymosin Beta-4 (Tβ4) Not priced yet
BPC-157 $40–$80250 to 500 mcg SC 1 to 2x/day near injury siteGrey market
Collagen Peptides $8–$402.5-10 g hydrolyzed collagen peptidesOver the counter
Full-Body EMS Not priced yet
Saffron Not priced yet
Semax $12–$60300-600 mcg/day of 0.1% sprayGrey market
Chlorella $10–$505-10 g/dayOver the counter
Resveratrol Not priced yet
Berberine $15–$25500 mg berberine HCl three times daily with mealsOver the counter
Curcumin $15–$40500 mg curcuminoidsOver the counter
Electrolytes Not priced yet
Lion’s Mane $20–$403 g/day fruiting body extractOver the counter
Phosphatidylserine $20–$50300 mg/day total, split as 100 mg three times daily or 300 mg once daily with foodOver the counter
Tongkat Ali $20–$40200 mg/day Physta standardized extractOver the counter
Exogenous Ketones $38–$300Ester 10 to 25 g BHBOver the counter
Quinton Marine Plasma (Seawater Minerals) Not priced yet
Apigenin $15–$3525-50 mg pure apigenin 30-60 min before bedOver the counter
Retatrutide $130–$9602 mg, then 4 mg, then 8 mg or 12 mg weekly depending on protocol and tolerabilityResearch use only
CJC-1295 $80–$2001-2 mg subcutaneousGrey market
Humanin $100–$3001 mg subcutaneous, twice weeklyResearch use only
Adaptogenic Mushrooms (Reishi, Cordyceps, Chaga) $15–$401.5 to 1.8 g/day standardized extractOver the counter
BAM15 Not priced yet
NAD+ (Direct) $300–$1,600250 to 750 mgIn clinic
C15 (Pentadecanoic Acid) $40–$50200 mg/dayOver the counter
C60 (Buckminsterfullerene) Not priced yet

Comparisons that judge longevity

Head-to-head reports and category rankings that name a winner on this use case.

Category ranking

Best GLP-1 Drugs Ranked by Evidence (2026)

This page ranks by the live body-composition subrating, not the overall BioHarmony score, since body composition is the goal this category is built around. Tirzepatide leads both measures.…

  • Tirzepatide
  • Retatrutide
  • Semaglutide
  • CagriSema
  • +5 more
Read the comparison →

16 more comparisons touch on longevity →

Questions about longevity

What scores highest for longevity?

Zone 2 Cardio, at 8.0–8.5 out of 10 for longevity. The existing rationale points to this narrower claim: this verified source followed 55,137 adults and found leisure-time running associated with lower all-cause and cardiovascular mortality.

What is the cheapest thing that works for longevity?

Of the top-scoring options, Glycine is the least expensive at about $2 a month, scoring 8.0–8.5 out of 10 for longevity.

What should I be careful with for longevity?

C15 (Pentadecanoic Acid) scores 3.0–3.5 out of 10 for longevity but only 3.0–3.5 overall, landing in the caution tier once safety, side effects, cost and effort are counted.

How many interventions has Outliyr scored for longevity?

84 of the 147 interventions evaluated for longevity score 3.0 out of 10 or better, which is the cut-off for appearing on this page.