Calcium Alpha-Ketoglutarate for Health & Longevity - Quick Reference Sheet

Calcium Alpha-Ketoglutarate for Health & Longevity

Created on 09/07/2026 – Quick Reference based on Evidence Review created using AI4L / Opus 5 – Audit

A stable salt of a molecule the body makes from food. Strongest human evidence sits away from longevity: lower blood phosphate in kidney failure, slower bone breakdown after menopause. The longevity case rests on animal work a large independent programme did not reproduce, and on uncontrolled seller data. Anyone tracking blood work and capping total calcium faces modest exposure. (Full Review)

Protocol

Standard protocol
1,000 mg twice daily
Common consumer practice. Rejuvant and the ABLE trial give 1,000 mg once daily.
Best time of day
With breakfast and dinner
No chronobiology data exist. Standard practice: improves tolerance, spreads the calcium load.
Single versus split dosing
Split for immediate-release
Short half-life; blunts the post-dose rise in urinary calcium. Sustained-release is once daily by design.
Time to effect
Serum phosphate
4 weeks
Phosphate lowering in dialysis, the best-documented use. No symptomatic effect should be expected.
Bone breakdown marker
12 weeks
Time the bone marker took to separate from control in postmenopausal osteopenia.
Biological age
7 months
Average use in the biological-age series. The human trial reads out at six months.

Benefits

Contraindications
  • Hypercalcaemia of any cause, or corrected serum calcium above 10.5 mg/dL
  • Primary hyperparathyroidism, diagnosed or suspected
  • Active nephrolithiasis, or two or more calcium stones in five years
  • Granulomatous disease with unregulated vitamin D activation
  • Chronic kidney disease stage 4 or 5 (below 30 mL/min/1.73 m²) outside nephrology supervision
  • Isocitrate dehydrogenase 1 or 2 mutant glioma or acute myeloid leukaemia
  • Pregnancy and lactation
  • People under 18
  • Digoxin, without cardiology oversight
Key Interactions
  • Levothyroxine (thyroid hormone replacement)
  • Tetracyclines and fluoroquinolones (doxycycline, minocycline, ciprofloxacin, levofloxacin)
  • Oral bisphosphonates (alendronate, risedronate, ibandronate)
  • Thiazide diuretics (hydrochlorothiazide, chlorthalidone, indapamide)
  • Calcium-carbonate antacids and fortified products
  • Iron salts (ferrous sulfate, ferrous bisglycinate)
  • Supplemental vitamin D3 and vitamin K2
  • Other alpha-ketoglutarate salts (arginine, ornithine) and magnesium or zinc supplements
  • Growth-pathway suppressors (rapamycin, metformin, extended fasting)

Risk & Side Effects

  • High:
  • Medium: Kidney stones and hypercalciuria from the calcium load; gastrointestinal intolerance
  • Low: Cardiovascular events attributed to supplemental calcium; preformed vitamin A exposure in combination products
  • Speculative: Metabolic support of glutamine-dependent tumours; blunted training adaptation; ocular changes seen in treated mice

Monitoring

Marker Target Why
Serum calcium (albumin-corrected) 9.0–10.0 mg/dL Detects excess from the mineral load
24-hour urinary calcium Men below 250 mg/day; women below 200 mg/day Earliest stone signal
Intact parathyroid hormone 15–35 pg/mL Flags undiagnosed hyperparathyroidism
25-hydroxyvitamin D 40–60 ng/mL Governs calcium absorption
Serum phosphate 3.0–4.0 mg/dL The salt binds dietary phosphate
Estimated glomerular filtration rate, creatinine and cystatin C 90 mL/min/1.73 m² or above; within 10% of baseline Kidney handling of the calcium load
High-sensitivity C-reactive protein Below 0.5 mg/L Tracks the inflammation pathway
Red-cell magnesium 5.0–6.5 mg/dL Calcium competes with magnesium
Ferritin with transferrin saturation Ferritin 50–150 ng/mL; saturation 25–35% Calcium blunts non-heme iron uptake
Epigenetic age (DNA methylation clock) No target; track own baseline The human trial's primary endpoint

Cadence: Calcium panel at six weeks, full panel at six months, annual thereafter; 24-hour urinary calcium every one to two years; epigenetic clock no sooner than twelve months.

Qualitative Assessment

  • Grip strength and a timed sit-to-stand, the human trial's functional endpoints
  • Perceived energy and exercise recovery, recorded weekly to smooth noise
  • Cognitive clarity and subjective sleep quality, as a check on worsening
  • Skin, hair and nail condition, the phenotype most visibly changed in treated mice
  • Gastrointestinal comfort and stool consistency, the earliest and most likely adverse signal