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Longevity knowledge base

Simple answers first, with evidence, safety and source links when you want to go deeper.

Simple answer

The public knowledge base currently includes 97 source-reviewed pages across peptides, access and safety, longevity drugs, NAD, biological age, gene therapy, senolytics and basics. High-risk pages keep the no-protocol boundary visible.

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The most useful pages for readers arriving from search, social or AI answers.

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Question

What is BPC-157?

BPC-157 is a synthetic peptide promoted online for injury repair, gut health and recovery.

Evidence:Mostly lab/animalRisk:High risk

Updated Jun 27, 2026 · 9 sources

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Beginner hubs

Guide

NAD and supplements, explained simply

NAD biology matters, and some precursors can affect NAD-related measures. But raising a biomarker is not the same as proving slower aging, longer lifespan or meaningful healthspan benefit.

Evidence:Human trial evidenceRisk:Moderate riskStatus:Supplement status

Updated Jun 27, 2026 · 4 sources

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Guide

Biological age and biomarkers, explained simply

Biological age is an estimate of aging-related state, not a literal countdown. Some measures are useful; others are exploratory. The danger is treating one score as proof that a protocol works.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 3 sources

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Guide

Gene therapy and age reversal, explained simply

Gene therapy is real medicine for specific diseases, but consumer anti-aging gene therapy is a different and much more speculative claim. Frontier does not mean available or proven.

Evidence:Regulatory watchRisk:ExperimentalStatus:Experimental

Updated Jun 27, 2026 · 2 sources

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Guide

Senolytics and cellular aging, explained simply

Senolytics target senescent cells, a real aging-biology area. But real biology does not mean people should run DIY senolytic protocols. Human evidence, selectivity, timing and safety remain central.

Evidence:Mostly lab/animalRisk:High riskStatus:Experimental

Updated Jun 27, 2026 · 2 sources

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Guide

Longevity basics that actually matter

The strongest longevity basics are not exotic: do not smoke, maintain cardiovascular and metabolic health, build fitness and strength, sleep enough, preserve muscle and manage risk factors with qualified care.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 1 sources

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Compounds and interventions

Access and safety guides

Safety guide

What is peptide therapy?

Peptide therapy can mean an approved peptide medicine, an off-label medical use, a compounded product, a clinical-trial intervention or a clinic-marketed wellness service.

Evidence:Regulatory watchRisk:High riskStatus:Status unclear

Updated Jun 27, 2026 · 3 sources

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Safety guide

What is a research peptide?

A research peptide is marketed for laboratory or research use, not as an approved human medicine. If a product is labeled for research only but promoted for human use, that is a major red flag.

Evidence:Regulatory watchRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 3 sources

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Safety guide

What does 'for research use only' mean?

'For research use only' means the product is not being sold as an approved medicine for human treatment. It does not tell you the product is safe, lawful to use as a medicine or appropriate for self-experimentation.

Evidence:Regulatory watchRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 3 sources

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Safety guide

What are peptide red flags?

Red flags include miracle recovery claims, no clear approved use, research-use labels aimed at consumers, pressure to buy bundles, no adverse-event discussion, no pharmacy transparency and claims of FDA approval for ant...

Evidence:Commercial claimRisk:High riskStatus:Status unclear

Updated Jun 27, 2026 · 3 sources

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Safety guide

What to ask a doctor about rapamycin

Ask what indication is being considered, what human evidence applies, what risks and monitoring matter, what alternatives exist and what would count as benefit or harm. Do not use an article as a medication plan.

Evidence:Human trial evidenceRisk:High riskStatus:Off-label

Updated Jun 27, 2026 · 2 sources

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Common questions

Question

What is BPC-157?

BPC-157 is a synthetic peptide promoted online for injury repair, gut health and recovery.

Evidence:Mostly lab/animalRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 9 sources

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Question

What does BPC-157 do?

In research settings, BPC-157 is discussed around tissue-repair, inflammation, blood-vessel and pain-related biology.

Evidence:Mostly lab/animalRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 9 sources

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Question

BPC-157 for athletes: WADA and USADA risk

Athletes should treat BPC-157 as high-risk. USADA frames it as prohibited under WADA's S0 unapproved-substances category. Even outside sport, the evidence and product-quality questions remain unresolved.

Evidence:Regulatory watchRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 3 sources

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Question

Why is BPC-157 everywhere online?

BPC-157 went viral because it sits at the intersection of frustrating injuries, plausible repair biology, influencer stories, clinic menus and grey-market access.

Evidence:Commercial claimRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 4 sources

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Question

What is TB-500?

TB-500 is a peptide name used in recovery marketing and often linked to thymosin beta-4 biology. The key caution is that related biology does not prove a consumer TB-500 product speeds injury recovery.

Evidence:Early theoryRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 6 sources

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Question

What is thymosin beta-4?

Thymosin beta-4 is a naturally occurring molecule involved in actin and repair biology. TB-500 claims often borrow from that biology, but the two should not be treated as identical proof for consumer recovery products.

Evidence:Early theoryRisk:High riskStatus:Experimental

Updated Jun 27, 2026 · 6 sources

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Question

What does TB-500 do?

People point to repair and wound-healing biology around thymosin beta-4 when discussing TB-500. That is a reason to study the claim, not proof that TB-500 speeds recovery in consumers.

Evidence:Early theoryRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 6 sources

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Question

Is TB-500 FDA-approved?

TB-500 is not FDA-approved for broad injury recovery, anti-aging or performance use. Wound-healing biology and compounding discussions should not be read as consumer approval.

Evidence:Regulatory watchRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 3 sources

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Question

Is TB-500 legal?

TB-500 legal status cannot be reduced to a simple yes.

Evidence:Regulatory watchRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 3 sources

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Question

TB-500 side effects and risks

For TB-500, the risk story is not just a side-effect checklist. It includes limited human evidence, unclear product identity, sterility and quality concerns, anti-doping risk and medical-supervision gaps.

Evidence:Regulatory watchRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 6 sources

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Question

Why TB-500 recovery claims run ahead of evidence

People believe TB-500 recovery claims because repair biology, athlete anecdotes and clinic marketing reinforce each other. That can make a claim feel proven before controlled human evidence exists.

Evidence:Commercial claimRisk:High riskStatus:Not approved

Updated Jun 27, 2026 · 6 sources

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Question

DIY peptide injections and why doctors are worried

Doctors worry about DIY peptide injections because uncertainty stacks up: product identity, sterility, adverse effects, interactions, legality, monitoring and false confidence from anecdotes.

Evidence:Regulatory watchRisk:High riskStatus:Status unclear

Updated Jun 27, 2026 · 3 sources

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Question

What is rapamycin?

Rapamycin, also known as sirolimus, is a real medicine approved for specific uses and a serious geroscience candidate. It is not approved as a human anti-aging drug.

Evidence:Human trial evidenceRisk:High riskStatus:Off-label

Updated Jun 27, 2026 · 2 sources

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Question

Why is rapamycin discussed for longevity?

Rapamycin is discussed because mTOR biology and animal lifespan findings are unusually important in aging science. The unresolved part is whether that translates into meaningful, safe human longevity benefit.

Evidence:Human trial evidenceRisk:High riskStatus:Off-label

Updated Jun 27, 2026 · 2 sources

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Question

What did the PEARL rapamycin trial show?

PEARL adds useful human data on rapamycin safety and selected healthspan metrics after one year. It does not prove lifespan extension or make rapamycin an approved anti-aging drug.

Evidence:Human trial evidenceRisk:High riskStatus:Off-label

Updated Jun 27, 2026 · 1 sources

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Question

Rapamycin risks and side effects

Rapamycin affects immune and metabolic pathways and is a real prescription drug, not a supplement. Any off-label longevity discussion belongs with qualified medical supervision and clear monitoring.

Evidence:Human trial evidenceRisk:High riskStatus:Off-label

Updated Jun 27, 2026 · 2 sources

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Question

Why rapamycin is off-label for longevity

Rapamycin can be an approved drug and still be off-label for longevity. Approval follows a product, population and indication; it does not automatically transfer to aging claims.

Evidence:Regulatory watchRisk:High riskStatus:Off-label

Updated Jun 27, 2026 · 2 sources

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Question

What is metformin?

Metformin is a widely used diabetes drug and a serious geroscience candidate. It is not proven to extend lifespan in healthy non-diabetic adults.

Evidence:Human observational evidenceRisk:Moderate riskStatus:Off-label

Updated Jun 27, 2026 · 3 sources

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Question

Metformin risks and side effects

Metformin is familiar and widely used, but it is still a drug with contraindications, interaction and monitoring questions. Healthy-adult longevity use is not a proven default.

Evidence:Human observational evidenceRisk:Moderate riskStatus:Off-label

Updated Jun 27, 2026 · 2 sources

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Question

NMN vs NR: what is the difference?

NMN and NR are both NAD precursor strategies. The useful question is not which acronym wins marketing, but which product, dose form, endpoint and human evidence apply. Neither is proven to slow human aging.

Evidence:Human trial evidenceRisk:Moderate riskStatus:Supplement status

Updated Jun 27, 2026 · 3 sources

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Question

Does NMN raise NAD?

Some human evidence suggests specific NMN formulations can raise circulating NAD-related measures. That is a biomarker answer, not proof of slower aging.

Evidence:Human trial evidenceRisk:Moderate riskStatus:Supplement status

Updated Jun 27, 2026 · 2 sources

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Question

Does NR raise NAD?

NR has human-study interest as an NAD precursor, but raising NAD-related markers does not automatically prove longevity benefit.

Evidence:Human trial evidenceRisk:Moderate riskStatus:Supplement status

Updated Jun 27, 2026 · 3 sources

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Question

NAD IV drips: evidence and risks

NAD IV drip claims often turn real NAD biology into a stronger clinic-service promise. Direct evidence for anti-aging outcomes is not strong enough for age-reversal claims.

Evidence:Commercial claimRisk:High riskStatus:Status unclear

Updated Jun 27, 2026 · 3 sources

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Question

Chronological age vs biological age

Chronological age is how long you have been alive. Biological age is an estimate from biomarkers or models. Biological age can be useful, but it is not a precise personal lifespan forecast.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Question

What is DunedinPACE?

DunedinPACE is a DNA-methylation based attempt to estimate pace of aging. It may be useful as a research and risk marker, but it should not be overread as proof a specific intervention is working.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Question

Can you reverse your biological age score?

A biological-age score may move, but that does not necessarily mean aging has been reversed. Measurement noise, model choice and short-term physiology can all affect results.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Question

Best biomarkers for longevity beginners

Beginners usually get more value from clinically grounded markers such as blood pressure, ApoB, glucose-related markers, fitness, body composition, smoking status and sleep than from exotic single-number age scores.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Question

VO2 max and longevity

VO2 max is a measure of cardiorespiratory fitness and is strongly relevant to longevity discussions. It is not a hack; it is a marker and training target linked to broad health capacity.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 1 sources

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Question

Stem cells, exosomes and longevity

Stem-cell and exosome claims are often marketed as regeneration, but product, indication, regulation and evidence vary widely. Frontier language should not be mistaken for approved longevity medicine.

Evidence:Commercial claimRisk:ExperimentalStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Question

Exercise and longevity, explained simply

Exercise is one of the most evidence-backed longevity levers. It supports cardiorespiratory fitness, strength, metabolic health, function and resilience.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 1 sources

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Question

Zone 2 training and longevity

Zone 2 training can be a useful way to build aerobic capacity, but the longevity target is broader cardiorespiratory fitness and consistency, not worshiping one zone.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 1 sources

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Mechanisms

Mechanism

Rapamycin and mTOR, explained simply

mTOR is a nutrient-sensing pathway involved in growth, repair and metabolism. Rapamycin affects mTOR, which explains why aging researchers care, but pathway logic alone does not prove human lifespan benefit.

Evidence:Early theoryRisk:High riskStatus:Off-label

Updated Jun 27, 2026 · 1 sources

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Mechanism

What is NAD?

NAD is a molecule involved in energy metabolism and repair pathways. It is biologically important, but that does not make every NAD supplement or infusion claim true.

Evidence:Early theoryRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Mechanism

What is an epigenetic clock?

An epigenetic clock estimates aging-related patterns from DNA methylation. It can be useful in research and risk prediction, but one test should not be treated as a full medical decision system.

Evidence:Human observational evidenceRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Mechanism

What is gene therapy?

Gene therapy changes or delivers genetic material to treat a specific disease or biological target. Approved gene therapies are evaluated for defined products and uses, not broad anti-aging.

Evidence:Regulatory watchRisk:ExperimentalStatus:Experimental

Updated Jun 27, 2026 · 1 sources

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Mechanism

What is partial reprogramming?

Partial reprogramming aims to shift cells toward a younger-like state without fully erasing their identity. It is scientifically important and still experimental for human aging claims.

Evidence:Mostly lab/animalRisk:ExperimentalStatus:Experimental

Updated Jun 27, 2026 · 2 sources

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Mechanism

What are OSK factors?

OSK refers to three reprogramming factors: Oct4, Sox2 and Klf4. They are part of frontier cellular-reprogramming research, not a consumer anti-aging protocol.

Evidence:Mostly lab/animalRisk:ExperimentalStatus:Experimental

Updated Jun 27, 2026 · 1 sources

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Mechanism

What is CRISPR?

CRISPR is a gene-editing technology. It has serious medical uses and research potential, but CRISPR headlines should not be translated into consumer age-reversal claims.

Evidence:Regulatory watchRisk:ExperimentalStatus:Experimental

Updated Jun 27, 2026 · 1 sources

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Mechanism

Telomerase therapy and cancer-risk questions

Telomerase is tied to telomere biology, but turning that into therapy raises major cancer-risk and delivery questions. Telomere claims should not be read as simple age reversal.

Evidence:Early theoryRisk:ExperimentalStatus:Experimental

Updated Jun 27, 2026 · 2 sources

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Mechanism

What are senescent cells?

Senescent cells have stopped dividing and can release inflammatory signals. They can be harmful in some contexts and useful in others, such as wound healing and cancer suppression.

Evidence:Early theoryRisk:Moderate riskStatus:Status unclear

Updated Jun 27, 2026 · 1 sources

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Mechanism

What are senolytics?

Senolytics are proposed interventions that selectively remove some senescent cells. The idea is serious, but human translation is still being worked out.

Evidence:Mostly lab/animalRisk:High riskStatus:Experimental

Updated Jun 27, 2026 · 2 sources

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Mechanism

Autophagy, explained simply

Autophagy is a cellular recycling process. It matters in aging biology, but claims that a product or habit 'boosts autophagy' still need evidence for real outcomes.

Evidence:Early theoryRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Mechanism

AMPK, explained simply

AMPK is an energy-sensing pathway involved in metabolism. It helps explain interest in exercise, metformin and fasting claims, but pathway activation is not automatically a health outcome.

Evidence:Early theoryRisk:Lower riskStatus:Status unclear

Updated Jun 27, 2026 · 2 sources

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Regulatory explainers

Regulatory guide

Are peptides legal?

Some peptide medicines are legal, approved products for specific uses.

Evidence:Regulatory watchRisk:High riskStatus:Status unclear

Updated Jun 27, 2026 · 4 sources

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Regulatory guide

Are compounded peptides FDA-approved?

No. FDA states that compounded drugs are not FDA-approved. A compounded peptide may be prepared in a regulated context, but that does not mean FDA has reviewed that product for safety, effectiveness or quality.

Evidence:Regulatory watchRisk:High riskStatus:Not FDA-approved

Updated Jun 27, 2026 · 2 sources

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Regulatory guide

What is a compounding pharmacy?

A compounding pharmacy prepares medication for a specific patient need when an FDA-approved product is not medically appropriate. That can be legitimate in some contexts, but compounded drugs are not FDA-approved.

Evidence:Regulatory watchRisk:Moderate riskStatus:Not FDA-approved

Updated Jun 27, 2026 · 1 sources

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Regulatory guide

What does FDA Category 2 mean for peptides?

In compounding discussions, Category 2 generally points to bulk substances that may present significant safety risks. This should make a reader more cautious, not more confident that a peptide is approved for anti-aging.

Evidence:Regulatory watchRisk:High riskStatus:Not FDA-approved

Updated Jun 27, 2026 · 2 sources

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Regulatory guide

What is the FDA 503A bulk substances list?

The 503A bulk-substances framework is about when certain bulk substances may be used in compounding under federal law. It is not a consumer stamp of approval for anti-aging or recovery claims.

Evidence:Regulatory watchRisk:High riskStatus:Not FDA-approved

Updated Jun 27, 2026 · 2 sources

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Evidence reviews

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