trans-Resveratrol for Health & Longevity

Created on 11/01/2026 – Quick Reference based on Evidence Review created using AI4L / Opus 5.5 – Audit

trans-Resveratrol is a plant compound sold as a longevity supplement. Its most consistent human signal is a very small waist reduction; blood sugar, blood pressure, cholesterol, bone and memory effects are inconsistent, metabolic effects largely absent with normal blood sugar, and no human study shows longer life. Generally well tolerated below about one gram daily, it can weaken some endurance-training gains and changes how the liver clears several common medicines. (Full Review)

Protocol

Low-dose regimen
150 mg/day
75 mg twice daily, as in the 12–24-month postmenopausal women's trials; equals the EU maximum for supplements
High-dose regimen
1 g/day
Popularized by David Sinclair as one morning dose; used in type 2 diabetes
Time of day
Morning
Higher bioavailability than later dosing
Time to effect
Glycemic changes in diabetes
4–12 weeks
Short-term HbA1c fall per an umbrella review; larger reviews found no effect
Bone and cognitive changes
12 months
In postmenopausal women
Lifespan
Never measured
In humans; animal gains did not hold in mice eating normal diets

Benefits

Contraindications
  • Pregnancy and breastfeeding
  • Children and adolescents (under 18 years)
  • Multiple myeloma or impaired kidney function, at gram doses (5 g/day studied)
  • Estrogen-sensitive cancers (breast, endometrial, ovarian)
  • Bleeding disorders or upcoming surgery
Key Interactions
  • CYP3A4 substrates (carbamazepine, simvastatin, tacrolimus)
  • CYP2C9 substrates (diclofenac, celecoxib, warfarin)
  • CYP2D6 substrates (dextromethorphan, metoprolol)
  • CYP1A2 substrates (caffeine, theophylline, clozapine)
  • CYP2E1 substrates (chlorzoxazone)
  • Any regularly used medicine
  • High-fat meals
  • Oral glucose-lowering drugs (metformin, sulfonylureas such as glipizide)
Theoretical (inferred from mechanism)
  • Anticoagulants and antiplatelet drugs (warfarin, clopidogrel, aspirin)
  • Supplements with additive antiplatelet effects (fish oil, ginkgo, vitamin E)
  • Insulin and glucose-lowering supplements (berberine)
  • Blood-pressure-lowering drugs and supplements (amlodipine, lisinopril, magnesium)
  • Estrogen-modulating therapies (tamoxifen, anastrozole, menopausal hormone therapy)

Risk & Side Effects

  • High:
  • Medium: Blunted adaptations to exercise training
  • Low: Digestive side effects at gram doses; liver enzyme elevation at high doses; unfavorable cardiovascular marker shifts; acute kidney injury at very high doses; low blood cell counts
  • Speculative: Stimulation of hormone-sensitive tissue; fetal harm in pregnancy; lower adrenal androgen precursors; greater brain volume loss in Alzheimer's disease

Monitoring

Marker Target Why
HbA1c 4.0–5.6% May fall in type 2 diabetes
Fasting glucose 70–99 mg/dL Falls in diabetes
Blood pressure Below 120/80 mmHg May fall at 300 mg/day or more
LDL and HDL cholesterol No established target; track change from own pre-supplement baseline Safety check: pooled trials lowered HDL, and 1 g/day raised LDL
ALT and AST ALT 7–56 U/L, AST 10–40 U/L Safety check: rise above 3 times upper limit stops use
Creatinine 0.7–1.3 mg/dL men, 0.6–1.1 mg/dL women Safety check: rise signals kidney stress at gram doses
INR (warfarin users only) No established target for resveratrol; track against the prescriber's target range Safety check: CYP2C9 inhibition can raise warfarin effect

Cadence: Baseline panel before starting; common practice repeats it 8–12 weeks after starting or after any dose increase, then every 6–12 months; warfarin users recheck INR 1–2 weeks after starting. Liver enzymes and creatinine matter most at 1 g/day or more.

Qualitative Assessment

  • Digestive tolerance (stool frequency, nausea, bloating), especially above 1 g/day
  • Training progress: aerobic capacity, interval power, and strength logs
  • Energy levels and general well-being
  • Subjective cognitive clarity and memory
  • Unusual bruising or bleeding, particularly with anticoagulants or antiplatelet supplements