Foundational Longevity protocol

Foundational Longevity

longevitymoderate evidence

About this protocol

Longevity supplementation is a noisy field. Most of the hype (NAD+ precursors, resveratrol, senolytics) rests on preclinical or short-term human data. What actually has long-term human evidence is unglamorous: correcting common deficiencies (vitamin D, omega-3), preserving muscle mass into late adulthood (creatine, protein), and supporting sleep and metabolic health. This protocol is the boring, evidence-backed foundationstart here before adding speculative add-ons.

Where to start

Start with vitamin D3 and omega-3 EPA/DHA. Both are well-evidenced, address common dietary gaps, and have broad downstream effects on cardiovascular, cognitive, and immune endpoints. Take daily with breakfast.

If you're over 40 or already lifting, add creatine monohydrate. The cognitive + muscle-preservation evidence into older age is strong, and creatine is one of the most-studied supplements in the world.

Add glycine if sleep is also a problemit supports sleep quality and is being studied for its role in autophagy and longevity pathways.

NMN is the most speculative in this stack. The human evidence is thin and short-term. If you want to experiment, treat it as a 3-6 month trial with measurable endpoints (energy, sleep, lab work) — not a forever commitment.

5 nutrients

Start here

Strongest evidence — the foundation of the stack.

Omega-3 (EPA/DHA)

1-2 g combined EPA+DHA, with breakfast
morningwith food

Omega-3 fatty acids EPA and DHA have the most consistent evidence base of any longevity-relevant supplement. Large meta-analyses link higher omega-3 status with lower all-cause mortality, lower cardiovascular events, and slower cognitive decline. The effect size is small but the safety margin is wide and the cost is low. Choose a product that reports EPA+DHA content (not just total fish oil mg).[1, 2, 3]

Vitamin D3

2000-4000 IU daily, with breakfast
morningwith food

Vitamin D deficiency is one of the most common modifiable nutrient gaps in adults living above 35° latitude or with limited sun exposure. Trial evidence supports a small reduction in all-cause mortality and respiratory-infection risk with supplementation, especially in deficient individuals. Pair with vitamin K2 (MK-7) for cardiovascular safety at higher doses. Fat-solublemust be taken with a fat-containing meal.[4, 5, 6]

Add if needed

Add these only if the foundation isn't enough.

Creatine Monohydrate

3-5 g daily, anytime
morningempty stomach

Creatine is the most-studied supplement in sports nutrition with an excellent safety record. Beyond performance, randomized trials in older adults show preservation of muscle mass, strength, and aspects of cognitive function. Aging-related sarcopenia is one of the strongest predictors of mortality and disabilitycreatine is a low-cost intervention with measurable effect. Monohydrate is the only form with substantive trial evidence.[7, 8, 9]

Glycine

3 g, 30-60 minutes before bed
before bedempty stomach

Glycine is an inhibitory amino acid with documented effects on sleep onset, subjective sleep quality, and core body temperature regulation. Sleep quality is independently associated with longevity and metabolic health. Preclinical research also implicates glycine in autophagy regulation and lifespan extension in model organismsthe human longevity evidence is preliminary but the sleep effect alone justifies it.[10, 11, 12]

Experimental

Emerging evidence — try last, only if curious.

NMN (Nicotinamide Mononucleotide)

250-500 mg, with breakfast
morningwith food

NMN is a precursor to NAD+, a coenzyme that declines with age and is central to mitochondrial metabolism. Animal studies are striking but human trial data is limited to short-duration small-sample studies showing modest improvements in physical function and metabolic markers. Treat this as the most speculative item in the stackthe long-term human longevity evidence does not yet exist. A 3-6 month structured trial with measurable endpoints is reasonable.[13, 14, 15]

Warnings

Do not take with: Blood thinners (high-dose omega-3 has mild anti-platelet effectdiscuss with your prescriber if on warfarin or DOACs). Vitamin D + thiazide diuretics can elevate calcium. Caution with creatine if on nephrotoxic medications. NMN interactions are largely unstudied; conservative caution applies.
Do not take if: You are pregnant or breastfeeding (insufficient long-term safety data for NMN at supplemental doses). You have severe kidney disease (creatine modestly raises serum creatininenot harmful but worth a conversation with your nephrologist). You have hypercalcemia, sarcoidosis, or certain lymphomas (vitamin D contraindicated). Consult your provider before starting if you take prescription medications.

Lifestyle improvements

Strength training is the strongest longevity lever

Muscle mass and grip strength in midlife are among the best predictors of healthy agingstronger than most lab markers. Two to three 30-45 minute resistance sessions per week is the single biggest intervention available, with effect sizes that dwarf any supplement.

Zone 2 cardio

30-45 minutes of moderate aerobic exercise (you can hold a conversation) 3-4 times per week supports cardiovascular, metabolic, and cognitive aging. Pair with the strength sessions, not in place of them.

Sleep regularity

Going to sleep and waking up at the same time daily has stronger effects on health outcomes than total sleep duration in some analyses. The Better Sleep protocol stacks naturally on top of this one.

Protein adequacy

Most aging adults under-consume protein (~1 g/kg body weight is a reasonable target). Sarcopenia accelerates without enough dietary protein, and creatine's benefit compounds with adequate protein intake.

Don't smoke, limit alcohol

The supplement stack is a small lever compared to the lifestyle basics. No supplement compensates for smoking. Heavy alcohol disrupts sleep, raises cancer risk, and erodes muscle mass.

Annual labs

Track ferritin, vitamin D (25-OH), HbA1c, lipid panel, hsCRP, and ApoB. These are cheap and tell you whether the foundation is actually working.

References

  1. Fish oil — supplement research overviewExamine.com link
  2. Mozaffarian D, Wu JH. Omega-3 fatty acids and cardiovascular disease: effects on risk factors, molecular pathways, and clinical events. J Am Coll Cardiol. 2011;58(20):2047-2067.PubMed link
  3. Harris WS, et al. Blood n-3 fatty acid levels and total and cause-specific mortality from 17 prospective studies. Nat Commun. 2021;12(1):2329.PubMed link
  4. Vitamin D — supplement research overviewExamine.com link
  5. Chowdhury R, et al. Vitamin D and risk of cause specific death: systematic review and meta-analysis of observational cohort and randomised intervention studies. BMJ. 2014;348:g1903.PubMed link
  6. Martineau AR, et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis. BMJ. 2017;356:i6583.PubMed link
  7. Creatine — supplement research overviewExamine.com link
  8. Candow DG, et al. Effectiveness of creatine supplementation on aging muscle and bone: focus on falls prevention and inflammation. J Clin Med. 2019;8(4):488.PubMed link
  9. Kreider RB, et al. International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. J Int Soc Sports Nutr. 2017;14:18.PubMed link
  10. Glycine — supplement research overviewExamine.com link
  11. Yamadera W, et al. Glycine ingestion improves subjective sleep quality in human volunteers. Sleep and Biological Rhythms. 2007;5(2):126-131.Sleep Biol Rhythms link
  12. Bannai M, Kawai N. New therapeutic strategy for amino acid medicine: glycine improves the quality of sleep. J Pharmacol Sci. 2012;118(2):145-148.PubMed link
  13. NMN — supplement research overviewExamine.com link
  14. Yoshino M, et al. Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women. Science. 2021;372(6547):1224-1229.PubMed link
  15. Yamaguchi S, Yoshino J. Adipose tissue NAD+ biology in obesity and insulin resistance: From mechanism to therapy. Bioessays. 2022;44(8):e2200032.PubMed link

Related protocols

Other longevity protocols and protocols sharing ingredients with this one.

Bone Density Support

longevity

Bone density peaks in the late twenties and declines gradually thereafter — accelerating sharply at menopause for women and in the seventies for men. Osteoporosis affects roughly half of women and a quarter of men over 50 and is one of the largest preventable contributors to disability and mortality in later life (hip fractures carry a 20-30% one-year mortality rate). The supplement category is dominated by calcium marketing, but calcium alone is insufficient — vitamin D3, vitamin K2, magnesium, and adequate protein matter as much or more. This stack supports lifelong bone health. It is preventive, not therapeutic — confirmed osteoporosis requires medical management (typically bisphosphonates, denosumab, or romosozumab), and supplements are complementary to those treatments.

NAD+ & Cellular Energy

longevity

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme essential for mitochondrial energy production, DNA repair (via sirtuins and PARPs), and cellular signaling. NAD+ levels decline measurably with age — roughly 50% by middle age in some tissues. The 2020s have seen explosive interest in NAD+ precursors (NMN, NR) as longevity interventions, popularized by researchers like David Sinclair. The honest framing: NAD+ precursors RELIABLY raise blood NAD+ levels in human trials. What''s less clear is whether this translates to meaningful longevity, cognitive, or healthspan endpoints in humans — most positive evidence is from animal models or small short-duration human trials. This stack is for adults interested in cellular energy support, especially over 40 — with the explicit caveat that this is experimental territory relative to the rest of the library. Foundational Longevity remains the better starting point for general healthspan; this protocol is for adults who want to specifically explore the NAD+ pathway.

Memory & Cognitive Aging

longevity

Cognitive function declines gradually starting in the late forties and accelerates around menopause for women and the late sixties for men. The supplement category is over-promoted ("brain pills" are an industry) but a handful of compounds have legitimate trial evidence in age-related cognitive decline. Phosphatidylserine is the most-evidenced compound for memory in older adults. Omega-3 (DHA-dominant) is foundational for brain structure. Citicoline and lion''s mane have emerging evidence. This protocol is distinct from Foundational Longevity (broad aging) and Deep Work Focus (acute cognitive performance) — it specifically targets memory, learning speed, and cognitive resilience as the brain ages. If you have rapid cognitive decline, personality changes, or someone close to you is concerned about your memory in a way you''re not — please see a neurologist. Early dementia is treatable when caught early. Supplements are not a substitute for proper neurological workup.

Systemic Inflammation Support

longevity

Chronic low-grade systemic inflammation (sometimes called "inflammaging") is a unifying mechanism behind cardiovascular disease, type 2 diabetes, neurodegeneration, autoimmune conditions, and accelerated aging. Unlike acute inflammation (which is necessary and beneficial), chronic inflammation drives tissue damage over years. Measurable markers include hsCRP, IL-6, TNF-alpha, fibrinogen, and homocysteine. This stack targets chronic inflammation through complementary mechanisms: curcumin (NF-kB and COX-2 inhibition with the bioavailability problem solved by phytosome forms), omega-3 EPA (shifts eicosanoid production toward less inflammatory series-3), quercetin (mast cell stabilization and NF-kB modulation), and boswellia (5-LOX inhibition through a distinct pathway). This is distinct from Joint Health & Mobility (osteoarthritis-specific) and Daily Calm (stress-driven). For systemic inflammation, the upstream causes — visceral fat, ultra-processed food intake, chronic stress, poor sleep, sedentary lifestyle — matter more than supplements. The stack is a complementary layer.

Healthy Aging 60+

senior· 3 shared ingredients

Healthy aging is not about frailty management — it''s about preserving function, independence, and quality of life into the 70s, 80s, and beyond. The physiology of 60+ adults is genuinely different from younger adults: B12 absorption declines (~10-30% have impaired absorption due to reduced gastric acid), skin vitamin D synthesis drops by ~50% relative to 30-year-olds, anabolic resistance means older muscles need more protein to maintain mass, bone density loss accelerates (especially in postmenopausal women), and chronic disease burden rises. The good news: every one of these is addressable with the right combination of nutrition, training, and targeted supplementation. The strongest predictor of healthy aging is not genetics — it''s grip strength, gait speed, and cardiovascular fitness. This is the FOUNDATION protocol for adults 60+ — distinct from Foundational Longevity (broad-age longevity foundation) and Daily Essentials (general adult). Six core supplements that address the documented physiological changes of aging. Layer disease-specific protocols (Bone Density Support, Sarcopenia, Cardiovascular protocols, Cognitive Aging) on top of this baseline. The biggest single intervention available to older adults is resistance training. No supplement combination compensates for sedentary aging. Strength training 2-3× per week preserves muscle mass, bone density, and metabolic function more than any nutritional intervention.

Daily Essentials — Foundation

general· 2 shared ingredients

Before any goal-specific protocol, most adults benefit from filling four common nutritional gaps: vitamin D3, magnesium, omega-3 EPA/DHA, and a basic multivitamin. These four cover the deficiencies that affect everything else — sleep, mood, immune function, energy, cognitive performance, and long-term cardiovascular and skeletal health. If you''re going to take only ONE protocol from Pilora, this is it. It''s the universal foundation. Everything else (Better Sleep, Daily Calm, Foundational Longevity, etc.) layers on top of this baseline. The framing here is unglamorous. There''s no novelty, no proprietary blend, no Instagram trend. Just the four supplements with the most consistent long-term human evidence for general health support.

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Disclaimer: These statements have not been evaluated by the FDA. This protocol is educational, not a substitute for personalized medical advice. Talk to your doctor before starting any new supplement regimen — especially if you're pregnant, breastfeeding, on medications, or managing a chronic condition. Last updated 5/20/2026.