Dr. Brad Stanfield’s Longevity Protocol — Evidence-Based (2025-2026)
Overall evidence: Grade BEvery supplement independently graded on human evidence — dose, the rationale, and where the science actually lands.
Dr. Brad Stanfield (NZ physician/YouTuber) is unusually evidence-disciplined for a longevity influencer: he publicly dropped NMN, resveratrol and metformin once human/exercise data disappointed, and avoids high-dose vitamin A/E, quercetin, fisetin, ashwagandha and CoQ10 for lack of human outcome data. His current 2025-2026 stack is built around his own MicroVitamin+ powder (creatine, collagen, D3/K2, TMG, taurine, hyaluronic acid, psyllium, lutein/zeaxanthin, lycopene, methylated B-complex) plus ~1 g omega-3, cocoa flavanols, low-dose glycine + melatonin for sleep, and prescription rosuvastatin + ezetimibe for aggressive lifelong LDL lowering. He is AGAINST aspirin for primary prevention (ASPREE). Note the conflict of interest: he sells most of these supplements.
Creatine monohydrate
SupportsWhy Longevity takes it: Muscle, strength and possibly cognition/healthspan preservation. — YouTube / drstanfield.com (MicroVitamin+)
What the evidence says: For muscle mass and strength with resistance training the evidence is A-grade (multiple meta-analyses, incl. older adults). Cognitive benefits are inconsistent and no trial shows creatine extends lifespan, so the healthspan claim is an extrapolation. Excellent safety.
Where to buy Creatine monohydrate on iHerb →Omega-3 (EPA/DHA fish oil)
MixedWhy Longevity takes it: Cardiovascular protection and anti-inflammatory support. — YouTube / drstanfield.com
What the evidence says: VITAL found no reduction in its primary CV or cancer endpoints, though MI fell in secondary analyses. Benefit is clearest in high-triglyceride/secondary-prevention settings, not healthy low-risk adults at ~1 g/day. Defensible and low-harm but not a proven longevity intervention.
Vitamin D3 (with K2 MK-7)
MixedWhy Longevity takes it: Correct insufficiency; possible cancer-mortality and immune benefit. — drstanfield.com (MicroVitamin+)
What the evidence says: VITAL showed no reduction in all-cause mortality, CVD, cancer incidence or fractures in replete adults. However a 52-trial meta-analysis found a 16% reduction in cancer mortality. Most compelling for people actually deficient; the modest 1000 IU dose is sensible and safe.
Cocoa flavanols
MixedWhy Longevity takes it: Cardiovascular mortality reduction seen in COSMOS. — drstanfield.com cocoa-flavanols article
What the evidence says: COSMOS did NOT meet its primary composite CV endpoint; the ~27% cardiovascular-death reduction is a secondary/subgroup finding vulnerable to bias, and COSMOS-Mind showed no cognitive benefit. Promising and low-risk, but the headline rests on a secondary endpoint.
Lutein + zeaxanthin
SupportsWhy Longevity takes it: Macular/eye protection and retinal aging. — drstanfield.com (MicroVitamin+)
What the evidence says: AREDS2 supports lutein/zeaxanthin for slowing progression of intermediate-to-advanced AMD and as a safer replacement for beta-carotene. That benefit is specific to AMD, not general longevity, with no mortality endpoint.
Lycopene
UnprovenWhy Longevity takes it: Antioxidant; cardiovascular and prostate support. — drstanfield.com (MicroVitamin+)
What the evidence says: Evidence is entirely observational: meta-analyses associate higher lycopene/tomato intake with lower stroke and CVD risk, but an umbrella review graded this low/very-low quality and supplement RCTs are lacking. Confounding by diet is likely.
Collagen peptides
MixedWhy Longevity takes it: Skin elasticity/hydration; he is explicit it is NOT a muscle-building protein. — YouTube / drstanfield.com (MicroVitamin+)
What the evidence says: A meta-analysis of 14 RCTs found hydrolyzed collagen modestly improves skin hydration and elasticity over ~12 weeks, but most trials are short and industry-funded. Cosmetic outcome, not longevity. Low-risk; benefits limited to skin.
Hyaluronic acid (oral)
MixedWhy Longevity takes it: Skin moisture/wrinkle reduction and joint support. — YouTube / drstanfield.com (MicroVitamin+)
What the evidence says: A small 12-week double-blind RCT (40 people, 120 mg/day) reported reduced wrinkles and improved skin hydration. Trials are small, short and manufacturer-run, and the outcome is cosmetic. No longevity data; safe but weakly evidenced.
Glycine + NAC (GlyNAC)
UnprovenWhy Longevity takes it: Restore glutathione, lower oxidative stress; glycine also aids sleep. — YouTube / drstanfield.com (Sleep)
What the evidence says: GlyNAC RCTs from a single Baylor group report improved glutathione and function in older adults, but samples are tiny, partly open-label, and lack independent replication or hard outcomes. Glycine alone has small trials for subjective sleep. Interesting but not yet proven for aging.
Where to buy Glycine + NAC on iHerb →Taurine
UnprovenWhy Longevity takes it: Taurine declines with age; restoration extended healthspan in animals. — drstanfield.com (MicroVitamin+)
What the evidence says: The 2023 Science paper showed taurine extended lifespan/healthspan in mice and worms and that levels fall with age in humans, but the human data are purely observational. No completed RCT shows taurine improves human aging outcomes. Mechanistic/animal signal only.
TMG (trimethylglycine / betaine)
UnprovenWhy Longevity takes it: Methylation support; homocysteine lowering; offsets TMG depletion from creatine. — drstanfield.com (MicroVitamin+)
What the evidence says: Betaine reliably lowers homocysteine, but homocysteine-lowering has repeatedly failed to reduce cardiovascular events, and a meta-analysis found betaine >=4 g/day moderately RAISES cholesterol (his ~0.5-1 g dose is well below that). No longevity outcome data.
Psyllium husk
SupportsWhy Longevity takes it: Lower LDL, improve glycemic control and gut health. — YouTube / drstanfield.com (MicroVitamin+)
What the evidence says: A 2024 systematic review/meta-analysis confirms psyllium significantly reduces total and LDL cholesterol, consistent with a large RCT base and FDA-recognized cholesterol claim. Benefit is on cardiometabolic surrogates, but the LDL-to-risk link is strong. One of the better-supported, cheapest items.
Melatonin (low-dose)
MixedWhy Longevity takes it: Sleep onset support at a physiologic (not megadose) level. — drstanfield.com (Sleep)
What the evidence says: An umbrella review found melatonin reduces sleep-onset latency on subjective and objective measures, though effect sizes are small and study quality low. No evidence it extends lifespan; any longevity benefit is indirect via sleep. The 300 mcg physiologic dose is sensible.
Rosuvastatin + ezetimibe (statin, prescription)
SupportsWhy Longevity takes it: Aggressive lifelong LDL lowering to reduce atherosclerotic risk. — YouTube (medications for longevity)
What the evidence says: Statins have the strongest evidence in the entire stack: JUPITER (a rosuvastatin primary-prevention RCT) plus CTT meta-analyses show consistent reduction in major vascular events proportional to LDL lowering. Absolute benefit is large in high-risk/familial cases and small in low-risk young people. Best-evidenced intervention here.
Aspirin (low-dose) — his stance: AGAINST for primary prevention
AgainstWhy Longevity takes it: He argues healthy people should NOT take aspirin; reserved for secondary prevention or specific genetic risk. — drstanfield.com / aspirin video
What the evidence says: High-quality evidence supports his stance AGAINST routine aspirin in healthy adults: ASPREE found low-dose aspirin did not prolong disability-free survival and was associated with INCREASED all-cause mortality plus more major bleeding. A case where strong evidence argues against the intervention for primary prevention.
How this stack works
Stanfield builds around cheap, low-downside items with at least surrogate-endpoint evidence, aggressive LDL lowering (rosuvastatin + ezetimibe) for cardiovascular risk, and sleep support — while publicly dropping NMN, resveratrol and metformin once the data disappointed.
Evidence summary
Only the statin (CVD) and creatine-for-muscle claims reach meta-analytic A-grade; everything else ranges from a single cancer-mortality signal (vitamin D) and a CVD secondary-endpoint (cocoa) down to observational (lycopene), animal (taurine) or cosmetic-surrogate (collagen, hyaluronic acid) data. No supplement in the stack has RCT proof of extending human lifespan. Overall B — more disciplined than most guru stacks.
Risks & interactions
Rosuvastatin + ezetimibe are prescription and need medical oversight; he is explicitly AGAINST aspirin for primary prevention (ASPREE). Betaine/TMG can raise LDL at high doses. Conflict of interest: he sells most of these supplements (MicroVitamin+, Sleep, omega-3).
Who this is for
A disciplined, cost-conscious template for people who lift, want their LDL low, and prefer items with a plausible evidence base over hype. Note the own-brand conflict and that only the statin and creatine-for-muscle claims are truly strong.
Sources
- Sesso HD (2022). Effect of cocoa flavanol supplementation for the prevention of cardiovascular disease events (COSMOS) randomized clinical trial. Am J Clin Nutr. doi:10.1093/ajcn/nqac055 · PMID 35294962
- Baker LD (2022). Effects of cocoa extract and a multivitamin on cognitive function: A randomized clinical trial (COSMOS-Mind). Alzheimers Dement. doi:10.1002/alz.12767 · PMID 36102337
- AREDS2 Research Group (2013). Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration (AREDS2) randomized clinical trial. JAMA. doi:10.1001/jama.2013.4997 · PMID 23644932
- Kumar P (2023). Supplementing Glycine and N-Acetylcysteine (GlyNAC) in Older Adults Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Physical Function, and Aging Hallmarks: A Randomized Clinical Trial. J Gerontol A Biol Sci Med Sci. doi:10.1093/gerona/glac135 · PMID 35975308
- Sekhar RV (2021). GlyNAC Supplementation Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Aging Hallmarks, Metabolic Defects, Muscle Strength, Cognitive Decline, and Body Composition. J Nutr. doi:10.1093/jn/nxab309 · PMID 34587244
- Singh P (2023). Taurine deficiency as a driver of aging. Science. doi:10.1126/science.abn9257 · PMID 37289866
- Manson JE (2019). Marine n-3 Fatty Acids and Prevention of Cardiovascular Disease and Cancer (VITAL). N Engl J Med. doi:10.1056/NEJMoa1811403 · PMID 30415637
- Manson JE (2019). Vitamin D Supplements and Prevention of Cancer and Cardiovascular Disease (VITAL). N Engl J Med. doi:10.1056/NEJMoa1809944 · PMID 30415629
- Zhang Y (2019). Association between vitamin D supplementation and mortality: systematic review and meta-analysis. BMJ. doi:10.1136/bmj.l4673 · PMID 31405892
- Forbes SC (2021). Meta-Analysis Examining the Importance of Creatine Ingestion Strategies on Lean Tissue Mass and Strength in Older Adults. Nutrients. doi:10.3390/nu13061912 · PMID 34199420
- Chilibeck PD (2017). Effect of creatine supplementation during resistance training on lean tissue mass and muscular strength in older adults: a meta-analysis. Open Access J Sports Med. doi:10.2147/OAJSM.S123529 · PMID 29138605
- Burke R (2023). The Effects of Creatine Supplementation Combined with Resistance Training on Regional Measures of Muscle Hypertrophy: A Systematic Review with Meta-Analysis. Nutrients. doi:10.3390/nu15092116 · PMID 37432300
- McNeil JJ (2018). Effect of Aspirin on All-Cause Mortality in the Healthy Elderly (ASPREE). N Engl J Med. doi:10.1056/NEJMoa1803955 · PMID 30221595
- Ridker PM (2008). Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein (JUPITER). N Engl J Med. doi:10.1056/NEJMoa0807646 · PMID 18997196
- Zhu R (2024). Plantago consumption significantly reduces total cholesterol and low-density lipoprotein cholesterol in adults: A systematic review and meta-analysis. Nutr Res. doi:10.1016/j.nutres.2024.03.013 · PMID 38688104
- Dewi DAR (2023). Exploring the Impact of Hydrolyzed Collagen Oral Supplementation on Skin Rejuvenation: A Systematic Review and Meta-Analysis. Cureus. doi:10.7759/cureus.50231 · PMID 38192916
- Hsu TF (2021). Oral Hyaluronan Relieves Wrinkles and Improves Dry Skin: A 12-Week Double-Blinded, Placebo-Controlled Study. Nutrients. doi:10.3390/nu13072220 · PMID 34203487
- Zawieja EE (2019). Betaine Supplementation Moderately Increases Total Cholesterol Levels: A Systematic Review and Meta-Analysis. J Diet Suppl. doi:10.1080/19390211.2019.1699223 · PMID 31809615
- Ell J (2023). Complementary and alternative treatments for insomnia disorder: a systematic umbrella review. J Sleep Res. doi:10.1111/jsr.13979 · PMID 37527850
- Li N (2020). Tomato and lycopene and multiple health outcomes: Umbrella review. Food Chem. doi:10.1016/j.foodchem.2020.128396 · PMID 33131949
- Cheng HM (2017). Lycopene and tomato and risk of cardiovascular diseases: A systematic review and meta-analysis of epidemiological evidence. Crit Rev Food Sci Nutr. doi:10.1080/10408398.2017.1362630 · PMID 28799780
- Bannai M (2012). New therapeutic strategy for amino acid medicine: glycine improves the quality of sleep. J Pharmacol Sci. doi:10.1254/jphs.11r04fm · PMID 22293292
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