3HAA for Health & Longevity - Quick Reference Sheet

3HAA for Health & Longevity

Created on 09/24/2026 – Quick Reference based on Evidence Review created using AI4L / Opus 5.5 – Audit

3HAA is a natural product of the body's breakdown of tryptophan, an amino acid in protein foods, studied for healthy aging and obtainable only as a laboratory chemical. Raising it lengthened life in worms and, in small early studies, in mice. No person has taken it in a controlled trial; tumor, bone and blood-vessel concerns remain unresolved. Sustained endurance exercise is the one tested human way of raising it. (Full Review)

Protocol

Endurance training (physiological approach)
26 weeks of endurance training
Steady moderate or progressively harder training raised serum 3HAA by 85–134% in middle-aged adults
Dietary 3HAA (animal-derived approach)
312.5 parts per million (ppm) in chow (mice)
No established human protocol; aging mice fed 312.5 or 3,125 ppm from 27 months lived longer, the lower dose longest
Supporting production
Adequate vitamin B6
Keeps the vitamin B6-dependent enzyme that produces 3HAA working; plasma active vitamin B6 (PLP) below about 20 nmol/L marks deficiency
Time to effect
Lifespan (mice)
Weeks to months
Of continuous intake; unknown in humans
Grip strength (mice)
Weeks to months
Of continuous intake; unknown in humans
Serum 3HAA rise (exercise)
26 weeks
Endurance training in middle-aged adults

Benefits

Contraindications
  • Current or prior bladder or kidney cancer, or unexplained microscopic hematuria (blood in the urine, ≥3 red blood cells per high-power field)
  • Active cancer, especially during ferroptosis-inducing treatment (iron-driven cell death; sorafenib, cisplatin)
  • Pregnancy, breastfeeding, and people under 18 years
  • Osteoporosis (bone-density T-score ≤ −2.5)
  • Organ transplant recipients, people on immunosuppressants (tacrolimus, cyclosporine, methotrexate), or lymphocyte counts below 1.0 × 10⁹/L
  • Iron or copper overload, such as hemochromatosis (transferrin saturation >45%) or Wilson disease
  • Advanced kidney disease (eGFR, estimated kidney filtering rate, below 30 mL/min/1.73 m²)
  • Known abdominal aortic aneurysm or aortic dilation (diameter ≥3.0 cm)
Key Interactions
  • Iron and copper products (ferrous sulfate, copper-containing multivitamins; over the counter): Caution
  • Statins (cholesterol-lowering drugs such as atorvastatin, rosuvastatin): Monitor
  • Additive lipid-lowering supplements (red yeast rice, berberine, plant sterols): Monitor
  • Vitamin B6 antagonists (isoniazid, hydralazine, penicillamine): Monitor
  • Vitamin B6 supplements (pyridoxine, pyridoxal 5'-phosphate): Monitor
  • Tryptophan supplements (L-tryptophan): Monitor
  • N-acetylcysteine and glutathione supplements: Monitor
  • Additive Nrf2 activators (sulforaphane, curcumin): Monitor
  • NAD+ precursors (nicotinamide riboside, nicotinamide mononucleotide, niacin): Monitor
  • Endurance exercise: Monitor
  • Vitamin C (ascorbic acid): No adverse interaction known

Risk & Side Effects

  • High:
  • Medium:
  • Low: Bladder cancer; raised quinolinic acid
  • Speculative: Oxidative damage and cataract; bone loss; aortic aneurysm; faster growth of existing tumors; immune suppression; slowed growth and delayed reproduction; acute toxicity and irritation

Monitoring

Marker Target Why
Serum 3HAA No established target; track change from own baseline Confirms exposure
Plasma quinolinic acid No established target; track change from own baseline Downstream harm signal
Urinalysis (blood) Negative; 0–2 red blood cells per high-power field Bladder safety
Vitamin B6 (PLP) ≥30 nmol/L Supports 3HAA production
LDL-C <100 mg/dL Tracks lipid effect
Triglycerides <100 mg/dL Tracks lipid effect
hs-CRP <1.0 mg/L Inflammation response
CBC with differential (lymphocytes) 1.5–3.0 × 10⁹/L Immune suppression
eGFR (with cystatin C in muscular adults) >90 mL/min/1.73 m² Kidney clearance
Ferritin and serum copper Ferritin 50–150 ng/mL; copper 80–120 µg/dL Metal load
DXA bone density T-score above −1.0 Bone-loss signal

Cadence: Baseline, then 4 weeks, 12 weeks and every 6 months. Urinalysis and CBC at each timepoint; serum 3HAA and quinolinic acid at 12 weeks, then every 6 months; lipids and hs-CRP at 12 weeks; DXA after 12 months.

Qualitative Assessment

  • Energy and physical performance, such as grip strength and walking endurance
  • Frequency and duration of infections
  • Urinary symptoms, such as visible blood, urgency or pain
  • Vision changes, such as new glare or cloudiness
  • Attention and mental clarity