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Longevity Experiments and Safety: Who Is at Higher Risk

Who faces higher risks from longevity supplements and experimental anti-aging approaches, from older adults and medicine users to pregnancy, surgery and liver concerns, with sources.

Content last updated . This page has not been medically reviewed.

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This page describes who may face higher risks from longevity products and experiments. It is information only. It does not tell anyone to start, stop or change a medicine or supplement; that decision belongs with your prescriber or pharmacist. If someone has a severe reaction, call your local emergency number (911 in the US). For a possible poisoning in the US, Poison Help is 1-800-222-1222; other countries are listed in Poison Help by country.

Longevity is a research field, not a treatment category

Most longevity ideas come from cell and animal studies, which are preclinical (cells or animals only). Evidence labels used here: approved medicine, established, promising but limited, mixed, insufficient evidence, no good evidence of benefit and evidence of harm. For an overview of the labels see how we label evidence in longevity research.

The National Institute on Aging says that advertisements may promise supplements will help you live longer, but often there is little, if any, science supporting these claims. [1] NCCIH adds that most research shows multivitamins do not result in living longer. [2]

Why "natural" does not mean low risk

The National Institute on Aging notes that something being called natural does not mean it is safe, and that it might make a prescribed medicine weaker or stronger. [3][4] In the US, the FDA can act against adulterated or misbranded supplements only after a product is on the market. [5] NCCIH also warns that supplements bought in stores or online may differ in important ways from products tested in studies, and that some products sold as supplements, mainly for weight loss, sexual enhancement and bodybuilding, may contain prescription drugs or unlisted ingredients. [6][7]

Who may be at higher risk

GroupWhy extra care mattersEvidence label
Older adultsOne in six adults aged 65 or older will have at least one side effect from their medicines. [8]Established as a general risk
People taking prescription medicinesSupplements may interact with medicines or pose risks with certain medical problems. [9]Established for some pairs; hypothetical for many
People on blood thinners such as warfarinGinkgo with warfarin is linked to more major bleeding. [10] Coenzyme Q10 may also interact with warfarin and with insulin. [11]Mixed
People on diabetes medicinesIn healthy adults, goldenseal extract lowered metformin levels about 25 percent. [12]Promising but limited (one study)
People on transplant or immune-suppressing medicinesThe sirolimus (rapamycin) label carries a boxed warning about infection and lymphoma and other cancers from immunosuppression. [13]Approved medicine, label risk
People prescribed metformin who have kidney or liver impairment, are over 65, or drink excessivelyThe metformin label lists renal impairment, age over 65, hepatic impairment and excessive alcohol intake among risk factors for lactic acidosis. [14][15]Approved medicine, label risk
People who smoke or have asbestos exposureBeta carotene supplements increased lung cancer in this group. [16]Evidence of harm
People with cancerCoenzyme Q10 may not be compatible with some cancer treatment. [17]Insufficient evidence
People planning surgerySupplements may pose risks before surgery. [9] See supplements before surgery.Established as a general caution
Pregnant or breastfeeding people and childrenMany supplements have not been tested in pregnant women, nursing mothers or children. [18]Insufficient evidence
People with liver concernsLiver injury has been reported with green tea extract tablets and capsules, with people carrying a specific gene variant appearing especially susceptible. [19][20]Uncommon but reported

Rows describe risks from sources, not a complete list. Other groups, such as people with a long list of medicines, are covered in older adults, polypharmacy and supplements.

Higher amounts and "stacks"

The National Institute on Aging cautions that more is not necessarily better and that taking too many supplements can be harmful. [21] A Cochrane review of 78 trials found no evidence to support antioxidant supplements for prevention, and beta-carotene and vitamin E seem to increase mortality. [22][23] Large combined products are discussed in longevity supplement blends and product claims. Injected or imported products, including peptides, carry added risks covered in peptide safety.

Experimental clinics and procedures

Stem cell and exosome products sold outside regulated trials are a separate concern. The FDA has received reports of blindness, tumor formation and infections from unapproved regenerative products. [24] See stem cell and regenerative clinics marketed for aging and emerging research on reprogramming and gene therapy.

What a safer conversation looks like

The American Geriatrics Society suggests keeping a list of all medicines, including supplements, bringing it to appointments, and not stopping a medicine without checking first. [25][26][27] Reading guides: talking with a health professional and medication interactions.

Frequently asked questions

Is a longevity supplement safe if it is natural?

Not necessarily. Natural origin does not guarantee safety, and it might change how a prescribed medicine works. [3][4]

Who should talk to a clinician before using any supplement?

Anyone on medicines, with medical conditions, planning surgery, pregnant, breastfeeding, or buying for a child. [9][18]

Can I check a product's contents myself?

Labels may not list everything, and products can differ from those tested in studies. [6][7] Ask a pharmacist about quality questions; see product quality and contamination.

Does this page recommend any longevity approach?

No. It describes risks from the sources read and does not recommend any product, clinic or protocol.

Where do I report a bad reaction?

Tell your prescriber. In the US, adverse events from unapproved regenerative products can be reported to the FDA MedWatch program. [28]

References
  1. National Institute on Aging, Dietary Supplements for Older Adults (advertising). Read 2026-10-22.
  2. NCCIH, Using Dietary Supplements Wisely. Read 2026-10-22.
  3. National Institute on Aging, Dietary Supplements for Older Adults. Read 2026-10-22.
  4. National Institute on Aging, Dietary Supplements for Older Adults (effect on medicines). Read 2026-10-22.
  5. U.S. FDA, Dietary Supplements (content current as of 10/01/2024). Read 2026-10-22.
  6. NCCIH, Using Dietary Supplements Wisely (products versus studies). Read 2026-10-22.
  7. NCCIH, Using Dietary Supplements Wisely (hidden drugs). Read 2026-10-22.
  8. American Geriatrics Society, Medications Older Adults Should Avoid or Use With Caution (2023 Beers Criteria summary). Read 2026-10-22.
  9. NCCIH, Using Dietary Supplements Wisely (interactions, surgery). Read 2026-10-22.
  10. NCCIH Clinical Digest, Herb-Drug Interactions (ginkgo and warfarin). Read 2026-10-22.
  11. NCCIH, Coenzyme Q10. Read 2026-10-22.
  12. NCCIH Clinical Digest, Herb-Drug Interactions (goldenseal and metformin). Read 2026-10-22.
  13. U.S. FDA, Rapamune prescribing information (boxed warning). Read 2026-10-22.
  14. U.S. FDA, Fortamet prescribing information (risk factors). Read 2026-10-22.
  15. U.S. FDA, Fortamet prescribing information (risk factors, full). Read 2026-10-22.
  16. AAFP, USPSTF clinical summary (beta carotene harm). Read 2026-10-22.
  17. NCCIH, Coenzyme Q10 (cancer treatment). Read 2026-10-22.
  18. NCCIH, Using Dietary Supplements Wisely (safety). Read 2026-10-22.
  19. NCCIH, Green Tea (liver). Read 2026-10-22.
  20. NCCIH, Green Tea (gene variant). Read 2026-10-22.
  21. National Institute on Aging, Dietary Supplements for Older Adults (more is not better). Read 2026-10-22.
  22. Bjelakovic G et al. Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases. Cochrane Database Syst Rev 2012 (PubMed 22419320). Read 2026-10-22.
  23. Bjelakovic G et al. Cochrane 2012 (harm). Read 2026-10-22.
  24. U.S. FDA, Important Patient and Consumer Information About Regenerative Medicine Therapies. Read 2026-10-22.
  25. American Geriatrics Society, 2023 Beers Criteria summary (what to do). Read 2026-10-22.
  26. American Geriatrics Society, 2023 Beers Criteria summary (bring list). Read 2026-10-22.
  27. American Geriatrics Society, 2023 Beers Criteria summary (limits). Read 2026-10-22.
  28. U.S. FDA, Consumer Alert on Regenerative Medicine Products (reporting). Read 2026-10-22.
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.