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Limited evidenceLongevity & antioxidants

Resveratrol

The famous "red wine molecule" has been studied for 20 years and still has nothing convincing to show in humans: bioavailability is terrible, meta-analyses conflict, and the largest umbrella review found most claimed benefits are unreliable. Skip it unless you enjoy funding research.

What the science says

  • Longevity / sirtuin activation Limited evidence

    The entire premise rests on yeast, worm and mouse work, and even the mouse data only showed lifespan extension in high-fat-fed animals, not normally fed ones. No human trial has ever measured an aging or mortality endpoint, and the original sirtuin-activation mechanism was later shown to be largely an artifact of the fluorophore-based assay used.

  • Glycemic control in type 2 diabetes Limited evidence

    A 2022 systematic review and meta-analysis found a reduction in fasting glucose only in subgroups (younger patients, doses around 1,000 mg/day), with no consistent HbA1c effect overall. The 2021 AJCN umbrella review of meta-analyses graded essentially all resveratrol outcomes in T2D, metabolic syndrome and NAFLD as low or very low certainty, driven by small, short (4-12 week), heterogeneous trials.

  • Blood pressure and lipids Limited evidence

    Pooled analyses show either no effect or a small systolic drop (~2 mmHg) confined to doses above 150 mg/day in diabetics, and these signals do not survive sensitivity analysis. Effects on LDL, HDL and triglycerides are null across the umbrella review.

  • Exercise adaptation Limited evidence

    Notably, a 2013 crossover trial in older men found 250 mg/day of resveratrol actually blunted the training-induced improvement in VO2max and blood pressure versus placebo, consistent with the idea that blocking exercise-induced oxidative signalling is counterproductive. This is a reason for athletes to avoid it, not just a null result.

Dosage & safety

Studied doseTrials have used 75-3,000 mg/day, most commonly 150-1,000 mg/day of trans-resveratrol for 4-24 weeks. Oral bioavailability is under 1% because of rapid glucuronidation and sulfation, so plasma free resveratrol stays in the low nanomolar range even at gram doses — far below the concentrations that produce effects in cell culture. Taking it with fat modestly improves absorption.
SafetyDoses at or above 1 g/day commonly cause nausea, diarrhea and abdominal cramping. High-dose resveratrol (5 g/day) caused renal toxicity in a multiple myeloma trial (SRT501), which was terminated early. It inhibits CYP3A4, CYP2C9 and platelet aggregation, so it can raise levels of statins, calcium-channel blockers and immunosuppressants and add to the effect of warfarin, DOACs and antiplatelet drugs. It is a phytoestrogen and binds estrogen receptors, so it should be avoided in hormone-sensitive cancers and in pregnancy. Athletes should be aware it may blunt training adaptations.

Scientific references

Where to buy

Pure Micronutrients, Organic Resveratrol, 90 Vegan Capsules

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