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David Sinclair's Longevity Supplement and Drug Stack

Currently 53 y/o, Dr. David Sinclair certainly does not seem his age. His peers this age may already have gray to white hairs, complain of lower back pain, or been afflicted with health disorders, but not him.

As a world-renowned scientific leader in the field of aging and longevity, Dr. Sinclair believes living up to 150 years or even longer is possible, and he found ways to delay aging. True to form, his biological or epigenetic age turns out to be much younger than his chronological age. Many people have been asking: what supplements does Dr. David Sinclair take? What is his anti-aging secret? Here, we list Dr. Sinclair's longevity and drug stack that was derived from his interviews and books in which he discussed the supplements that he consumes.

Supplement/DrugDosagePrescription
Nicotinamide mononucleotide (NMN)
1 g per day, in the morningNo
Resveratrol1 g per day, in the morningNo
TMG (trimethyl glycine or betaine)500 mg to 1,000 mg per dayNo
Metformin800 mg, in the eveningYes
Vitamin D3Ideally 4,000 to 5,000 IU per dayNo
Vitamin K2Ideally 180 to 360 μg per dayNo
StatinRecent status unknownYes
Low-dose aspirin83 mg per dayNo
Alpha lipoic acid (ALA)Recent status unknownNo
Coenzyme Q10 (coQ10)Recent status unknownNo
Spermidine1 mg per day, in the morningNo
Quercetin and Fisetin500 mg each, once per day, in the morningNo

1. Nicotinamide mononucleotide (NMN)

Dosage: 1 g per day, in the morning.

NMN boosts the production of NAD+, a crucial molecule that fuels a lot of our cellular metabolic reactions needed for survival. NAD+ levels lower as we age and can cause dysfunctions that lead to aging and disease development. Notably, boosting NAD+ levels via NMN intake can delay and even reverse certain aspects of aging.

Dr. David Sinclair’s NMN supplement intake involves high-dose supplementation (1,000 mg) to boost his NAD+. It may be a lot, but this dosage may be reasonable since NMN can be destroyed by stomach acid. Some companies even developed special liposomal NMN formulations to protect it and ensure maximal absorption even with lower doses. On the other hand, in a study of older women’s insulin sensitivity, 250 to 500 mg is also adequate.

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2. Resveratrol

Dosage: 1 g per day, in the morning.

Dr. Sinclair’s resveratrol regimen involves a daily dose of 1 g per day in the morning. Resveratrol is a compound naturally found in some plants such as grapes, blueberries, and plums. According to Dr. Sinclair, NMN and resveratrol are often taken as supplements that complement one another. Resveratrol activates the sirtuins. Sirtuins are anti-aging genes that guard and protect our DNA, but their activities are NAD+-dependent.

The alleged benefits also consist of: encouraging the expression of anti-aging-associated genes, promoting optimal mitochondrial function, and insulin responsiveness, aiding in keeping healthy glucose levels and supporting a healthy inflammatory response.

3. TMG (trimethyl glycine or betaine)

Dosage: 500 mg to 1,000 mg per day.

TMG, a glycine amino acid with three methyl groups attached to it, is naturally found inside the body. Methyl groups are small molecules composed of 1 carbon and 3 hydrogen atoms (CH3) that are attached to many of our important molecules like the DNA, proteins, and others to ensure or retain appropriate function.

DNA methylation is extremely important. It is correlated with biological age or more precisely, the epigenetic age. The methylation on the DNA controls the activation and deactivation of genes and it should be tightly regulated. Without methyl groups, damage-associated or even cancer-associated genes may become activated, leading to serious health consequences.

As we age, our methyl pools become depleted which may contribute to aging-associated morbidities that people experience. Since TMG is a methyl donor, TMG intake can prevent these dire consequences and promote longevity by preserving or restoring a healthy state.

Meanwhile, the prevalent NAD+ requirement of the body causes the formation of nicotinamide which needs to be removed. The way to do it is via methylation of nicotinamide so that the kidneys can get rid of it. With TMG, methyl levels in the body can be ensured to be enough.

500 mg to 1,000 mg per day is within the standard TMG dosage for supplementation. Quality TMG supplements on the market ensure that you will get the recommended TMG dose per serving.

4. Metformin

Dosage: 800 mg, in the evening.

There are pieces of evidence showing that a drug against type 2 diabetes (T2D) called metformin increases lifespan in a variety of animal models, including mammals. People with diabetes under metformin treatment lived longer than those who are not.

However, since metformin is a prescription medication, one must first consult with a doctor. Metformin may also cause diarrhea and gastrointestinal pain temporarily, but this usually passes after a few weeks.

Dr. David Sinclair’s metformin consumption provides benefits of improving his insulin sensitivity and keeping a well-regulated blood glucose level. However, research shows that metformin may reduce the benefits of exercise so he skips metformin during the days of his workouts.

What did David Sinclair say about metformin?

According to the interviews, lectures, and book “Lifespan: Why We Age and Why We Don't Have To” of Dr. Sinclair, metformin:

  • May have anti-aging effects and could potentially increase lifespan.
  • Has been shown to improve insulin sensitivity and lower blood glucose levels, which can help prevent or manage type 2 diabetes.
  • May have some benefits for cancer prevention and treatment, although more research is needed to fully understand its effects in this area.
  • May have some potential benefits for cardiovascular health, including reducing the risk of heart disease.
  • May also have some side effects, such as gastrointestinal discomfort or a rare but serious condition called lactic acidosis, particularly in people with kidney problems, although metformin is generally safe and well-tolerated.

5. Vitamin D3

Dosage: ideally 4,000 to 5,000 IU per day.

Vitamin D may increase longevity and lower the risk of several aging-related disorders. Vitamin D deficiency has been linked to heart disease, type 2 diabetes, autoimmune disorders, and Alzheimer's disease.

Vitamin D is essential for the activation of many genes that play important roles in health. While a daily Vitamin D intake of 600 IU for people ages 1 to 70 years and 800 IU for people over 70 years is recommended, long-term daily supplementation of 4,000 to 5,000 IU of vitamin D is also regarded as safe.

6. Vitamin K2

Dosage: ideally 180 to 360 micrograms per day.

In older persons with low vitamin K status, an age-related decline can be observed. Numerous advantages of vitamin K2 include improved skin quality, strengthening of bones, improved mitochondrial function, and better vascular health. Vitamin K2 dose ranging from 180 to 360 mcg per day is standard, while some people with certain conditions like osteoporosis may need even higher.

7. Statin

Dosage: recent status unknown.

Statin, another prescription drug, is well-known for preventing cardiovascular diseases by lowering the levels of LDL (low-density lipoprotein) cholesterol, the well-known bad cholesterol. In effect, people who are at high risk for cardiovascular disease significantly lower the risk of illness with statin treatment.

Not all statins have anti-aging properties and statin intake is associated with adverse effects like myopathy. Simvastatin is one statin that seems to be able to lengthen the lifetime, while other statins do not appear to have this effect. However, up to 50% of patients taking simvastatin (40mg) may develop myopathy.

8. Low-dose aspirin

Dosage: 83 mg per day.

Aspirin is notably used to lower the risk of heart attack, inflammation, and even cancer.

Data from Annals of Oncology released that aspirin is associated with 22-38% fewer cancers in the liver, pancreas, esophagus, stomach, and colon. In colorectal cancer, a 10% risk reduction is observed with 75-100 mg/day and a 35% risk reduction with 325 mg/day.

Meanwhile, a clinical trial with almost 20,000 respondents revealed that intake of low-dose aspirin in healthy elderly (≥65 and above) does not significantly lower the risk of cardiovascular disease or prolong disability-free survival, but even leads to a higher rate of bleeding.

Therefore, since aspirin can damage the stomach and can cause significant bleeding, aspirin use must be prescribed by a doctor.

9. Alpha lipoic acid (ALA)

Dosage: recent status unknown.

On alpha lipoic acid, Dr. David Sinclair notes that it can activate certain cellular pathways involved in metabolism and energy production which have important roles in optimal function and protection against aging-associated diseases.

ALA is an antioxidant naturally found in spinach, potatoes, broccoli, kidney, and the liver. ALA can reduce LDL and total cholesterol levels, which prevents obesity and cardiac issues, and alleviates nerve discomfort in diabetic patients.

There has been some excitement about ALA's potential to slow down the aging process, particularly when coupled with acetyl-L-carnitine (ALCAR). However, data on ALA’s effect on aging and longevity is contradictory. Some studies indicate that ALA can prolong lifespan in certain species, while some conclude that it does not impact longevity.

10. Coenzyme Q10 (coQ10)

Dosage: recent status unknown.

Coenzyme Q10 is yet another antioxidant that enhances mitochondrial performance. CoQ10 is thought to extend lifespan since it can directly influence the expression of numerous genes involved in aging and inflammation, and coQ10 supplementation in animal models with coQ10 deficiency proved beneficial as an anti-aging treatment, especially during high oxidative stress conditions.

However, there is also evidence pointing out that like having too little, too much coQ10 in adults may also be harmful. But overall, coQ10 supplementation has contradicting data as an anti-aging regimen. Different studies on animal studies have varying conclusions: it can delay or promote aging, or also may not have an impact on life span at all. Under normal physiological conditions, prolonged coQ10 also induced cognitive impairment in mice.

11. Spermidine

Dosage: 1 mg per day, in the morning.

Abundant in food sources like blue cheese, soy, shellfish, and mushrooms, spermidine can enhance a variety of longevity and health biomarkers.

Its anti-aging effects are linked to its major ability to induce autophagy, a cellular mechanism to adapt to stress and damage that triggers cellular repair and rejuvenation of certain parts of the cell.

As well-published, spermidine can increase lifespan in a variety of animal models and also delay aging in humans.

Keep in mind that its best to take supplements in its liposomal form to avoid nutrient loss during digestion. Purovitalis Spermidine Fusion capsules, for example, offer a unique blend of liposomal spermidine, zinc, and B-vitamins to actively support autophagy processes.

12. Quercetin and fisetin

Dosage: 500 mg each, once per day, in the morning.

Quercetin and fisetin belong to a broad family of water-soluble plant chemicals called flavonoids. Flavonoids are not produced by the human body but are found in high amounts in colorful pants (fruits and vegetables of red, green, and blue hues).

Aging causes the accumulation of senescent cells, old cells that already stop multiplying, but don’t die when they should, hence they are dubbed as “zombie cells”.

As a result, it accumulates and can also promote inflammation that accelerates degeneration. As senolytics – a class of compounds that can destroy senescent cells – quercetin and fisetin can effectively eliminate senescent cells, where fisetin appears to be more powerful. In a study published in Aging, fisetin eliminated about 70% of the senescent cells.

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Comments

Llyane
prefix 6 months ago
Dr. David Sinclair clearly explains that Resveratrol is the one to take with food (he chose yogurt), because is fat soluble. NMN is water soluble, and can be taken with water, not with food. Why is this important? Because nowhere do the producers of Resveratrol mention that it should be taken with food that contains some fat, or even dissolved in olive oil.
Sunny
prefix 1 month ago
I found your info very helpful. I had no idea in regards to taking resveratrol with food. There is no mention of this on my supplement bottle or in articles I have read.
Thank you
SA
Jacob
prefix 6 months ago
In recent conference in UAE Sinclair talked about his supplements in detail but did not mention Quercetin.
Ron Kraybill
prefix 6 months ago
Sinclair is already on "thin ice" with his highly optimistic projects of extending "health span". But your presentation of his hopes would embarrass even him, I suspect. I think you would do yourself, your readers, and those of us committed to serious, data-based improvements in longevity a service by toning down your intro a bit. Perhaps along these lines:

"As a world-renowned scientific leader in the field of aging and longevity, Dr. Sinclair believes THAT HUMANS BE SOMEDAY BE ABLE TO LIVE UP to 150 years or longer, AND POINTS TO A NUMBER OF WAYS IN WHICH THOSE OF US LIVING TODAY CAN ALREADY TAKE STEPS TO EXTEND OUR "HEALTHSPAN" BEYOND THE AVERAGES ACCEPTED JUST A FEW YEARS AGO. True to form, his biological or epigenetic age turns out to be much younger than his chronological age. [IF YOU HAVE EVIDENCE TO SUPPORT THAT LAST SENTENCE, A BOLD ASSERTION, YOU REALLY SHOULD INSERT IT OR FOOTNOTE IT.] Many people have been asking: what supplements does Dr. David Sinclair take? What is his anti-aging secret? [DELETE THAT LAST SENTENCE - IT IS SENSATIONALIST AND MISLEADING LANGUAGE NOT NECESSARY TO KEEP YOUR READERS' ATTENTION.] Here, we list Dr. Sinclair's longevity and drug stack that was derived from his interviews and books in which he discussed the supplements that he consumes.
Bill C
prefix 7 months ago
Earlier reports said that Dr. Sinclair places NMN under his tongue because it absorbs quickly into the body by this method (within 15 minutes).
Joe
prefix 7 months ago
Resversatrol dosage for Dave Sincair is now under 100mg every second day.
Cookiecupcakes
prefix 7 months ago
The spermidine dose is not accurate. He takes 1 gram per day, not 1mg.
Craig Ross
prefix 17 days ago
Apparently he stated 1gram in an interview by mistake and then corrected himself to say he meant 1mg
Gary B
prefix 7 months ago
Unfortunately he is a young man influencing a lot of people to spend money they don’t have with unproven supplements in humans. Eat less crap, eat more plants and move that body and you’ll do most everything you need to live longer in a healthy manner. We all want that shortcut but who wants to be 95 and broke because of all of those pills. Besides NMN has been implicated in promoting cancer growth.
Michal
prefix 10 months ago
Hi, it's a very interesting topic. Could you post or have you found some reputable hints like this but referring to proper supplements and dosage for pets like cats and dogs?
Anna
prefix 7 months ago
Dr Sinclair spoke at a conference in March 2023 (search YouTube for India Today Conclave 2023 and go to the part on NAD) where he stated that he takes half a gram of NMN. I’ve been trying to find anything since where he says he has gone back up to 1 gram. Do you seen any recent interviews where he talks about changing his NMN dosage? Articles online often quote from his book, but he changes up his regimen on a regular basis. Thanks.
Mahmudul Hasan Pial
prefix 1 year ago
This is a very informative site. I think this site is very
helpful to their audience. I found a lot of things that I
The roasted Pope
prefix 1 year ago
Apparently he's the guy who is try to make Nicotinamide mononucleotide into a drug treatment. Which is why the FDA no longer classifies it as as a health supplement. Lots of $$$$ to be made. Makes one I wonder how many more supplements are suddenly going to be reclassified for the sake of greed.
Pete DeSemite
prefix 1 year ago
FYI: Fisetin and all other flavonoids are phenol based and NOT water soluble. This significantly limits their bioavailability. To counter this, they must be taken along with a source of fat (in which phenols do dissolve). An even better solution is to get them in a liposomal form which avoids almost all digestion.