
Foundational Longevity
About this protocol
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 problem — it 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 breakfastOmega-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 breakfastVitamin 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-soluble — must 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, anytimeCreatine 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 disability — creatine 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 bedGlycine 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 organisms — the 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 breakfastNMN 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 stack — the long-term human longevity evidence does not yet exist. A 3-6 month structured trial with measurable endpoints is reasonable.[13, 14, 15]
Warnings
Lifestyle improvements
Strength training is the strongest longevity lever
Muscle mass and grip strength in midlife are among the best predictors of healthy aging — stronger 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
- Fish oil — supplement research overviewExamine.com link
- 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
- 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
- Vitamin D — supplement research overviewExamine.com link
- 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
- Martineau AR, et al. Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis. BMJ. 2017;356:i6583.PubMed link
- Creatine — supplement research overviewExamine.com link
- 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
- 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
- Glycine — supplement research overviewExamine.com link
- 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
- 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
- NMN — supplement research overviewExamine.com link
- Yoshino M, et al. Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women. Science. 2021;372(6547):1224-1229.PubMed link
- Yamaguchi S, Yoshino J. Adipose tissue NAD+ biology in obesity and insulin resistance: From mechanism to therapy. Bioessays. 2022;44(8):e2200032.PubMed link
Track this protocol in Pilora
Add these supplements to your shelf, get smart dose reminders, and check for interactions — all in the Pilora iPhone app.
Coming to App StoreDisclaimer: 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.