Two inexpensive amino acids rebuild the body's main internal antioxidant, which falls with age. Walking speed and grip strength improved in older adults, holding only while use continues. Metabolic measures and blood pressure moved in one small controlled trial. Longer life shown only in mice. Gastrointestinal upset, evening drowsiness, and possible blunting of training adaptation are the trade-offs. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Serum creatinine and estimated glomerular filtration rate | Creatinine 0.6–1.1 mg/dL; filtration rate above 80 mL/min/1.73 m² | Kidney handling of a large nitrogen and sulfate load |
| Alanine aminotransferase and aspartate aminotransferase | Both below 25 U/L | Liver tolerance of sustained thiol loading |
| Fasting insulin | 2–5 µIU/mL | The metabolic endpoint that moved most |
| Fasting glucose | 75–90 mg/dL | Tracks the fat-versus-glucose burning shift |
| Glycated haemoglobin | 4.8–5.3% | Slow-moving confirmation that fasting changes are real |
| High-sensitivity C-reactive protein | Below 0.8 mg/L | The most contested claim; the validated way to test it personally |
| Homocysteine | 6–8 µmol/L | N-acetylcysteine lowers it; glycine loads the same methyl-group pathway |
| Seated systolic blood pressure | 105–120 mmHg | The one validated clinical surrogate the placebo-controlled trial moved |
| Whole-blood reduced glutathione, with the reduced-to-oxidised ratio | No established target; track change from personal baseline | The mechanism's proximate output; an independent trial failed to move it |
| 4-metre gait speed | Above 1.0 m/s, and rising from personal baseline | Function, not biochemistry, is what the strongest evidence supports |
| Handgrip strength | Above 27 kg (men) or 16 kg (women), and rising from personal baseline | Cheap, reproducible proxy for the strength endpoint the trials used |
Cadence: Creatinine and transaminases at baseline, 4 and 12 weeks, then every 3–6 months; metabolic and inflammatory markers, blood pressure and the two function measures at baseline, 12 and 24 weeks, then every 6–12 months