The science of living longer
All answered questions
Every question we have researched and answered so far, organised by topic.
872 answered questions · 5,574 studies
All topicsNutrition & preventionMuscles & movementHeart & vesselsBrain & memoryCancerInterventionsSleepAging clocksCells & DNAGut & microbiomeSkinHormonesImmune systemBonesMetabolism
Aging Clocks42 questions
Does plasma exchange (plasmapheresis) work against ageing?
There are initial, cautiously positive indications from one small study, but it is too small and too influenced by commercial…
Preliminary evidence
Does calcium-AKG lower your biological age?
Reliable evidence that calcium-AKG lowers biological age in humans is still lacking. The widely cited claim of 8 years younger…
Preliminary evidence
Can you lengthen your telomeres through lifestyle?
Lifestyle most likely cannot fully reverse telomere shortening, but quitting smoking, eating healthily and exercising are…
Preliminary evidence
Does your body age faster after a prolonged period of stress?
Prolonged stress demonstrably accelerates biological ageing through multiple measurable mechanisms. Reducing stress,…
How reliable are the biological age tests you can buy online?
The available studies offer no answer to this question; whether online biological age tests are reliable cannot be inferred…
Can an epigenetic age test really tell you how old your body is?
An epigenetic age test provides a meaningful indication of biological ageing, but is not yet a definitive verdict on your…
Moderate evidence
Does the country you live in affect your biological age?
Where you live and how much money you have is strongly associated with how quickly you age biologically; the largest gap…
Can you influence your epigenetic age through diet?
Eating healthily is associated with a lower epigenetic age, but whether changing your diet truly turns back the clock has not…
Preliminary evidence
What does too much sitting do to your biological clock?
Too much sitting demonstrably weakens your day-night rhythm, even after just one day. Moving more, and preferably in the…
Does loneliness accelerate your biological age?
Whether loneliness accelerates your biological age at the cellular level cannot be determined from the available studies.…
Can meditation do anything about ageing at the cellular level?
There are cautious indications that meditation may slow telomere shortening, but the results are inconsistent and the evidence…
Preliminary evidence
How reliable is a saliva test for biological age?
A saliva test for biological age via DNA methylation provides a reasonable estimate with a margin of error of approximately 4…
What is DunedinPACE and what does it tell us about ageing?
DunedinPACE measures how quickly you are biologically ageing and is associated with disease and mortality, but whether…
Which blood values tell you something about how quickly you are biologically ageing?
Blood values such as protein profiles, DNA methylation patterns, telomere length and common inflammatory markers each provide…
What does alcohol do to your biological age?
Heavy and chronic alcohol use accelerates biological ageing through inflammation, liver damage and changes to cell membranes.…
Is it true that women age more slowly than men, biologically speaking?
Women live longer on average and have a slightly lower biological age, but that advantage is not visible across all areas: the…
Can meditation slow down your biological clock?
There are tentative indications that regular meditation is associated with slower biological ageing, but the evidence is still…
Preliminary evidence
Does your biological age advance differently at night than during the day?
Your body does not age faster at night than during the day, but the night is the primary recovery period and that recovery…
What is the Horvath clock and why is it so well known?
The Horvath clock was the first biological age measure that worked broadly across virtually all tissues, and that is what…
How quickly can you change your biological age with exercise?
Exercise can produce biologically measurable improvement, but how quickly and by how much depends heavily on what you measure:…
Preliminary evidence
Can a blood test reveal how old your organs are?
Blood tests can pick up signals of biological ageing, but a reliable measurement of the age of specific organs is not yet…
What does smoking do to your biological age?
Smoking measurably accelerates the biological ageing of lung cells, the immune system and the reproductive system. Quitting…
Can fasting reverse your biological age?
The provided source contains no data on fasting and biological ageing, so this question cannot be answered on the basis of…
Insufficient evidence
What does an epigenetic clock actually measure?
An epigenetic clock reads chemical tags on your DNA and translates them into a biological age estimate. The further that…
Can you lengthen or restore your telomeres?
Fully restoring or lengthening telomeres has not yet been demonstrated in humans. Vitamin D3 (2000 IU/day) did measurably slow…
Moderate evidence
Does NAD+ supplementation slow biological aging?
NAD+ supplements demonstrably raise your NAD+ levels and appear to be safe, but whether they slow biological ageing has not…
Preliminary evidence
What is the difference between living longer and living longer in good health (healthspan)?
Healthspan and lifespan are two separate things: you can live a long time yet lose years to illness and decline. Caloric…
Can you have your telomeres measured, and is there any value in doing so?
Having your telomeres measured is possible, but the result of a commercial blood test is difficult to interpret. Measurement…
Yes · Moderate evidence
Do some people age primarily through their heart and others through their metabolism?
Yes, people age through different organ pathways. The science needed to map this precisely for each individual is promising,…
Can you tell someone's biological age from their face?
Your face does emit biological signals, but it is too limited and too variable to measure your biological age accurately. Take…
Does everyone age at the same rate, or do people truly age at different speeds?
At the molecular level everyone ages at a broadly similar baseline rate, but in terms of health and life expectancy people…
How large can the difference between my chronological age and my biological age be?
The typical spread between your biological and calendar age is around one to two years. Studies mention no hard upper limit,…
Are commercial biological age tests based on DNA methylation worth the money?
Commercial biological age tests measure something real, but the clocks regularly contradict one another. The translation into…
Preliminary evidence
Can you really lower your biological age, and does the research support this?
There are promising indications that biological age is measurable and perhaps controllable, but clinical evidence that you can…
Preliminary evidence
How reliable are epigenetic clocks for measuring your biological age?
Epigenetic clocks are reliable instruments for measuring biological age and predict mortality better than calendar age. They…
Which lifestyle factors influence your biological age the most?
Exercise is the most powerful brake on biological ageing. A Mediterranean diet, good sleep and less stress also help, but the…
Moderate evidence
What does your VO2max say about how fast you are ageing?
A higher VO2max is strongly associated with lower mortality and a more favourable biological age, but is more of a gauge of…
How can I measure my biological age?
An epigenetic clock test gives you a useful reference point for tracking your biological age over time, but you cannot yet…
Preliminary evidence
How does ageing work and how can you slow it down?
Ageing is well described biologically, but there are no proven means of genuinely slowing it in humans yet. For now, focus on…
Yes · Moderate evidence
Are biological age tests actually accurate?
Whether a biological age test is reliable depends entirely on what it measures: brain-scan models for depression perform no…
Preliminary evidence
What are telomeres and can I keep them longer?
Keeping telomeres longer sounds appealing, but more telomerase or longer telomeres also carry risks, because cancer cells use…
Yes · Strong evidence
Does stress make you age faster?
Prolonged stress demonstrably accelerates your biological aging. Healthy lifestyle habits that reduce physical and oxidative…
Brain & Memory63 questions
Why does your memory work less well as you get older?
Memory loss with ageing is a normal biological process with multiple clearly demonstrated causes, but you can slow it down:…
Yes · Moderate evidence
Does learning a new language help keep your brain healthy?
Actively using two languages throughout your life is associated with a lower risk of dementia and a brain that continues to…
Moderate evidence
Can you prevent dementia with your lifestyle?
Lifestyle has a real but limited influence on dementia risk: quitting smoking, keeping blood pressure under control and…
Moderate evidence
What keeps your memory sharp in later life?
Getting good sleep, eating mindfully according to the MIND diet and engaging in targeted cognitive training have the strongest…
Moderate evidence
Does years of insufficient sleep damage your brain?
Years of insufficient sleep damages the brain through multiple pathways at once, and some of that damage appears difficult or…
Yes · Moderate evidence
Does a low dose of lithium help protect the ageing brain?
There are preliminary indications that low doses of lithium may offer brain protection, but the evidence is still too thin and…
Preliminary evidence
Does lion's mane really work for your brain?
Lion's mane shows cautiously positive signals for attention and working memory in small studies, but the evidence is still too…
Preliminary evidence
Does methylene blue really work for your energy and brain?
Do not take this as a supplement. Methylene blue is a registered medicine and industrial dye, not a food, and not authorised…
Preliminary evidence
Is magnesium L-threonate better for your brain?
MgT has preliminary indications that it raises brain magnesium more effectively and may support cognition, but the evidence in…
Preliminary evidence
Is there a relationship between changing body odour and Alzheimer's disease?
Alzheimer's disease affects the patient's own sense of smell at an early stage, but whether people with Alzheimer's develop a…
Can Magnetic Resonance Spectroscopy (MRS) detect Alzheimer's disease early?
MRS can detect early signs of Alzheimer's disease, even before a conventional brain scan shows abnormalities, but is most…
Yes · Moderate evidence
What does poor air quality or fine particulate matter do to your memory in the long run?
Poor air quality, especially fine particulate matter, is consistently associated with worse cognitive performance and possibly…
Does regular sauna use protect your brain against decline?
Regular sauna use is associated with a notably lower risk of dementia, but the evidence comes from a single large…
Moderate evidence
Does watching a lot of television later in life affect your brain?
Watching more than 3.5 hours of television per day is associated with faster memory decline in people aged 50 and over,…
Yes · Moderate evidence
What does high cholesterol do to your brain as you age?
High cholesterol in middle age likely increases the risk of dementia, but at older ages the relationship is less clear and…
Can thyroid problems worsen your memory and concentration?
Thyroid problems can cause memory complaints, but large-scale research shows barely any measurable effect at the group level…
Moderate evidence
Does drinking coffee really help against dementia, or is that a myth?
Drinking 2-3 cups of coffee daily is associated with a lower dementia risk in several large studies, but this is not yet a…
Moderate evidence
What does long-term loneliness do to your brain?
Prolonged loneliness is associated with a higher risk of dementia and persistent low mood, and damages the stress system.…
Does frequent mobile phone use increase the risk of brain tumours?
Normal mobile phone use does not appear to increase the risk of brain tumours, but with more than ten years of intensive use…
Moderate evidence
Is reading every day good for your brain in the long run?
Daily reading is probably good for your brain, but the evidence is largely observational; a firm causal relationship in…
Yes · Preliminary evidence
Do your brains really shrink as you get older?
Your brain does indeed shrink measurably as you get older, but this far from always leads to noticeable cognitive decline.…
What does a vitamin D deficiency do to your brain?
A vitamin D deficiency is associated with multiple brain-related problems, from depression to MS and sleep disorders. Check…
Does green tea help improve your memory or concentration?
Green tea offers a modest but real benefit for concentration and working memory, primarily thanks to the combination of…
Yes · Moderate evidence
Does type 2 diabetes increase your risk of dementia?
Type 2 diabetes substantially increases the risk of dementia, and the younger you are at diagnosis, the greater that risk.…
What is brain fog, really, and where does it come from?
Brain fog has multiple causes that each work differently, from temporary adenosine build-up due to sleep deprivation to…
Is there a link between depression and a higher risk of dementia?
Depression is strongly associated with a higher risk of dementia, though it remains uncertain whether depression causes…
Does fasting or eating less help your memory and concentration?
Fasting can improve memory and concentration in older adults with insulin resistance, but the effect disappears when fasting…
Preliminary evidence
What does excess weight do to your brain in the long run?
Excess weight harms your brain in multiple ways at once: less brain tissue, weaker connections and a higher risk of dementia.…
What does your estrogen level do to your memory and concentration?
Oestrogen has a measurable influence on memory and concentration, and the decline during perimenopause is accompanied by…
Can high blood pressure in your 40s cause dementia later in life?
High blood pressure in your forties demonstrably increases your risk of dementia later in life, and early treatment appears to…
Does olive oil protect your brain against decline?
Extra virgin olive oil as part of the Mediterranean diet has been associated with less cognitive decline in multiple studies,…
Yes · Moderate evidence
What does smoking do to your brain as you age?
Smoking accelerates brain ageing and increases the risk of dementia. Quitting smoking is one of the best-supported steps you…
Does your brain age faster than the rest of your body?
Whether your brain ages faster than the rest of your body varies from person to person, but the consequences are significant:…
Is it bad for your brain if you don't get enough exercise for years on end?
Years of insufficient physical activity are associated with a considerably higher risk of dementia and cognitive decline,…
Yes · Moderate evidence
What does caffeine do to your memory and concentration in the long run?
Caffeine makes you temporarily more alert, but does not structurally improve your long-term memory. Use it in moderation and…
What does NAD+ do for your brain?
NAD+ is biologically crucial for your brain and declines with age, but whether supplementation via NMN or other means…
Does creatine affect dopamine levels?
In healthy people, creatine has no demonstrable effect on dopamine in the blood. Positive signals so far come exclusively from…
How does creatine improve mood and well-being?
Creatine shows early signals of mood improvement, particularly in women with depressive symptoms, but is officially not…
Does creatine supplementation reduce brain fog?
Creatine may relieve cognitive complaints, but the effect depends strongly on your situation: people with chronic fatigue,…
Moderate evidence
Does creatine also help with memory and concentration?
Creatine has the strongest evidence for a memory effect in older adults aged 66 and over. In younger, healthy adults, the best…
Moderate evidence
What does alcohol do to your brain in the long term?
Alcohol harms the brain in multiple ways: from temporary memory blackouts with acute use to lasting cognitive damage from…
What does prolonged stress do to your memory?
Prolonged stress harms memory through measurable changes in the brain, and early-life stress increases the risk of memory…
Does the MIND diet help against dementia and cognitive decline?
Large observational studies link the MIND diet to a lower risk of dementia, but the only large controlled study found no…
Moderate evidence
Does a mentally stimulating life, such as studying or complex work, protect against dementia?
Longitudinal studies consistently show that mental challenge lowers the risk of dementia, but this is an association, not a…
Yes · Moderate evidence
Can you still reverse early-onset forgetfulness with your lifestyle?
Fully reversing forgetfulness is rarely achievable, but exercise, blood pressure treatment and good blood sugar control can…
Preliminary evidence
Does heading the ball frequently in football, or sustaining a concussion, increase my risk of dementia later in life?
Professional footballers who head the ball frequently have a considerably higher risk of dementia than goalkeepers or people…
Yes · Moderate evidence
Is it normal to forget names more often around age 50, or should I be worried?
Forgetting names around age 50 is normal and biologically explainable. It is not a reason for immediate concern, but exercise…
Yes · Moderate evidence
Does exercise really help with depression and anxiety?
Yes, exercise genuinely works: for mild to moderate depression it is as effective as medication, for anxiety disorders it is…
Yes · Strong evidence
Do brain-training games help prevent cognitive decline?
Cognitive training has a demonstrable, albeit modest, benefit for people with Alzheimer's disease or mild dementia, but does…
Moderate evidence
Can I test my risk of Alzheimer's with a blood test (p-tau217)?
The p-tau217 blood test is an accurate tool if you have memory or cognitive complaints and a doctor is supervising you. As a…
Yes · Moderate evidence
When should I be concerned about memory problems?
Not every instance of memory loss is worrying, but certain signs deserve prompt medical attention: sudden deterioration, the…
Moderate evidence
What can I do to keep my brain healthy as I age?
Combining more exercise with staying mentally active and eating a diet low in sugar and higher in omega-3 fatty acids…
Moderate evidence
Which blood values should I have checked to age healthily?
Blood sugar, blood lipids and inflammatory markers are the best-supported measurements if you want to age healthily.…
Preliminary evidence
How healthy are blueberries and other red/blue fruits for your brain?
Eating blueberries daily or taking them as a supplement appears worthwhile if you are middle-aged or older with mild memory…
Does a second language or music help protect the brain against ageing?
Speaking two or more languages daily appears to protect the brain in later life, with the strongest evidence for people who…
Yes · Moderate evidence
Does staying socially and physically active protect against dementia?
Staying socially and physically active is probably your best lifestyle investment against dementia. The strongest results come…
Yes · Moderate evidence
Does exercise keep my brain sharp?
Regular exercise demonstrably keeps your brain sharper, as long as serious cognitive decline has not yet set in. The…
Yes · Strong evidence
Does poor hearing increase my risk of developing dementia?
Poor hearing is associated with a modest but real increased risk of dementia. Have hearing loss assessed and treated promptly,…
Does deep sleep flush waste products from your brain?
Yes, your brain cleanses itself largely during sleep, and deep sleep appears to play the most important role in this.…
Do fish oil pills keep my memory sharp?
Fish oil pills probably do not keep your memory sharp. Multiple human studies, including systematic reviews and randomised…
No · Moderate evidence
What can I concretely do to prevent dementia?
A combined approach, including regular physical activity, blood pressure and diabetes management, not smoking, maintaining…
Moderate evidence
I have APOE4 -- how serious is that, and what can I do about it?
APOE4 substantially increases your risk of Alzheimer's disease, but at younger ages lifestyle factors such as blood pressure,…
Yes · Moderate evidence
How healthy is meditating, and what exactly does it do for you?
For depression, anxiety, and pain perception, daily meditation offers a modest but consistent benefit, best used as a…
Yes · Strong evidence
Cancer50 questions
How can you detect melanoma early?
Early detection of melanoma is best achieved by regularly checking your own skin, knowing the ABCDE features, and consulting a…
Yes · Moderate evidence
Does alcohol increase your risk of cancer, even with one drink a day?
Yes, even one drink a day increases the risk of certain cancers, particularly breast and colorectal cancer. There is no safe…
Yes · Moderate evidence
Does eating less red meat lower your risk of cancer?
Eating less red and processed meat probably lowers your risk of colorectal cancer, and possibly of several other cancer types…
Yes · Moderate evidence
Why does the risk of cancer increase with age?
The older you get, the more damage accumulates in your cells and the worse your body becomes at repairing or detecting that…
What is the relationship between cancer and senescent cells?
Senescent cells initially protect against cancer, but when they accumulate they can actually promote tumour growth through…
Why do damaged cells sometimes multiply instead of cleaning themselves up?
Damaged cancer cells survive by actively blocking or redirecting their own self-cleaning and self-destruction mechanisms. This…
Does having type 2 diabetes increase your risk of certain cancers?
Type 2 diabetes increases the risk of at least six cancer types, most likely primarily through chronically elevated insulin…
Is it true that artificial sweeteners cause cancer?
There are signals that high consumption of artificial sweeteners is associated with a slightly elevated cancer risk, but no…
Does working with pesticides increase your risk of cancer?
Working with pesticides is associated in multiple studies with an increased risk of several types of cancer, including…
Yes · Moderate evidence
Does maintaining a healthy weight still help after a cancer diagnosis?
For most cancer types, a healthy weight after diagnosis is associated with better survival, but note: unintentional weight…
Yes · Moderate evidence
Does a chronic hepatitis B or C infection increase your risk of liver cancer?
Yes, a chronic hepatitis B or C infection strongly and demonstrably causally increases your risk of liver cancer. Get tested…
Do lycopene and tomatoes protect against prostate cancer?
There are indications that tomatoes and lycopene may lower the risk of prostate cancer, but large clinical trials are still…
Preliminary evidence
Does eating heavily heated or burnt food increase your risk of cancer?
For most cancer types no association has been demonstrated, but for endometrial and breast cancer in non-smoking women there…
Moderate evidence
Does sitting a lot increase my risk of cancer, even if I exercise?
Sitting a lot increases your risk of certain cancers, even if you exercise. In addition to moving regularly, try to reduce…
Yes · Moderate evidence
Does fasting or intermittent fasting help prevent cancer?
There is no evidence that fasting prevents cancer in humans; the animal results are promising but contradictory. If you want…
Preliminary evidence
Does a Helicobacter infection in your stomach increase your risk of stomach cancer?
An H. pylori infection demonstrably increases your risk of stomach cancer, but the risk for any individual remains limited.…
Is it true that a low-fat diet protects against breast cancer?
A low-fat diet offers no clearly proven protection against breast cancer; the type of fat appears to matter far more than the…
Moderate evidence
Does eating from plastic packaging increase your risk of cancer?
The research source provided does not cover this question, so nothing meaningful can be said about plastic packaging and…
Insufficient evidence
What exactly does the HPV vaccine do for your protection against cervical cancer?
The HPV vaccine provides strong protection against cervical cancer, but works best when received before first sexual contact;…
Is it true that circumcision protects against penile cancer and HPV?
Circumcision at a young age is associated with a lower risk of invasive penile cancer, but that effect runs partly through the…
Does working nights increase my risk of cancer?
There are indications that prolonged night work slightly increases your cancer risk, but the evidence is limited and…
Moderate evidence
Does aspirin or ibuprofen protect against colorectal cancer?
Aspirin demonstrably protects against colorectal cancer in people with a hereditary elevated risk (Lynch syndrome) and in…
Moderate evidence
Does using the contraceptive pill increase my risk of cancer?
The pill demonstrably lowers the risk of ovarian and uterine cancer, but slightly raises the risk of breast cancer with…
Moderate evidence
Does taking vitamin D help against cancer?
If you already have enough vitamin D in your blood, extra supplementation probably does not help against cancer. If you have a…
No · Moderate evidence
Does passive smoking increase your risk of cancer?
Yes, passive smoking demonstrably increases your risk of cancer, particularly lung cancer. Avoiding tobacco smoke in your…
Yes · Strong evidence
Is it true that smoking causes cancers other than lung cancer?
Smoking is causally linked to at least fifteen cancers outside the lung; quitting smoking reduces that risk, and the sooner…
Does green tea protect against cancer?
Current research provides no convincing evidence that green tea prevents cancer. Drinking a few cups a day is perfectly fine,…
No · Preliminary evidence
Does eating a lot of sugar increase my risk of cancer?
There are clear indications that regularly drinking sugar-sweetened beverages raises the risk of liver cancer in particular,…
Moderate evidence
Can breast cancer run in the family, and if so, should I get tested?
Breast cancer can be hereditary through mutations in genes such as BRCA1 or BRCA2. If this runs in your family, discuss with…
Yes · Strong evidence
Is a colonoscopy the only way to detect bowel cancer early?
A colonoscopy is not the only way to detect bowel cancer early. Stool-based tests, CT scans and sigmoidoscopy are recognised…
No · Moderate evidence
Does a large belly increase my risk of cancer more than being simply overweight?
A large belly raises the risk of colorectal cancer in particular more than ordinary overweight does, and measuring your waist…
Yes · Moderate evidence
Does drinking coffee protect against liver cancer?
Drinking coffee is consistently associated with a lower risk of liver cancer, and that association is better supported than…
Yes · Strong evidence
Does metformin lower your risk of cancer or dementia?
In people with diabetes there are indications that metformin lowers overall cancer risk, but the evidence varies or is absent…
Moderate evidence
Can long-term inflammation in your body cause cancer?
Prolonged low-grade inflammation is a recognised risk factor for several types of cancer. The evidence is strongest for bowel…
Is breast cancer screening worth it?
For most women of screening age, participation is worth it: the chance of dying from breast cancer genuinely decreases. But…
Yes · Moderate evidence
Should I, as a man, get tested for prostate cancer with the PSA test?
Whether the PSA test is worthwhile depends on your personal risk. Men aged 55 to 69 with an elevated risk, such as a family…
Moderate evidence
How much sun is safe, and does the tanning bed really cause skin cancer?
Tanning beds demonstrably increase your risk of melanoma and other skin cancers, as does too much sun. A little daily sun…
Yes · Strong evidence
Does being overweight increase my risk of cancer, and if so, which types?
Excess weight increases your risk of at least 13 types of cancer, including uterine, colorectal, breast and liver cancer.…
From how much alcohol do I actually face a higher risk of cancer?
Even with light drinking your risk of mouth, throat, oesophageal and breast cancer is already measurably higher. A safe lower…
Does drinking less alcohol noticeably lower your cancer risk?
Drinking less or no alcohol noticeably reduces your cancer risk. After smoking and excess weight, alcohol is the third largest…
Yes · Moderate evidence
Does red and processed meat really increase your risk of colorectal cancer?
Yes, both red and processed meat consistently increase your risk of colorectal cancer by 15 to 21 percent. Processed meat…
Which lifestyle factors reduce your risk of cancer the most?
Four lifestyle choices matter most: not smoking, a healthy weight, regular physical activity and moderate alcohol consumption.…
Moderate evidence
Does eating a high-fibre diet protect against colorectal cancer?
Eating more fibre, particularly from whole grains, is consistently associated with about a 25% lower risk of colorectal…
Yes · Moderate evidence
Does bowel cancer screening really help (less mortality)?
For people aged 45 to 75 with average risk, colorectal cancer screening is worthwhile and widely recommended. It demonstrably…
Yes · Strong evidence
Is there a safe amount of alcohol?
If you want to limit your health risks, stopping completely is the most evidence-based choice. Major international health…
Moderate evidence
What can I do myself to lower my risk of cancer?
By not smoking, limiting alcohol, maintaining a healthy weight and exercising enough, you can demonstrably lower your risk of…
Moderate evidence
Is a full-body MRI scan useful as a preventive measure?
For healthy people without an elevated hereditary risk a preventive full-body MRI is not useful: the chance of unnecessary…
No · Moderate evidence
Which health checks are genuinely worthwhile and which are a waste of money?
Cervical cancer screening (ages 21-65) and lung cancer screening (ages 50-80, 20+ pack-years) have the strongest evidence base…
Moderate evidence
Does exercise lower my risk of cancer?
More physical activity is consistently associated with a lower risk of most types of cancer. As few as 7,000 to 9,000 steps…
Yes · Moderate evidence
Does eating processed meat such as sausage and ham cause colorectal cancer?
Regularly eating processed meat such as sausage and ham measurably increases your risk of colorectal cancer. Reducing your…
Yes · Moderate evidence
Cells & DNA46 questions
Does chronic inflammation accelerate the ageing of your cells?
Chronic inflammation demonstrably accelerates cellular ageing through a negative spiral that is difficult to break. The best…
Why do some cells stop dividing as you age?
Cells stop dividing as a protection against damage and cancer, but the accumulation of such stopped cells contributes over the…
What do zombie cells do to your aging?
Zombie cells accelerate ageing by secreting inflammatory substances that damage surrounding tissue. Therapies to remove or…
What does a vitamin D deficiency do to your DNA?
A vitamin D deficiency is associated with greater DNA damage, especially in people with an additional risk factor. Make sure…
What are the hallmarks of aging, exactly?
Aging follows nine recurring biological patterns, from telomere shortening to disrupted cell communication, which together…
Why do cells lose their ability to repair themselves over time?
Cells lose their repair capacity through a combination of declining energy stores, impaired DNA repair and the accumulation of…
What does caffeine do to your cells and their repair process?
Caffeine disrupts the guardians and repair mechanisms of DNA damage in cells, but what this means for ordinary daily coffee…
Can eating too little actually damage your cells?
Eating moderately less probably helps your cells, but eating too few calories for too long or too severely can actually damage…
Preliminary evidence
Does dehydration make your cells age faster?
There are biologically plausible indications that dehydration harms cells, but whether simply not drinking enough accelerates…
Can heat, such as a sauna, damage your cells or actually make them stronger?
Moderate heat, such as a sauna, prompts cells to protect themselves and, with repeated exposure, may even make them somewhat…
What is the difference between cell division and cellular ageing?
Cell division and cellular ageing are related but not the same: dividing too many times leads to senescence, but ageing also…
Does red light therapy really have an effect on your cells?
Based on the available sources, we cannot answer this question fairly: there is not a single study on red light therapy…
How does air pollution damage your cells from the inside?
Air pollution damages your cells from the inside through oxidative stress: fine particulate matter causes an excess of harmful…
What is apoptosis and why is programmed cell death beneficial?
Apoptosis is a well-supported, indispensable clean-up mechanism that protects your body against damaged, redundant or infected…
Why do damaged proteins accumulate in your cells as you age?
With age, the systems that clear damaged proteins become less and less efficient, while damage to proteins actually increases.…
What does alcohol do to your cells and DNA in the long term?
Prolonged alcohol use damages cells and DNA in multiple ways simultaneously, from oxidative stress in the liver to broken DNA…
Can diet protect your DNA from damage?
Diet has a real effect on DNA protection: a plant-based eating pattern and adequate folate and selenium demonstrably help,…
Yes · Moderate evidence
What is the role of inflammation in cellular ageing?
Inflammation and cellular senescence reinforce each other in two vicious cycles, leading to tissue damage and age-related…
What are senescent cells and why are they bad for you?
Senescent cells are damaged cells that stop dividing but continue to live and chronically inflame their surroundings. They…
What does chronic stress do to your DNA?
Chronic stress damages your DNA through multiple pathways simultaneously, and this is biologically well supported. How large…
Why are cells damaged when they receive too little oxygen?
Oxygen deprivation damages cells through multiple simultaneous pathways: energy deficit, toxic accumulation of calcium and…
What is glycation and how does sugar damage your cells from the inside?
Sugar damages your cells through a chain of chemical reactions that affect proteins, power plants, and small blood vessels.…
Can smoking permanently damage your DNA?
Smoking damages your DNA in multiple ways simultaneously and leaves recognisable mutation patterns in at least 17 types of…
What are free radicals and what do they do to your cells?
Free radicals damage your DNA, proteins and cell membranes every day, and play a proven role in ageing and various diseases.…
How does a cell know when to stop dividing?
A cell stops dividing through built-in checkpoints that detect DNA damage, energy deficit or other stress signals. How those…
Does caloric restriction actually make your cells younger?
Caloric restriction slows ageing processes in cells, but whether your cells actually become younger as a result has not yet…
Can DNA damage in your cells repair itself?
Your cells repair DNA damage constantly and on a large scale, but this capacity is not unlimited: complex or repeated damage…
What does autophagy do for ageing and disease?
Autophagy is a genuine part of the ageing process and plays a role in many age-related diseases, but the translation into…
Can you measure autophagy in your body?
A reliable, practically deployable test for autophagy does not yet exist. If you want to know how actively your cells are…
How do telomeres protect your DNA?
Telomeres protect your chromosome ends through a system of proteins that simultaneously prevents false alarms and harmful…
What does telomerase do to the length of your telomeres?
Telomerase keeps telomeres intact for longer by compensating for shortening during cell division, but in most body cells the…
Why do your telomeres get shorter as you age?
Telomere shortening is part of life: every cell division costs a piece. But smoking, chronic stress, and sleep deprivation…
Do sirtuins actually do anything against ageing?
Sirtuins play a biologically demonstrable role in ageing, but whether you can meaningfully influence them with supplements has…
Yes · Moderate evidence
What is mTOR and why does it matter in ageing?
Inhibiting mTOR strongly extends lifespan in mice, but whether you can achieve that as a human through drugs or diet has not…
Does fisetin from strawberries really work as a zombie-cell cleaner?
Fisetin demonstrably clears zombie cells in lab and mouse research, but whether this also works in humans and is safe has not…
Preliminary evidence
Do I inherit my life expectancy from my parents?
You inherit a biological advantage from long-lived parents, but genes account for only approximately 39% of differences in…
What are mitochondria, and can you make them younger or more energetic?
Regular exercise is by far the best-supported means of keeping mitochondria healthy; NAD+ supplements sound appealing but have…
Yes · Strong evidence
Can you counteract age-related DNA damage through your lifestyle?
Based on the available source, it cannot be said whether lifestyle counteracts age-related DNA damage; the study concerns…
Insufficient evidence
Does clearing senescent cells with senolytics help against ageing?
Senolytics show impressive results in mouse studies, but in humans the evidence is too thin for use outside clinical trials.…
Preliminary evidence
Do my stem cells run out as I get older?
Your stem cells do gradually decline in number and function, affecting muscle repair, brain function and other tissues. There…
What is epigenetics and can you influence your genes?
Lifestyle and environment genuinely influence how your genes work, but concrete applications for healthy people do not yet…
Yes · Strong evidence
What is oxidative stress and how serious is it really?
Oxidative stress is a real biological process that causes damage to cells and contributes to ageing, but how large a role it…
Can you clear out "zombie cells" to slow down ageing?
In mice, clearing zombie cells clearly works, but in humans a health benefit has not yet been proven. It is too early to take…
Moderate evidence
What are "zombie cells" and how do you get rid of them?
Zombie cells clearly play a role in ageing, but no proven treatment yet exists for humans. Keep an eye on the field, but for…
Yes · Strong evidence
What is autophagy and can I switch it on myself?
Fasting and exercise are the best-supported ways to stimulate autophagy, but how to apply this most effectively and safely…
Yes · Strong evidence
Can you tell from your DNA which diseases you are at greater risk of, and how is that measured?
Your DNA and certain proteins in your blood provide a useful picture of your predisposition to heart disease and other common…
Yes · Strong evidence
Gut & Microbiome60 questions
How much probiotic do you need per day?
There is no universal daily dose for probiotics: how much you need depends strongly on the bacterial strain, the application,…
Moderate evidence
Can probiotics improve your health in later life?
Clinical studies into probiotics and ageing are ongoing, but results are not yet available. At this point there is too little…
Insufficient evidence
Does eating a varied diet help your gut bacteria?
Fermented products have the strongest evidence base for increasing gut bacterial diversity. Eating broadly varied meals also…
Yes · Moderate evidence
What does the transition into menopause do to your gut microbiome?
Menopause noticeably changes your gut microbiome: less diversity, weaker reactivation of oestrogen and a slightly more…
Can you improve your gut flora by picking up bacteria while playing outdoors?
There is no evidence that playing outside or contact with soil measurably improves your gut flora. If you want to support your…
No · Preliminary evidence
Can you see how fast you are ageing from your stool?
Your microbiome does change with age and is associated with health risks, but a reliable ageing test based on stool does not…
Moderate evidence
Are the gut bacteria of children different from those of adults?
Yes, the gut bacteria of children differ fundamentally from those of adults, with consequences for allergy and asthma risk. If…
Can an unhealthy gut contribute to skin problems such as acne or eczema?
A disrupted gut microbiome is associated with acne and eczema, although that association has not yet been proven to be cause…
Does chewing slowly really help with better digestion?
There is no direct evidence that chewing more slowly improves digestion in healthy people. The association between poor…
Insufficient evidence
What does drinking coffee every day do to your gut bacteria?
Drinking coffee in moderation every day (up to 4 cups) is associated with a more favourable composition and greater diversity…
Can your gut flora influence your memory and concentration?
Your gut flora very likely does influence memory and concentration, but the evidence in humans is still limited. A varied diet…
What is the role of bile acids in healthy digestion?
Bile acids are indispensable for fat digestion, the absorption of vitamins A, D, E, and K, and a healthy cholesterol balance.…
What does smoking do to your gut and gut microbiome?
Smoking disrupts your gut microbiome and increases the risk of intestinal inflammation, gastrointestinal complaints and…
Does bone broth help your gut health?
The individual components of bone broth, such as certain amino acids, show favourable effects on the intestinal wall in…
Preliminary evidence
Can your gut microbiome influence inflammation in your body?
Your gut microbiome can influence inflammatory processes throughout your body via the gut wall. Eating more fibre and…
Does your gut microbiome affect how well you sleep?
Your gut microbiome and your sleep mutually influence each other, but how to practically steer that through probiotics or…
Are the gut bacteria of lean people different from those of heavier people?
The gut bacteria of people with excess weight differ measurably from those of lean people, but whether those bacteria are the…
What does a high-fat diet do to your gut microbiome?
A high-fat diet noticeably disrupts the gut microbiome: less bacterial diversity, more harmful species and a leaky gut wall…
Can you improve your gut bacteria by spending more time in nature?
Whether spending more time in nature improves your gut bacteria is a question the available studies cannot answer; if you want…
Preliminary evidence
Can certain fungi or bacteria in your gut influence your cellular ageing?
Yes, certain gut bacteria and their metabolic by-products can accelerate cellular ageing, but most of the evidence still comes…
Does drinking apple cider vinegar help your digestion?
There is no research whatsoever showing that apple cider vinegar improves digestion. If you want to use apple cider vinegar…
No · Preliminary evidence
Can your gut microbiome control your appetite and hunger?
Your gut microbiome influences your appetite through hormones, nerve signals and substances produced from fibre fermentation.…
What does eating too much sugar do to your gut health?
Eating a lot of sugar probably disrupts your gut microbiome and makes the gut wall more permeable, but it is the combination…
Does a healthy gut microbiome lead to better skin?
There is clear evidence suggesting that a balanced gut flora contributes to healthier skin, but the evidence is still…
Yes · Preliminary evidence
Does eating flaxseed help your gut?
Flaxseed has biologically plausible effects on the gut, but evidence in humans is scarce and mixed. Fine to eat as part of a…
Preliminary evidence
Do gut problems play a role in poor bone formation?
A disrupted gut microbiome can contribute to poor bone formation through inflammation, reduced calcium absorption and…
Can your gut microbiome influence your risk of heart disease?
Your gut microbiome influences your heart health through metabolic by-products that can promote arterial hardening, high blood…
Yes · Moderate evidence
Can your microbiome reveal how old you are biologically?
Your gut microbiome demonstrably changes with the years and is associated with healthy ageing, but as a biological age marker…
Is the appendix actually useful for your gut microbiome?
The appendix does appear to serve a purpose: as a bacterial reservoir for your gut microbiome and as a production site for…
What does fasting one day a week do to your gut microbiome?
Intermittent fasting demonstrably changes your gut microbiome, but the effects are likely temporary if you stop; for healthy…
Can your gut microbiome affect your cholesterol?
Your gut microbiome influences your cholesterol through bile acid conversion and the fermentation of fibres. Eating more fibre…
What do polyphenols, such as those found in berries and red wine, do to your gut bacteria?
Polyphenols from berries, wine and vegetables demonstrably shift your gut microbiome in a favourable direction and are…
Are plant-based diets better for your gut than mixed diets?
Plant-based eating is good for your gut bacteria, but a Mediterranean diet combined with fermented foods performs at least as…
Moderate evidence
Can exercise improve your gut microbiome?
Moderate regular exercise demonstrably improves your gut microbiome, but you need to keep exercising because the effect…
Yes · Moderate evidence
What are the signs that your gut microbiome is out of balance?
A disrupted gut microbiome manifests as reduced bacterial diversity, mood complaints, skin problems, and a leaky gut wall, but…
Does green tea help your gut health?
Green tea likely has a modest positive effect on gut bacteria, but this has not yet been firmly proven in humans. It fits well…
Preliminary evidence
What does too little sleep do to your gut?
Too little sleep demonstrably disrupts the composition of your gut bacteria and lowers butyrate, a substance that helps…
Are stomach pain and bloating signs of an unhealthy gut?
Stomach pain and bloating can point to several gut complaints, not just an 'unhealthy' gut. Have your symptoms properly…
What does alcohol do to your gut microbiome?
Chronic heavy drinking demonstrably disrupts the gut microbiome, with consequences for the heart and liver. Moderate drinking…
Does intermittent fasting help your gut health?
Intermittent fasting likely improves your gut flora and gut barrier in the short term, but it remains unclear whether those…
Yes · Moderate evidence
Is irritable bowel syndrome a real condition, or is it all in your head?
IBS is a recognised physical condition with measurable biological abnormalities, not a figment of the imagination. If you are…
Can stress really make your gut sick?
Stress disrupts your gut microbiome and increases the risk of gut complaints such as irritable bowel syndrome, but the precise…
What is the difference between probiotics and postbiotics?
Postbiotics appear to work just as well as live probiotics for irritable bowel syndrome and are safer in people with a…
Does eating garlic help your gut health?
Garlic has interesting but not yet sufficiently proven effects on gut bacteria. If you do not have irritable bowel syndrome,…
Preliminary evidence
What does eating red meat do to your gut over the long term?
Consistently eating large amounts of red meat is associated with a less diverse gut microbiome and a higher risk of colorectal…
Can your gut microbiome influence how long you live?
There is consistent evidence suggesting that a diverse, anti-inflammatory gut microbiome is associated with healthy and long…
Moderate evidence
Is my gut flora linked to being overweight?
Your gut microbiome is probably linked to excess weight through multiple mechanisms, but a proven causal relationship in…
Does eating a high-fibre diet help against constipation as you get older?
Eating more fibre is no guarantee against constipation and can even be counterproductive in cases of persistent symptoms; a…
Moderate evidence
Does my gut microbiome change as I get older, and does it matter?
Yes, your gut microbiome changes measurably with age, but whether that matters depends strongly on your diet and lifestyle. A…
Yes · Strong evidence
Does leaky gut actually exist?
Leaky gut is a recognised biological phenomenon that is associated with various diseases, but whether it also causes those…
Do prebiotics, the fibres that feed your good bacteria, work just as well as probiotics?
Prebiotics alone are less effective than probiotics in the best-studied situations. For diarrhoea or immune support,…
No · Moderate evidence
What do artificial sweeteners do to your gut microbiome?
Whether artificial sweeteners truly disrupt your gut microbiome is not yet clear: studies contradict one another. Until there…
Can you restore your gut microbiome after a course of antibiotics?
Your gut microbiome partially recovers after a course of antibiotics, but a full return to its original state is rarely…
Moderate evidence
Can a disrupted gut microbiome weaken your immune system?
A disrupted gut microbiome demonstrably dysregulates your immune system and increases the risk of chronic inflammation. Eating…
Yes · Moderate evidence
Is there a real connection between your gut microbiome and your mood or brain?
There is a biologically plausible and, in animal research, robustly supported connection between your gut microbiome and your…
Does fermented food such as yoghurt, kefir and sauerkraut help your gut microbiome?
Fermented foods, and kefir and yoghurt in particular, have the strongest clinical support for a positive effect on the gut…
Yes · Moderate evidence
What does eating fibre do to your gut microbiome and your long-term health?
Fibre demonstrably feeds your gut bacteria, improves stool consistency and protects the gut wall. But how your microbiome and…
Do probiotic pills actually help your gut?
Probiotics demonstrably help with specific complaints such as rotavirus diarrhoea and pouchitis, but are not a general gut…
Yes · Moderate evidence
Are fermented foods and probiotics good for your gut?
Fermented foods, particularly yoghurt and kefir, show positive indications for gut health; for most other products such as…
Yes · Moderate evidence
Are at-home microbiome tests worthwhile?
Microbiome home tests are not yet sufficiently scientifically substantiated for meaningful use in diagnostics or prevention,…
No · Preliminary evidence
Heart & Vessels65 questions
Does sitting all day increase your risk of heart problems?
Sitting a lot increases your risk of heart failure and heart-related mortality, even if you exercise regularly. Just 30…
Yes · Strong evidence
Can clogged blood vessels be cleaned up again?
Early atherosclerosis can partially reverse, particularly with strong LDL lowering through statins or newer agents. The…
Yes · Moderate evidence
Does nattokinase work against blood clots and for your heart?
A large randomised trial found no measurable benefit whatsoever from nattokinase for the heart or blood clotting in humans…
No · Moderate evidence
What does menopause do to your risk of cardiovascular disease?
Menopause demonstrably increases your risk of cardiovascular disease, primarily through unfavourable changes in fat…
Yes · Strong evidence
Is coffee healthy or unhealthy?
For healthy adults, moderate coffee consumption (3 to 5 cups per day) is more likely to be healthy than unhealthy; if you are…
Yes · Moderate evidence
Are seed oils such as sunflower oil bad for you?
Based on current research, seed oils are not bad for you; on the contrary, they lower LDL cholesterol and are associated with…
No · Moderate evidence
Does your resting heart rate say anything about how fast you are ageing?
A structurally high resting heart rate, certainly above 80 to 90 beats per minute, is associated with a clearly higher risk of…
What is the relationship between high blood pressure and inflammation?
High blood pressure and inflammation reinforce each other mutually, and higher inflammatory values in the blood mean a…
Can chronically poor sleep cause me to have a stroke at a younger age?
Chronically poor or insufficient sleep is associated with an increased risk of cardiovascular disease, including stroke. If…
Yes · Strong evidence
Can you see your biological age in your blood pressure?
Your blood pressure, and especially your nighttime blood pressure, says something about how your blood vessels are ageing, but…
What is the link between gum disease and heart disease?
The link between gum disease and heart disease has been found consistently across dozens of studies, but whether it is truly…
What does a low-carbohydrate diet do to your LDL cholesterol in the long term?
A low-carbohydrate diet raises LDL in the short term, but that effect often disappears after a year; the effect on…
What does long-term sleep deprivation do to your heart?
Prolonged sleep deprivation raises your risk of high blood pressure, coronary artery disease and diabetes through multiple…
Who should have their ApoB measured?
Measuring ApoB is worthwhile for more people than current guidelines suggest: not only in cases of elevated blood fats, but…
Moderate evidence
How does too much LDL or ApoB lead to clogged arteries?
Too many LDL particles and too much apoB in your blood set off a chain reaction that slowly clogs arteries. The evidence for…
How do you lower an elevated ApoB?
The most effective way to lower ApoB is with PCSK9 inhibitors (alirocumab or inclisiran, by prescription). Daily porridge also…
Moderate evidence
What is a healthy ApoB level?
There is no fixed 'healthy' ApoB value, but below 82 mg/dL the risk of a stroke already decreases measurably. ApoB offers…
What does your ApoB value tell you about your risk of cardiovascular disease?
A higher ApoB value is strongly and consistently associated with greater risk of cardiovascular disease, and predicts that…
Is an ECG from your smartwatch actually useful?
For detecting atrial fibrillation, a smartwatch ECG can be useful, especially as a supplement to medical monitoring. For other…
Yes · Moderate evidence
Which foods or supplements keep your blood vessels healthy?
The Mediterranean diet most demonstrably lowers your risk of cardiovascular disease. Individual supplements do not help.
Moderate evidence
Is high blood pressure at night more dangerous than during the day?
High blood pressure at night is more dangerous than a high daytime reading at the doctor's office. If your blood pressure does…
Do omega-3s help against cardiac arrhythmias?
Fish oil supplements have no demonstrable benefit against cardiac arrhythmias. At high doses they actually increase the risk…
No · Strong evidence
How dangerous is a fatty liver (hepatic steatosis)?
A fatty liver is more serious than most people think, primarily because of the elevated risk of cardiovascular disease. Losing…
Does losing weight noticeably improve my blood pressure and cholesterol?
Losing weight noticeably lowers your blood pressure and improves your cholesterol profile, but which value improves the most…
Yes · Strong evidence
Should I be worried about a mildly elevated cholesterol if everything else looks fine?
A mildly elevated cholesterol is not automatically harmless: the overall picture, including triglycerides and lipoprotein(a),…
Moderate evidence
How harmful is prolonged stress really for my heart?
Long-term stress measurably increases your risk of cardiovascular disease, particularly through work-related stress (10-40%…
Is atrial fibrillation dangerous, and what can I do about it?
Atrial fibrillation substantially increases your risk of death, heart failure, and stroke, and requires active treatment.…
Yes · Strong evidence
Heart palpitations or an irregular heartbeat -- when should I see a doctor?
Palpitations are usually harmless, but can also be the beginning of a serious cardiac arrhythmia. If you also experience…
Moderate evidence
How often should I measure my blood pressure at home, and what is normal?
Home measurement is more reliable than a single reading at the GP's office. Measure at fixed times over several days and…
Yes · Moderate evidence
What is a healthy HDL (good cholesterol) level, and can I raise it?
Raising HDL through lifestyle is possible, but your genes set the ceiling. Lowering triglycerides through less sugar and…
Moderate evidence
What does my CRP value (inflammation) say about my heart?
A high hsCRP value points to chronic inflammation and predicts a clearly elevated long-term risk of cardiovascular problems,…
What is a healthy waist circumference and why does it matter?
A larger waist circumference is associated with a greater risk of diabetes, bone fractures, gum disease and premature death.…
Do B vitamins (folate, B6) benefit your heart and brain?
Folic acid reduces stroke risk by approximately 16%, but probably only if you have a deficiency. For broader cardiovascular…
Moderate evidence
Does CoQ10 help your heart or your energy levels?
For people with heart failure or an elevated cardiac risk, the evidence looks positive for CoQ10, particularly the ubiquinone…
Yes · Moderate evidence
Is loud snoring dangerous for my health?
Loud snoring is associated with serious health risks: arterial calcification, higher mortality after a heart attack and…
Yes · Moderate evidence
Does climbing stairs actually do anything for my heart?
Yes, climbing stairs genuinely does something for your heart. Climbing roughly 50 to 100 steps a day is associated with fewer…
Yes · Moderate evidence
How harmful are trans fats, exactly?
Industrial trans fats are the most harmful fats in the current food supply. They demonstrably worsen your cholesterol profile…
Do omega-3 (fish oil) supplements help my heart?
For people with existing heart disease there is reasonable evidence that omega-3 supplements help, especially at high doses of…
Moderate evidence
How healthy are my blood vessels / what is my vascular age?
For a first impression of your vascular health, an ApoB blood test is the simplest and most accessible step; a CAC scan adds…
Does lowering my blood pressure really reduce my risk?
Lowering blood pressure genuinely works: your risk of stroke and other cardiovascular problems demonstrably decreases.…
Yes · Strong evidence
What is a healthy cholesterol level and when should I be concerned?
A normal LDL value does not give a complete picture of your cardiovascular risk. Ask your doctor about your remnant…
Moderate evidence
What is Lp(a) and is there anything I can do about it?
Lp(a) is a hereditary risk factor for cardiovascular disease that is independent of your LDL. Effective treatments are still…
Yes · Strong evidence
What does my blood pressure say about my long-term health?
A structurally high or strongly fluctuating blood pressure substantially increases your risk of stroke, heart attack and…
How healthy are yoghurt and dairy for your heart and bones?
Moderate dairy consumption fits well within a heart- and bone-friendly diet, with yoghurt as the best choice. As long as your…
Does garlic help with high blood pressure or cholesterol?
Garlic supplements can moderately lower blood pressure and cholesterol, but are not a replacement for medication and are not a…
Yes · Strong evidence
Is high homocysteine bad for my heart?
High homocysteine is a clear signal that something deserves attention, but it is probably more of a warning light than a…
Moderate evidence
How important is my triglyceride level?
Your triglyceride level is a serious risk factor. Always assess it together with your HDL cholesterol, blood sugar and waist…
Does my heart rate variability (HRV) tell me anything about my health?
A higher HRV is associated with better health and greater resilience. Slow breathing is the most accessible and best-supported…
What is a healthy resting heart rate?
For most people the rule holds: the lower the resting heart rate, the more favourable the picture for cardiovascular disease…
Does dark chocolate or cocoa benefit your heart?
Dark chocolate with a high cocoa content appears to be beneficial for the heart, but the evidence remains observational. A…
Yes · Moderate evidence
Are nuts good for your heart and your weight?
For most people, a daily handful of nuts is a well-supported choice for a healthier heart. Those who want to lose weight or…
Yes · Moderate evidence
How healthy is olive oil and what is it good for?
If you want to improve your cardiovascular health, daily extra virgin olive oil, especially when used in place of butter or…
Are eggs bad for your cholesterol?
For most healthy people, one or two eggs a day poses no problem for their cholesterol, as long as they are not also consuming…
Yes · Moderate evidence
How bad is eating a lot of salt for me?
Eating less salt demonstrably lowers your blood pressure and reduces the risk of cardiovascular disease, and that effect is…
Is the Mediterranean diet really good for your heart, and why?
For people with an elevated cardiovascular risk, the Mediterranean diet is the best-supported dietary choice currently…
Yes · Strong evidence
Is coffee good or bad for your heart?
For most healthy adults, three to four filtered cups per day are associated with a beneficial effect on the heart and blood…
Yes · Moderate evidence
Is interval training (HIIT) better for my heart than regular cardio?
HIIT delivers slightly more benefit for your cardiovascular fitness than regular cardio. The difference is not enormous, but…
Yes · Moderate evidence
How many steps per day should I aim for?
Health benefits begin well below 10,000 steps. For most adults, the sweet spot is between 7,000 and 9,000 steps per day.
Moderate evidence
Is taking a daily aspirin smart or dangerous?
Whether a daily aspirin is smart or dangerous depends entirely on your age and medical profile. Take aspirin only on a…
Moderate evidence
Should I take statins if I have (not yet) had a heart problem?
Whether statins are worthwhile depends on your personal risk. At a calculated 10-year risk of 10% or higher and at least one…
Strong evidence
Is a calcium score of my heart worth doing?
Unsure whether to start taking statins? A calcium score can help inform that decision: a score of zero is highly reassuring,…
Moderate evidence
How dangerous is belly fat?
A large amount of belly fat increases the risk of cardiovascular disease, gallstones and fatty liver, even when no other…
Is ApoB more important than regular cholesterol (LDL)?
ApoB provides more information about your cardiovascular risk than LDL cholesterol alone. Also ask about non-HDL, as clear…
Yes · Moderate evidence
Does poor gum health affect my heart?
Severe gum disease (periodontitis) is consistently associated with a higher risk of cardiovascular disease, so it is…
Yes · Moderate evidence
Does regular sauna use help you live longer?
Regular sauna bathing is associated with a lower risk of premature death and cardiovascular disease in large observational…
Yes · Moderate evidence
Hormones & Reproduction61 questions
What can help women increase their libido?
There are several well-supported options depending on your life stage: for women after menopause, transdermal testosterone has…
Yes · Moderate evidence
Do your hormones influence how quickly you age?
Hormones do influence ageing, but do not control it entirely. Fat distribution, muscle mass and inflammatory processes are all…
Yes · Moderate evidence
Does an adrenal cocktail actually work?
The adrenal cocktail has never been tested in humans and rests on an assumption, exhausted adrenal glands caused by stress,…
No · Preliminary evidence
Does fadogia agrestis increase your testosterone?
Do not use it. There is barely any human evidence that fadogia agrestis raises testosterone, it is not authorised for sale in…
Insufficient evidence
Does hormone therapy help women age more healthily?
Hormone therapy relieves menopausal symptoms well and shows positive indications for bones and metabolism, but the effects on…
Moderate evidence
Does boron increase your testosterone?
Boron may modestly raise free testosterone in some people, particularly those who are deficient, but for healthy men who…
Preliminary evidence
Does tongkat ali actually work for your testosterone?
Do not use it, even though it probably does raise your testosterone. The European food safety authority EFSA found signs that…
Yes · Moderate evidence
How do I know whether my mood swings are hormonal or something else?
The cyclical pattern of your symptoms is the best distinguishing factor: if they occur only in the two weeks before your…
Does excess weight really make your hormones worse?
Excess weight disrupts multiple hormones simultaneously, with insulin resistance being the most strongly supported. If you…
Can an unhealthy diet cause puberty to start earlier?
A calorie-rich diet high in animal protein and low in fibre increases the likelihood of earlier puberty in girls, especially…
Yes · Moderate evidence
How does your body fat affect hormone production as you get older?
Body fat has a considerable influence on your hormonal balance as you age: more abdominal fat disrupts insulin sensitivity,…
Can hormones explain why women live longer than men on average?
Hormones likely contribute to women's survival advantage, but do not fully explain it. If you want to better understand your…
What does caffeine do to your stress hormones when you drink a lot of it?
High caffeine intake raises your cortisol, especially during stress or exercise and later in the day; you partially adapt to…
Can a vitamin D deficiency affect your hormones?
A vitamin D deficiency disrupts hormone levels, primarily through a rise in parathyroid hormone PTH, which affects your bones,…
Does the amount of muscle mass you have affect your hormone balance?
More muscle mass improves your insulin sensitivity and is associated with more favourable hormone values after training, but…
Why do some women experience thyroid problems after giving birth?
After delivery, the immune system sometimes overshoots and damages the thyroid, leading to temporary hormonal disturbances in…
Can low blood sugar disrupt your hormones, and how do you notice it?
Low blood sugar immediately raises stress hormones and causes symptoms such as trembling, sweating and irritability. People…
Yes · Moderate evidence
What does chronic sleep deprivation do to your fertility when you are trying to conceive?
Chronic sleep deprivation and frequent insomnia have been linked in several large studies to a lower chance of conception and…
Do male hormones affect how quickly men age?
Declining testosterone measurably accelerates ageing of muscles, bones and sexual function, but the links to mood and skin are…
Can your thyroid be thrown off balance by getting too much or too little iodine?
Both too little and too much iodine can disrupt the thyroid; make sure you get enough each day, but avoid large supplements…
Why do some women suddenly experience anxiety symptoms after menopause?
Menopause increases the risk of anxiety symptoms through hormonal, physical and psychosocial factors that reinforce one…
Is there a link between your hormones and the risk of dementia later in life?
There is solid evidence that thyroid hormones, sex hormones and stress hormones all play a role in dementia risk. The evidence…
What does taking the pill for a long time do to your hormones when you stop?
After stopping the pill, your hormone balance generally recovers within a few weeks to months, regardless of how long you have…
Can low progesterone levels cause symptoms before menopause?
Low progesterone levels can cause symptoms well before menopause, such as an increased risk of uterine cancer, more abdominal…
Yes · Moderate evidence
Does sunlight affect your hormones, and if so, how?
Sunlight affects multiple hormones simultaneously: it stimulates vitamin D and beta-endorphin, suppresses melatonin, and can…
Yes · Moderate evidence
What is the relationship between your thyroid and depressive symptoms?
There is a clear association between thyroid problems and depressive symptoms, although the precise direction of influence has…
Do men need estrogen for their health?
Yes, men need oestrogen for strong bones, healthy blood vessels, and fertility. Both a deficiency and an excess are harmful,…
What does pregnancy do to your hormonal balance in the long term?
Pregnancy demonstrably has long-term effects on your metabolism and hormonal balance, but most effects are well documented for…
Can stress make you infertile?
Stress and infertility are associated, but whether stress causes infertility has not yet been proven. If you are struggling…
Preliminary evidence
What are hormone disruptors, and are they really found in everyday products?
Hormone disruptors are demonstrably present in a great many everyday products and are measurable in the human body. Complete…
Yes · Strong evidence
Does fasting (intermittent fasting) help improve your insulin levels and other hormones?
Fasting probably improves your insulin levels, but most studies are small and short-term. Eating early in the day appears to…
Yes · Moderate evidence
Can exercise really improve your hormone levels as you get older?
Yes, exercise demonstrably raises several hormone levels in people over 40. The strongest practical benefit lies in muscle…
Yes · Moderate evidence
Can eating too little disrupt your hormones, even if you do not have an eating disorder?
Even a temporary, substantial calorie deficit can disrupt sleep and reproductive hormones in healthy women; the timing of your…
Yes · Moderate evidence
How does your gut microbiome influence your hormone balance?
Your gut microbiome drives multiple hormones through enzymes, fermentation products and bile acids, ranging from oestrogen to…
What does alcohol do to your hormones when you drink it regularly?
Regular and excessive drinking lowers testosterone, disrupts your sleep hormone, and damages the liver. If you want to know…
Can you preserve your fertility as a woman for longer through your lifestyle?
There are indications that lifestyle can influence the egg reserve, but concrete advice proven to preserve fertility for…
Preliminary evidence
Can your thyroid be normal on a test but still cause symptoms?
Yes, a normal test result does not rule out thyroid-related symptoms. If you continue to have symptoms after a normal result,…
Can poor sleep permanently disrupt your hormones?
Sleep deprivation measurably disrupts multiple hormones, but whether those effects are truly permanent has not been well…
What does chronically high cortisol do to your belly fat and blood sugar?
Chronically high cortisol directs fat toward the abdominal cavity and increases the risk of insulin resistance and type 2…
What does cortisol do to your body in the long run when you are chronically stressed?
Chronic stress noticeably dysregulates your cortisol system: your daily rhythm flattens, your immune function, sleep and…
Do black cohosh or red clover help against hot flushes in menopause?
Standardised black cohosh moderately but demonstrably reduces hot flushes and menopausal complaints better than a placebo, and…
Yes · Moderate evidence
Can you delay menopause with lifestyle or diet?
Avoiding smoking, eating less red meat, and eating more citrus fruit and oily fish appear to have a favourable influence on…
Preliminary evidence
What helps against menopause symptoms like hot flushes and mood swings?
Hormone therapy works best against hot flushes and night sweats. Those who cannot or do not wish to use it can choose from…
Strong evidence
Which symptoms are most common during menopause?
Most women experience multiple complaints simultaneously during the menopause transition. Joint and muscle pain, fatigue,…
Does menopause increase a woman's risk of joint pain or joint complaints?
Menopause increases the risk of joint pain and osteoarthritis in most women; it helps to avoid excess weight, stay active, and…
Does my growth hormone decline with age, and does that matter?
Your growth hormone does indeed decline sharply with age. Reversing that with hormone injections offers little benefit in…
Yes · Strong evidence
Is testosterone important for women?
Testosterone is also an important hormone for women. The strongest evidence concerns sexual desire after the menopause:…
Does my weight and metabolism change during menopause?
During menopause, the rate of fat gain doubles and you lose muscle mass, even if the scales do not show it. The fat shifts…
What does the stress hormone cortisol do to my ageing?
Chronically elevated cortisol accelerates muscle loss and disrupts your metabolism, and that effect is real. Good sleep and…
Does it make sense to have my hormones tested if I feel listless and fatigued?
For persistent listlessness, start with a thyroid test (TSH and free T4): that is the best-supported first step. Other hormone…
Yes · Moderate evidence
What does the menopause do to my heart and bones in the long term?
In the long run, menopause increases your risk of cardiovascular disease and bone loss, and that effect is greater with an…
Does testosterone decline in men with age, and should you do something about it?
Testosterone really does decline in men with age. TRT is well supported only in men with established hypogonadism and…
Yes · Strong evidence
Is hormone therapy for the menopause safe and worthwhile?
For women with troublesome menopausal symptoms, hormone therapy is the best-supported treatment. But what is the smart choice…
Moderate evidence
Does my libido decline after 40, and is there anything I can do about it?
A decline in libido after 40 is normal but not inevitable. For men with a confirmed low testosterone level and associated…
Yes · Moderate evidence
What does your thyroid gland do to your metabolism and energy?
A properly functioning thyroid directly determines your energy expenditure, weight and cholesterol. If you suffer from…
Do DHEA or growth hormone help against ageing, or are they risky?
DHEA has modest, proven benefits in people with an adrenal disorder, but in healthy individuals the effects are inconsistent…
Moderate evidence
Does a male menopause exist?
A male menopause genuinely exists, but it proceeds so gradually that many men do not recognise their complaints as hormonal;…
What exactly happens during perimenopause, and what helps against it?
For women without contraindications, hormone therapy with oestrogen is the best-supported approach for hot flushes, night…
Yes · Moderate evidence
Which supplements genuinely help with menopause?
Soy isoflavones have the strongest evidence for hot flushes, and vitamin D is certainly worthwhile if you are deficient or…
Moderate evidence
How can you increase sperm quality and quantity after the age of 40?
Improving sperm quality after forty is possible through lifestyle adjustments and, if you have a varicocele, surgical…
Moderate evidence
Does using testosterone help if you are over 50, and can it be dangerous?
Testosterone can be worthwhile for men over 50 with a medically confirmed testosterone deficiency, but it is not a treatment…
Yes · Strong evidence
Immune System49 questions
Is moderate exercise good or bad for your immune system?
Moderate exercise (sessions up to 45 minutes) is good for your immune system and is associated with fewer infections. Only…
Yes · Moderate evidence
Why do older people become seriously ill from an infection more quickly?
Older people become seriously ill from infections more quickly because their immune system is less effective and a smouldering…
Can you strengthen your immune system by eating more fibre?
Extra fibre turns out to strengthen the immune system in healthy people less clearly than expected; fermented foods currently…
Preliminary evidence
Does too little sleep weaken your immune system?
Yes, too little sleep demonstrably weakens your immune system and increases the risk of infections and chronic inflammatory…
Does spending more time outdoors help your immune system as you get older?
Spending more time outdoors may support your immune system as you get older, mainly through improved vitamin D production, but…
Preliminary evidence
Does the flu shot work less well as you get older?
The flu shot demonstrably works less well in older adults than in younger people, but high-dose and other improved vaccines…
Yes · Strong evidence
Does your immune system really weaken as you get older?
Your immune system does indeed weaken as you get older, but how quickly that happens varies considerably from person to…
What is the relationship between the thyroid and the immune system?
The thyroid and the immune system are closely intertwined: dysregulated T immune cells cause the most common thyroid diseases,…
Why do some people develop better protection after vaccination than others?
How well you respond to a vaccine depends on your genetic predisposition, age, the condition of your immune system, and any…
Does sunbathing boost your immune system beyond the vitamin D effect?
There are serious indications that sunlight influences the immune system through pathways independent of vitamin D, but…
Preliminary evidence
Can smoking permanently damage your immune system?
Smoking structurally damages your immune system and the damage can be lasting, especially with long-term smoking. Quitting…
Yes · Moderate evidence
What are T-cells and why do they decline with age?
Over the years your immune system loses some of its strength as the thymus shrinks and fresh T-cells become scarce. There is…
Does omega-3 from fish oil help against chronic inflammation?
Fish oil has a reasonably well-supported effect on chronic inflammation, most clearly in rheumatoid arthritis and at a dose…
Yes · Strong evidence
What does chronic sleep deprivation do to your inflammation in the long run?
Chronic sleep deprivation demonstrably raises inflammatory markers in your blood and is linked to diseases such as…
Can air pollution weaken your immune system?
Air pollution disrupts your immune system in several ways at once: a greater chance of allergic reactions, less resistance to…
Yes · Moderate evidence
Why do some people experience symptoms for months after an infection?
Post-infectious symptoms are likely caused by an interplay of energy deficiency in cells, damage to the nervous system and a…
Can too little sleep make you more susceptible to infections?
Too little sleep demonstrably makes your immune system more vulnerable, including to infections and vaccinations. Make sure…
Yes · Moderate evidence
Does sauna bathing help against infections?
There is no reliable evidence that sauna bathing protects you against infections. On the contrary: the sauna itself can be a…
Insufficient evidence
Can an overactive immune system also be dangerous?
An overactive immune system can damage your own tissue and is demonstrably dangerous in several conditions. If you recognise…
What does loneliness do to your immune system?
Loneliness disrupts your immune system in multiple ways simultaneously: more inflammation, reduced antiviral defence, and…
Does fermented food like kimchi boost your immune system?
Fermented foods such as kimchi show early positive signs for a healthier gut microbiome and lower inflammatory markers, but…
Preliminary evidence
Can you test your immune system with a blood test?
A blood test can detect abnormalities in your white blood cells, but does not measure how well your immune system actually…
Preliminary evidence
Does melatonin support your immune system in later life?
Melatonin has clear effects on the immune system in animal and laboratory research, but whether supplements genuinely improve…
Preliminary evidence
Why are older adults more susceptible to influenza?
Older adults are more susceptible to influenza because their immune system functions less well with age, meaning they are both…
What does excess weight do to your inflammation levels?
Excess weight structurally raises your inflammation levels through multiple biological pathways. Exercise, and strength…
Can too much sugar weaken your immune system?
Chronically high blood sugar, as seen in diabetes and obesity, demonstrably weakens the immune system, but whether a few…
Preliminary evidence
Does your immune system age at a different rate than your heart?
Your immune system and heart do indeed age at a different pace and through different mechanisms, although they do influence…
Does beta-glucan help strengthen your immune system?
Beta-glucan has a biologically plausible effect on the immune system, demonstrated in part in humans as well, but for healthy…
Preliminary evidence
Why are antibiotics becoming less and less effective?
Antibiotic resistance is a well-documented and serious problem driven by multiple mechanisms at once. You can personally…
What is a cytokine storm?
A cytokine storm is a life-threatening dysregulation of the immune system in which signalling molecules accumulate in a…
Does green tea help against infections?
Green tea catechins likely reduce the risk of influenza, with a risk reduction of around one third. For other infections, the…
Yes · Moderate evidence
Why do you get sick more often when you are on a diet?
A low-calorie diet can weaken your immune system through deficiencies in minerals such as magnesium, disrupted gut bacteria…
Does cold showering boost your immune system?
Cold showering does not demonstrably improve immune function. There are some soft indications that regular cold practitioners…
No · Moderate evidence
What does alcohol do to your immune system?
Heavy or prolonged alcohol use clearly weakens your immune system and increases the risk of serious infections and liver…
Does fasting reset your immune system?
Fasting lowers inflammatory markers and improves metabolic risk factors, but a true 'reset' of the immune system has not yet…
Moderate evidence
Does vitamin C actually help against a cold?
For most people, vitamin C does not prevent a cold. But those who take a gram or more daily do recover from one somewhat…
Moderate evidence
Does eating enough protein help my immune system as I get older?
Eating enough protein helps your immune system in later life. Aim for at least 1.0-1.2 grams per kilogram of body weight per…
Yes · Moderate evidence
Does stress really lower my immune defences?
Prolonged stress measurably lowers your immune defences and even weakens the effectiveness of vaccines. Short-term stress, by…
Does regular exercise help against that creeping chronic inflammation?
Exercise demonstrably lowers chronic low-grade inflammation. For most people and for people with type 2 diabetes, a…
Yes · Strong evidence
Does vitamin D help your immune system, or is that overrated?
Vitamin D genuinely supports your immune system, but the benefit of taking extra applies mainly when you have a deficiency. If…
Yes · Moderate evidence
Does your immune system really weaken as you age, and is there anything you can do about it?
Your immune system demonstrably weakens with age, but there is currently no proven intervention that reliably reverses that…
Yes · Strong evidence
Does exercise help your immune system as you age?
Regular, moderate exercise helps your immune system by reducing smouldering inflammation. Suddenly training very hard without…
Yes · Moderate evidence
What does sleep deprivation do to your immune system?
Sleep deprivation demonstrably weakens the immune system: it increases the risk of infection, reduces the response to…
Does low-dose naltrexone (LDN) work against inflammation?
LDN shows positive signals as an anti-inflammatory agent in small studies and cell research, but the evidence in humans is…
Preliminary evidence
Which vaccinations are recommended for healthy ageing?
Annual influenza vaccination, the RSV vaccine (from age 60, earlier for those with risk factors), a whooping cough booster and…
Moderate evidence
Is zinc beneficial for my immune system?
Zinc is beneficial for your immune system if you have a deficiency or belong to a risk group such as older adults or severely…
Yes · Moderate evidence
Does turmeric help against inflammation?
Curcumin lowers certain inflammatory markers in the blood, but the effect is modest. Moreover, your body absorbs the compound…
Yes · Moderate evidence
What is inflammaging?
Inflammaging is a real and well-described ageing mechanism, but the science is still at an early stage when it comes to…
How do I strengthen my weakening immune system?
Probiotics, reducing saturated fat and stress reduction have the best evidence base for supporting your immune system,…
Moderate evidence
Interventions74 questions
How much berberine do you need per day?
The best-supported doses range between 0.6 and 1 gram per day, depending on your goal. If you use metformin, discuss berberine…
Moderate evidence
How much ashwagandha do you need per day?
For stress reduction, 240 to 500 mg per day already appears to have an effect; for safety, 600 mg per day has been studied for…
Yes · Moderate evidence
How much CoQ10 do you need per day?
There is no officially established daily dose of CoQ10 for healthy people. If you are considering supplementation, discuss it…
Insufficient evidence
What do we really know about metformin and ageing?
Metformin may extend healthy years by helping to prevent disease, but whether it also slows ageing itself in healthy people…
Preliminary evidence
Does gene therapy with klotho or follistatin work against ageing?
Gene therapy with Klotho shows promising results in mice and cells, but there are no human clinical data yet. The available…
Preliminary evidence
Does whole-body cryotherapy actually work for your health?
For specific applications, such as pain following knee surgery and possibly improved lipid levels, WBC shows small positive…
Preliminary evidence
Does a NAD infusion (IV drip) make sense?
There is no clinical evidence that a NAD infusion does anything for your health or ageing. Oral NAD supplements do…
Preliminary evidence
Does ergothioneine work as a longevity supplement?
Ergothioneine shows a positive signal in a small study of older adults with memory complaints, but it is too early for firm…
Preliminary evidence
Do functional mushrooms like reishi and cordyceps actually work?
Medicinal mushrooms such as reishi show promising effects in the laboratory, but convincing evidence in humans is still…
Preliminary evidence
Does shilajit actually work as a supplement?
Be careful. There is little strong evidence that shilajit works, it has no authorised novel-food status in the EU, and…
Preliminary evidence
Does earthing (grounding) actually work for your health?
There are preliminary indications that earthing may improve pain, fatigue and sleep, but the studies are still too small and…
Preliminary evidence
Is colostrum (beestings) a worthwhile supplement?
For now, colostrum has the strongest indications as an aid against respiratory tract infections in athletes; for most other…
Preliminary evidence
Do you really need electrolyte supplements?
If you are healthy and eat or exercise normally, evidence that electrolyte supplements offer you any benefit is lacking. In…
Preliminary evidence
Does the Wim Hof Method really work?
The WHM shows positive effects in small studies in specific patient groups, but whether those benefits are unique to the…
Preliminary evidence
Does liposomal vitamin C work better than regular vitamin C?
Liposomal vitamin C reaches higher concentrations in your blood than the regular form, but whether that actually does anything…
Moderate evidence
Is ubiquinol better than regular CoQ10?
Ubiquinol is better absorbed in small studies, but the formulation of a product matters at least as much. Choose a…
Moderate evidence
Does St. John's wort affect how your medications work?
St. John's wort lowers the blood levels of dozens of medications and can have serious consequences, such as transplant…
Yes · Strong evidence
Which supplements are best avoided when taking blood thinners?
Several commonly used supplements, particularly ginkgo biloba, cranberry, and St. John's wort, can dangerously amplify or…
Moderate evidence
Should you take copper supplements when you take high doses of zinc?
High zinc intake can lower your copper levels, but automatically adding a copper supplement is not the answer; have your blood…
Moderate evidence
Does creatine work better with carbohydrates?
Insulin can promote creatine uptake in muscles, but at the same time a large carbohydrate meal slows intestinal absorption.…
Preliminary evidence
When is the best time to take fisetin?
There is no evidence-based best time to take fisetin — and a step back: isolated fisetin has no novel-food authorisation in…
Insufficient evidence
Can you take too much magnesium?
Yes, too much magnesium can be harmful, particularly through intravenous administration or repeated use of laxatives. With…
Yes · Preliminary evidence
Do you need to do a loading phase with creatine?
You do not need a loading phase to ultimately achieve the same effect, but if you are older and want to gain muscle strength…
Moderate evidence
How much curcumin should you take per day?
There is no universal optimal dose of curcumin: for osteoarthritis and cardiovascular risk factors, 1000 to 1500 mg per day…
Moderate evidence
Does taking glutathione make sense, or does it get broken down in your gut?
Oral glutathione measurably raises levels in your blood, but only for as long as you take it and only in readily accessible…
Preliminary evidence
What works better to raise NAD+: NMN or NR?
NMN and NR raise blood NAD+ equally well, but there is an important legal difference: NR is authorised as a supplement in the…
Preliminary evidence
Is it better to take ashwagandha in the morning or in the evening?
More important than the timing: several regulators advise against ashwagandha. The Dutch RIVM warns against it (liver,…
Insufficient evidence
Which type of collagen is best to take?
For knee complaints, UC-II (type II, unprocessed, 40 mg/day) has the best-documented outcomes in RCTs, but the only…
Moderate evidence
Is creatine monohydrate just as good as more expensive forms?
Creatine monohydrate works at least as well as more expensive alternatives and is the best-documented choice in terms of…
Yes · Moderate evidence
Is curcumin well absorbed by the body?
Standard curcumin supplements are poorly absorbed by the body. Combining them with black pepper (piperine) can improve…
No · Moderate evidence
Is intermittent fasting good for longevity?
Intermittent fasting improves health markers such as weight and insulin sensitivity, but whether it also makes you live longer…
Moderate evidence
Does fasting help your cells clean themselves up?
Fasting demonstrably activates the cellular clean-up pathway; for prolonged fasting, it can also accelerate muscle loss, so…
Yes · Preliminary evidence
Does echinacea really work against the common cold?
Echinacea has not been proven effective against the common cold. If you still want to try something, Echinacea purpurea…
No · Moderate evidence
Can fasting really rejuvenate your cells?
Fasting has clear cell-rejuvenating effects in animal research, but in humans the evidence is still limited to small studies…
Preliminary evidence
Can you take metformin without having diabetes?
There is limited evidence that metformin can reduce weight in people without diabetes, but the risks, including possible heart…
Preliminary evidence
What are the side effects of metformin?
Metformin causes gastrointestinal complaints such as diarrhoea, nausea and vomiting in a substantial proportion of users.…
What are the side effects and risks of retatrutide?
Retatrutide causes gastrointestinal complaints in many users and a temporary increase in heart rate; serious side effects were…
Is retatrutide more effective than Ozempic?
Indirect comparisons suggest that retatrutide produces greater weight loss than semaglutide (Ozempic/Wegovy), but the drug has…
Moderate evidence
How many hours of fasting are needed to activate autophagy?
There is no proven hourly threshold for activating autophagy in humans. If you use this as a reason for a fasting pattern, be…
What should you avoid combining with creatine?
Combining creatine with statins calls for caution. Creatine raises a blood marker that doctors need in order to detect…
Preliminary evidence
Why don't doctors always recommend creatine?
Doctors often hesitate because creatine raises a standard blood marker for kidney function, but this does not reflect actual…
Does creatine cause hair loss?
Creatine does not cause hair loss: direct measurement of hair follicle health and the DHT hormone showed no difference…
No · Moderate evidence
Is rapamycin found in food, or can you get it naturally through your diet?
Rapamycin is not found in food and cannot be obtained through your diet. If you want to influence the mTOR pathway through…
At what age does taking NAD+ supplements make sense?
There is no established age at which NAD+ supplementation becomes worthwhile; studies focus on middle-aged and older adults,…
Preliminary evidence
Which supplements or medications are best not combined with NAD+?
The combination of NAD+ supplements (particularly nicotinamide) with platinum-based chemotherapy is the most concrete reason…
Preliminary evidence
What is the controversy with NAD+?
NAD+ supplements demonstrably raise your NAD+ levels, but whether that actually does anything for your health has not yet been…
Does NAD+ cause weight gain?
There is no scientific evidence that NAD+ supplements such as NMN or NR cause weight gain. Animal research even suggests the…
No · Preliminary evidence
What are the effects if you take NAD every day?
Taking 600-900 mg of a NAD supplement per day raises your NAD levels and provides some benefit for endurance, but long-term…
Will a doctor prescribe rapamycin?
A doctor prescribes rapamycin for transplantation and certain rare conditions, but not as an anti-ageing agent: for that…
Moderate evidence
Can anyone take rapamycin?
Rapamycin is a powerful drug with serious side effects, including reduced immune function and blood sugar disturbances, and is…
No · Moderate evidence
Is rapamycin hard on the liver?
Based on the available studies it cannot be established whether rapamycin is hard on the liver; the supplied sources actually…
Insufficient evidence
What is hormesis (what doesn't kill you makes you stronger)?
Mild, periodic stress can make cells more robust through well-described biological mechanisms, but whether humans can…
Does gratitude or optimism help your health and longevity?
Keeping a gratitude journal regularly probably helps with mood and possibly with sleep, but the evidence is too thin to make…
Moderate evidence
Does taking vitamin E have any proven benefit?
For most people, taking vitamin E supplements has no proven benefit. There are even indications of an increased risk of…
No · Moderate evidence
Is taking a stack of supplements at the same time smart or actually dangerous?
Whether a supplement stack is smart or dangerous depends on which substances you combine and whether you also use medications.…
Moderate evidence
Does the combination of glycine and NAC (GlyNAC) help against aging?
GlyNAC shows promising results in a small human study on oxidative stress, muscle function and inflammation, but the evidence…
Preliminary evidence
What is young blood / plasma exchange, and does it actually work?
Young blood and plasma exchange produce fascinating results in mouse studies, but clinical evidence in humans is lacking.…
Preliminary evidence
Does hyperbaric oxygen therapy help against ageing?
HBOT shows interesting signals in small, early studies regarding telomere length and cerebral blood flow, but the evidence is…
Preliminary evidence
Is donating blood regularly good for your health?
The available sources contain no information about blood donation, which means this question cannot be answered on the basis…
Insufficient evidence
Does taking iron help, or is it actually a risk?
Taking iron clearly helps if you have a deficiency or anaemia, but is pointless and potentially risky if that is not the case.…
Moderate evidence
Does quercetin work against ageing and inflammation?
Quercetin shows promising signals in the laboratory and in animals, but in humans there is not yet solid evidence. Taking…
Preliminary evidence
Is L-theanine good for stress and sleep?
In small studies, L-theanine shows cautious signs of reducing stress and improving sleep, but the evidence is too thin and too…
Preliminary evidence
Does ginger help with inflammation and nausea?
Ginger has promising anti-inflammatory properties, but the evidence in humans is still too thin to rely on. For nausea, the…
Preliminary evidence
Do GLP-1 medications (such as Ozempic) help you age more healthily?
For people with cardiovascular disease, kidney disease, or fatty liver disease, GLP-1 medications offer proven benefits that…
Moderate evidence
Does metformin help you live longer in good health?
For people with type 2 diabetes there is good evidence that metformin protects health in later life, but whether it also keeps…
Moderate evidence
Does rapamycin help people live longer in good health?
Rapamycin impressively extends lifespan in mice and is already showing first positive signals in humans, but large long-term…
Moderate evidence
Are antioxidant supplements useful?
Whether antioxidant supplements are useful depends on which supplement and which condition: curcumin and vitamins C+E for…
Moderate evidence
Are NAD+ supplements (NMN/NR) worth it?
NMN and NR demonstrably raise NAD+ in your blood and appear to be safe, but whether you will actually notice any difference in…
Preliminary evidence
What do peptides like BPC-157 do, and are they safe?
BPC-157 shows promising results in animal research for tissue healing, but has barely been studied in humans and its long-term…
Preliminary evidence
Does ashwagandha really work against stress?
It appears to improve stress and sleep, but there are serious safety catches. Denmark banned ashwagandha as a supplement and…
Yes · Moderate evidence
Does taurine work against ageing?
Taurine supplements have not yet been proven as an anti-ageing intervention in humans. The animal results are promising and…
Preliminary evidence
Does taking resveratrol make sense as an anti-ageing strategy?
For people considering resveratrol as an anti-ageing agent: the research is still at an early stage and currently provides no…
Preliminary evidence
Does spermidine actually do anything against ageing?
Exercise caution with spermidine supplements: in the EU only wheat germ extract products up to approximately 6 mg per day are…
Moderate evidence
Does cold water swimming improve healthy aging?
For most healthy people, occasional cold water swimming is probably safe. Do you have cardiovascular disease or high blood…
Preliminary evidence
Muscles & Movement44 questions
What does creatine do for people over sixty?
For people over sixty, creatine has reasonably well-supported benefits for muscle strength, muscle mass, and memory,…
Yes · Moderate evidence
Do you really need to take 10,000 steps a day?
No, 10,000 steps is not a magic threshold: health gains are already present at 4,000 to 6,000 steps a day, and the return per…
No · Moderate evidence
Why is muscle strength so important for healthy ageing?
Muscle strength is one of the best-supported pillars of healthy ageing: losing it increases the risk of falls, disability and…
Yes · Moderate evidence
Does walking do enough to maintain your muscles?
Walking alone is not enough to maintain muscle as you age. Add strength training and ensure adequate protein intake for the…
No · Moderate evidence
Can you regain lost muscle mass in later life?
Yes, regaining lost muscle mass in later life is possible, but the earlier you start, the better the outcome. Resistance…
Yes · Strong evidence
How much muscle strength do you lose per year after the age of fifty?
After the age of fifty, you can quickly lose 3 to 4% of leg strength per year, far more than muscle mass alone would suggest.…
Can grip strength predict how long you will live?
Grip strength is one of the better-supported predictors of premature death: the lower it is, the higher the risk. It is a…
What happens to your cells when you don't move enough?
Moving too little demonstrably disrupts how your cells handle sugar, signals and inflammatory processes. Even a small increase…
Can intense exercise actually make you age faster?
Regular exercise slows ageing rather than accelerating it, but for vascular health in people with excess weight, weight loss…
No · Moderate evidence
Can cold showers make your cells healthier?
For people who do strength training, cold immersion makes muscle cells less capable of growing rather than more so, and the…
No · Preliminary evidence
Does muscle tissue burn more calories than fat, even at rest?
Muscle tissue burns more calories at rest than fat tissue, and strength training produces a measurable increase in resting…
Is it helpful to occasionally go for a long walk, or are short bursts of movement spread throughout the day better?
Short bursts of movement spread throughout the day appear to be at least as valuable as one long walk, and for people who…
Yes · Moderate evidence
Does it matter what kind of protein I eat, or does only the total amount count?
The type of protein matters: animal proteins and well-combined plant-based sources provide more building material for muscles…
Yes · Moderate evidence
How much protein can your body use in a single meal?
Your body can use more than 20-25 grams of protein per meal, especially when that protein is combined with carbohydrates and…
What is the best time of day to eat protein for your muscles?
Distribution throughout the day matters most: eat a portion of 20-40 g of protein every 3 to 4 hours, and the precise timing…
Does exercise activate autophagy?
Exercise activates autophagy in muscle cells through well-described mechanisms, but most of the evidence comes from animal and…
Yes · Moderate evidence
Does creatine help prevent muscle loss with GLP-1 medications like Ozempic?
Whether creatine genuinely helps preserve muscle during GLP-1 medication use is unknown, because it has never been directly…
Preliminary evidence
Does creatine speed up muscle recovery?
Creatine (3-5 g/day) can likely speed up muscle recovery after intense training and improve strength and muscle mass, but for…
Yes · Moderate evidence
Does walking in green spaces or nature benefit your health?
Walking in green spaces or living close to green space shows clear indications of a positive effect, particularly on stress…
Yes · Moderate evidence
How do I keep my joints flexible and prevent osteoarthritis?
Stretching keeps joints flexible, but targeted strength training of the surrounding muscles provides the strongest protection.…
Moderate evidence
How much rest do my muscles need between training sessions as I get older?
Two training sessions per week per muscle group, with at least 48 hours of rest in between, is well supported as an effective…
Moderate evidence
Is strength training still safe and worthwhile after the age of 70?
Strength training after 70 is both safe and worthwhile: the evidence for greater muscle strength and reduced fall risk is…
Yes · Strong evidence
Does stretching actually help, or is it a waste of effort?
Stretching demonstrably improves flexibility, and 10 minutes per week is already enough for the maximum effect. For preventing…
Yes · Strong evidence
Does running cause osteoarthritis?
Recreational running probably does not cause osteoarthritis and is actually associated with less osteoarthritis than a…
No · Moderate evidence
Is walking enough, or do I really need to do strength training as well?
Walking is good, but to prevent falls you really do need balance exercises and strength training alongside it. That is much…
Yes · Moderate evidence
Does urolithin A from pomegranate do anything for your muscles and energy?
UA supplements (1000 mg/day) improve muscular endurance in older adults, but do not demonstrably increase total energy…
Moderate evidence
Does my walking speed say anything about how fast I am aging?
Yes, your walking speed says something about how your body is ageing. People who walk slower than 0.8 to 1.0 metres per second…
What is the best training to prevent muscle loss after age 60?
Strength training, combined with adequate protein intake, is the best-supported strategy against muscle loss after age 60. If…
Strong evidence
Is exercising in the morning or in the evening better?
For fat reduction and improved blood lipids, morning training has the strongest evidence. For cardiovascular health,…
Moderate evidence
How quickly do I lose fitness if I stop exercising for a while?
Your aerobic fitness starts to decline noticeably after just a few weeks, with losses of up to around 22% after 8 weeks of…
Does yoga or pilates help with pain and ageing?
Yoga and pilates both reduce pain in chronic low back pain, comparably to or better than conventional rehabilitation. If you…
Yes · Moderate evidence
Does creatine also help ordinary people, not just athletes?
Creatine is not just for athletes. Combined with resistance training, it helps older adults gain muscle strength, and probably…
Yes · Moderate evidence
Does strength training help with healthy ageing?
Strength training is one of the best-supported interventions for healthy ageing: training two to three times per week with…
Yes · Strong evidence
How often and how hard should I strength train?
Start with 2 to 3 training days per week, sets of 8 to 12 repetitions close to your maximum, and increase the weight as soon…
Moderate evidence
How do I know if I am losing too much muscle mass (sarcopenia)?
Concerned about muscle loss? Ask your general practitioner or specialist to measure both your muscle strength and your…
How much exercise do I need to live longer?
The biggest health gain comes from just a little exercise. Going from nothing to 150 minutes per week gives a 31% lower risk…
Moderate evidence
How much protein do I need to maintain my muscle mass?
For most healthy adults who want to maintain their muscle mass, 1.2 to 1.6 grams of protein per kilogram of body weight per…
Is sitting a lot bad for you, even if I exercise enough?
Those who get just over an hour of brisk exercise each day likely neutralise the mortality risk of prolonged sitting. But also…
Yes · Moderate evidence
What is VO2max and how important is it for living longer?
A higher VO2max is strongly associated with a longer lifespan. Regular physical activity pays off for everyone, even if you…
Does balance training help prevent falls in later life?
Supervised balance and resistance training or group tai chi lasting at least three months are the best choice if you want to…
Yes · Strong evidence
Can you exercise too much?
Training too much without sufficient recovery can lead to overtraining syndrome, with demonstrable harm to your performance,…
Yes · Moderate evidence
How much cardio per week do I really need?
For most people, 150 minutes of moderate-intensity cardio per week, plus strength training twice a week, is the proven minimum…
Moderate evidence
Does my grip strength say anything about how long I will live?
Grip strength says something meaningful about your overall health and risk of death, but it is not a measure to rely on in…
What is zone 2 training?
Zone 2 training is well defined as an intensity zone, but for recreational athletes there is not yet strong evidence that it…
Nutrition & Prevention63 questions
How many cups of green tea do you need per day?
For regular tea, three to five cups per day appears to be the best-supported amount for heart and brain benefits, though the…
Preliminary evidence
How much iron do you need per day?
For healthy adults without a deficiency, compensating for 1 to 2 mg of iron per day through a varied diet is sufficient; if…
Yes · Moderate evidence
Does taking omega-3 help you stay healthy for longer?
Omega-3 likely has benefits, but for whom and from which source varies considerably. The most concrete benefit has been…
Preliminary evidence
Does black seed oil work as a supplement?
For people with type 2 diabetes, there is reasonably consistent evidence that black seed oil lowers blood sugar, cholesterol,…
Moderate evidence
Does the fasting-mimicking diet, such as Prolon, actually work?
The fasting-mimicking diet shows real effects on weight, fat mass and blood pressure in small randomised studies, but almost…
Yes · Moderate evidence
Is fibre-maxxing (eating as much fibre as possible) healthy?
Eating more fibre is a good idea for most people in the West, but fibre-maxxing as an extreme principle offers no additional…
Yes · Moderate evidence
Is raw milk healthier than pasteurised milk?
Raw milk offers no proven health benefits that outweigh the risk of infection. If you are concerned about vitamin intake,…
No · Moderate evidence
Does sulforaphane from broccoli sprouts work against ageing?
Sulforaphane has impressive effects on ageing processes in laboratory and animal research, but whether this also holds true in…
Preliminary evidence
Is sea moss (Irish moss) a worthwhile supplement?
As a food it is allowed, but be careful with the dose. Sea moss (Irish moss) is no miracle cure and the biggest risk is too…
Insufficient evidence
Is it better not to take iron and calcium together?
For healthy people without medication, strictly spacing intake is probably not necessary, as long-term studies show no…
Moderate evidence
Is too much zinc harmful?
Too much zinc is certainly harmful: as an adult, stay below 25 mg per day (the EFSA limit) and be cautious with high-dose zinc…
Yes · Moderate evidence
Can you get too much vitamin D?
Too much vitamin D is genuinely harmful, but that risk only arises at blood levels far above the recommended values. Stick to…
Yes · Moderate evidence
How much omega-3 with EPA and DHA do you need per day?
There is no one-size-fits-all dose: for heart protection ~840 mg of EPA+DHA per day is probably sufficient, for an…
Moderate evidence
How much vitamin D should you take per day?
For healthy adults under 75, extra vitamin D is probably not necessary, but for children, people aged 75 and older, pregnant…
Moderate evidence
Which form of vitamin B12 is best to take?
For most people, the chemical form of the supplement matters little, as long as you get enough of it. If you eat a fully…
Moderate evidence
Does eating less help you live longer?
In laboratory animals the effect on lifespan is well established, but in healthy humans direct evidence is lacking. A moderate…
Moderate evidence
Are ultra-processed products bad for your longevity?
Eating a lot of ultra-processed products is associated with a shorter lifespan and more chronic disease, but the effect varies…
Yes · Moderate evidence
How many vegetables do you really need per day?
Five servings of vegetables and fruit per day offers the best protection, with non-starchy vegetables counting and juice and…
Yes · Strong evidence
Is pterostilbene better than resveratrol?
Pterostilbene is absorbed more efficiently than resveratrol and more often outperforms it in laboratory and mouse research,…
Preliminary evidence
Which form of zinc is best to take?
If you are choosing a zinc supplement, glycinate and gluconate are probably better options than zinc oxide, although that…
Moderate evidence
Which form of iron is best absorbed?
Haem iron from meat, fish and poultry is clearly better absorbed than the form of iron from plant-based foods. If you eat…
Strong evidence
Does the form of omega-3 you choose matter?
The form theoretically matters for absorption, but whether that actually makes a difference to your blood levels during months…
Preliminary evidence
Which form of magnesium is best to take?
Organic forms such as magnesium citrate or magnesium glycinate are better absorbed than magnesium oxide and are therefore the…
Moderate evidence
Can you drink coffee during intermittent fasting?
Black coffee fits perfectly well with intermittent fasting and is even recommended as a suitable beverage; adding milk or…
Yes · Preliminary evidence
Does the order in which you eat your food affect your digestion?
The available studies do not answer this question, so no conclusion can be drawn from them. If you want to learn more about…
Insufficient evidence
Does eating gluten-free help if you don't have coeliac disease?
If you do not have coeliac disease, a wheat allergy, or confirmed gluten sensitivity, eating gluten-free provides no proven…
No · Preliminary evidence
Are there dietary patterns that have been proven to reduce your risk of cancer?
The Mediterranean diet and sufficient vegetables and fruit are consistently associated with a lower cancer risk, although the…
Yes · Moderate evidence
Does it matter for your weight whether your calories come from fat or carbohydrates?
For long-term weight loss, the ratio of fat to carbohydrates makes little difference as long as your total calorie intake…
No · Moderate evidence
Does the time of day you eat affect how quickly you age?
There are serious indications that eating early, fasting for 10-14 hours overnight and avoiding night-time snacks are…
Preliminary evidence
Does it matter in what order you eat your food and vegetables during a meal?
What you eat before or early in your meal can noticeably influence your blood sugar response. The most concrete takeaway:…
Yes · Preliminary evidence
Does extra protein help with losing weight without losing muscle?
Extra protein helps preserve muscle mass while losing weight, but works best in combination with resistance training. Aim for…
Yes · Strong evidence
Do older adults need more protein than younger people?
Older adults likely need more protein than the standard guideline of 0.8 grams per kilogram suggests. As a healthy older…
Which foods or habits effectively raise NAD+ levels?
Supplementation with NR or NMN measurably raises NAD+, but convincing evidence in healthy people is still lacking. Ordinary…
Preliminary evidence
What are the Blue Zones and what is actually true about them?
The Blue Zones are real regions with a robustly established pattern of healthy ageing, and the shared lifestyle habits within…
Yes · Moderate evidence
How much fish is healthy, and is farmed fish just as good as wild fish?
Three to four portions of fish per week is healthy for most people. Whether farmed fish and wild fish are nutritionally…
Yes · Strong evidence
Are smoothies and fresh juice just as healthy as whole fruit?
Whole fruit beats fruit juice: more fibre, greater satiety and fewer free sugars. Smoothies fall somewhere in between, but are…
No · Moderate evidence
Is wholegrain bread really that much better than white bread?
Large-scale observational research consistently points in the same direction: wholegrain is better for your heart, your weight…
Yes · Moderate evidence
Do you live longer on a vegetarian or plant-based diet?
A high-quality plant-based diet is associated with less premature death. However, eating strictly vegetarian or vegan has not…
Moderate evidence
How many servings of vegetables and fruit do I actually need per day?
Five servings of vegetables and fruit per day is the threshold that offers the greatest protection. More than five provides no…
Do you actually live longer if you structurally eat fewer calories?
In laboratory animals, eating less convincingly extends lifespan, but this has not yet been demonstrated for healthy people…
Moderate evidence
Is taking extra vitamin C worthwhile?
Extra vitamin C offers little benefit for most people. Intensive athletes and people following a carnivore diet do have a good…
Moderate evidence
Is eating organic really healthier?
Eating organic probably does not give you better nutritional value, but it does lower your exposure to pesticide residues and…
Moderate evidence
How much water do I really need to drink per day?
For a sedentary adult, an average of 1.5 litres per day is the baseline, but your needs rise quickly with exercise or heat.…
Do multivitamins help with healthy ageing?
For cognition, multivitamins have the strongest support in older adults. For a longer life or a healthier heart there is no…
Yes · Moderate evidence
How do I know whether I am getting enough vitamin D, and should I be supplementing?
For most healthy adults, a blood test is the only reliable way to know whether supplementing is necessary. Do not supplement…
Yes · Strong evidence
How many years does smoking cost me, and does quitting still help?
Smoking demonstrably costs years of life expectancy at the population level, but a precise personal figure cannot be given on…
Moderate evidence
How much fibre do I need and why?
Men need 38 grams of fibre per day and women need 25 grams; if you reach that through wholegrain products, vegetables, fruit…
Yes · Moderate evidence
Is intermittent fasting worth it?
If you want to lose weight or improve your blood sugar, intermittent fasting is a workable approach. In the long term,…
Moderate evidence
Is red and processed meat really bad for me?
Limit processed meat (ham, sausage, bacon, salami) as much as possible: the evidence is strongest there. For unprocessed red…
Yes · Moderate evidence
Which diet is best supported by evidence for a long, healthy life?
For anyone looking to use diet to invest in a long and healthy life, the Mediterranean diet is currently the best-supported…
Moderate evidence
Which screenings and check-ups are appropriate for my age?
Which screenings are appropriate for your age varies by individual, but a few anchor points are well supported: annual…
Moderate evidence
Is soy healthy, or is it harmful because of the phytoestrogens?
Ordinary soy foods such as tofu, edamame, and soy milk are safe for most healthy adults and may help a little against hot…
Yes · Moderate evidence
Is a low-carbohydrate or ketogenic diet good for longevity?
A ketogenic diet can help with weight problems and metabolic disorders, but for people who simply want to live longer and…
Preliminary evidence
How harmful is too little daylight or sunlight?
Too little sunlight demonstrably increases the risk of vitamin D deficiency, bone loss and fractures. Associations with more…
Should I take vitamin B12 supplements as I get older?
Getting older increases the risk of a B12 deficiency, even if you eat healthily. Supplementation of 1000 micrograms per day is…
Yes · Moderate evidence
Am I consuming too much protein, and is that bad for my kidneys?
For people with healthy kidneys there is little reason to worry about a generous protein intake, but anyone who has kidney…
Moderate evidence
Are beans and legumes good for longevity?
Large observational studies consistently show that people who eat more legumes have a lower risk of death. For most people, a…
Yes · Moderate evidence
Does eating fish help your heart and your brain?
Two portions of oily fish per week, as part of a varied and plant-rich diet, is a smart choice for most people when it comes…
Yes · Moderate evidence
Is green tea really as healthy as they say?
Green tea as a daily beverage is safe for most people and there are promising indications of cardiovascular benefits, but the…
Yes · Moderate evidence
Are diet sodas and sweeteners bad for you, and if so, why?
For the occasional glass of diet soda, the risks have not yet been clearly demonstrated. If you drink large amounts every day,…
Moderate evidence
How bad is ultra-processed food, and what does it do to you?
People who consistently eat large amounts of ultra-processed food have, on the basis of large observational studies, a…
Does the Mediterranean diet help you live longer?
The Mediterranean diet likely lowers your risk of heart disease and premature death. But anyone who truly wants to live longer…
Yes · Moderate evidence
Does coffee lower the risk of premature death?
Three to four cups of black coffee per day are consistently associated with a lower chance of premature death. Whether coffee…
Yes · Moderate evidence
Other Conditions22 questions
What really keeps your mouth and gums healthy?
Daily brushing supplemented with interdental brushes is the best foundation for a healthy mouth; if you have diabetes, regular…
Moderate evidence
Does oil pulling (rinsing your mouth with oil) actually work?
Oil pulling has preliminary indications of a modest effect on gums and plaque, but the evidence is still too weak to recommend…
Preliminary evidence
Does mewing really work for a sharper jawline?
There is no research whatsoever that has tested mewing in adults for a sharper jawline, and the available literature on jaw…
Insufficient evidence
Does creatine put a strain on your kidneys?
In healthy individuals, creatine (3-5 g/day) demonstrably does not put a strain on the kidneys. If you are taking medications…
No · Strong evidence
Is ashwagandha safe for your liver?
Ashwagandha can cause liver damage, including in people without known liver disease, and regulators see wider risks. The RIVM…
No · Moderate evidence
What is the lower limit for vitamin B12 values?
There is no single universal lower limit for vitamin B12: it differs by measuring device, ethnicity, and life stage. Always…
What is the best way to measure vitamin B12?
Measuring serum B12 alone misses a true deficiency too often; when in doubt, combine it with MMA and take kidney function and…
Do your kidneys age at a different rate than your liver?
The kidney ages in a measurable and predictable way, but whether that happens faster than the liver cannot be determined based…
Do you age faster if you have chronic pain?
There is no direct evidence that chronic pain accelerates biological ageing, but the inactivity that often accompanies it is a…
Do your eyes age faster than the rest of your body?
This question cannot be answered on the basis of the available sources. If you want to know more about eye ageing, discuss it…
What are the symptoms of an underactive thyroid and when should you see a doctor?
An underactive thyroid causes vague complaints such as fatigue and feeling cold easily, but also heart effects and brain fog;…
Yes · Strong evidence
How do I know whether my fatigue is caused by my thyroid?
Thyroid blood tests can rule out or confirm whether your thyroid is the cause, but a mildly abnormal TSH alone does not…
What helps with osteoarthritis (joint degeneration)?
Supervised exercise therapy is the best-proven approach: comparable pain relief to medication, without serious side effects.…
Strong evidence
Does collagen help your joints and your skin?
For joint pain, particularly in knee osteoarthritis and active athletes, oral collagen (approximately 10 grams per day) has a…
Yes · Moderate evidence
What really helps with chronic low back pain?
Exercise is the best-supported approach for chronic lower back pain. Complete recovery is rarely realistic, but less pain and…
Strong evidence
Can I prevent or slow down early-stage hearing loss?
Noise-induced hearing loss is largely preventable by limiting exposure to sounds above 85 dB(A) and wearing hearing…
Moderate evidence
How do I keep my kidneys healthy as I age?
The two best-supported steps to limit kidney damage as you age are keeping your blood pressure under control and exercising…
Moderate evidence
How do I keep my eyes healthy and prevent cataracts or macular degeneration?
Protect your eyes with UV-filtering glasses, a diet rich in vegetables and fruit, good diabetes management and regular eye…
Moderate evidence
Do I live longer with more social contact?
More social contact is associated with a longer lifespan, but the effect is far more specific than you might think: the type…
Moderate evidence
Does having a pet benefit your health and longevity?
For people already considering getting a pet, small studies support positive effects on wellbeing and possibly on…
Preliminary evidence
Will I live longer if I have a sense of purpose in life?
A strong sense of life purpose is consistently associated with a longer lifespan in large, long-running studies, although…
Yes · Moderate evidence
How harmful is air pollution to your health?
Air pollution affects people at every stage of life and is one of the best-documented health risks of our time. Cleaner air…
Sleep60 questions
How much melatonin should you take to sleep better?
For most adults, 4 mg appears to have the greatest effect, but it should be taken 2 to 3 hours before bedtime; if you are…
Moderate evidence
Does the sleepy girl mocktail (magnesium with cherry juice) help you sleep?
Magnesium may make some difference for older people with sleep problems or for people with a deficiency, but for healthy…
Preliminary evidence
Does mouth taping help you sleep better?
For healthy sleepers there is too little evidence to recommend mouth taping, and if you have a blocked nose it is risky. If…
Preliminary evidence
What does a daytime nap do to your health?
A short nap of less than 30 minutes appears safe and good for alertness. People who regularly nap for longer than half an hour…
Moderate evidence
Does apigenin help you sleep better?
There are only preliminary signals from observational and animal research; clinical evidence in humans is entirely absent. If…
Preliminary evidence
Does taking glycine help you sleep better?
Glycine shows tentatively positive signals, but the evidence is thin and the only direct human study comes from the…
Preliminary evidence
Does poor sleep really shorten your life?
Consistently sleeping too little is associated with a measurably higher risk of earlier death and serious illness; the…
Yes · Strong evidence
Is it better to take magnesium in the evening?
Evening intake sounds logical given magnesium's role in melatonin and sleep, but there is no research that directly compares…
Preliminary evidence
Do I sleep worse if I am often alone or feel lonely?
Yes, loneliness is clearly associated with poorer sleep: you have more difficulty falling asleep, wake up more often during…
Does a consistent morning routine with daylight help you fall asleep more easily in the evening?
A consistent morning routine with daylight helps sharpen your biological clock, allowing you to fall asleep earlier and more…
Yes · Moderate evidence
Why am I wide awake in the evening when I feel tired during the day?
Your biological clock and your chronotype determine when your body wants to be awake. When that clock does not align with your…
Does your sleeping position affect how rested you feel when you wake up?
Sleeping position influences your sleep indirectly, through pain and breathing: sleeping on your stomach increases back…
Preliminary evidence
Can cognitive behavioural therapy help me sleep better long-term without pills?
CBT-I demonstrably produces lasting sleep improvement, even after the sessions end, something that does not apply to sleep…
Yes · Strong evidence
Does pain make me sleep worse, and what can you do about it?
Pain worsens your sleep, and poor sleep in turn increases the risk of pain. Approaches such as relaxation exercises, cognitive…
Yes · Moderate evidence
Does a blue-light filter on my phone really affect my sleep?
A blue-light filter on your phone probably has little effect on your sleep. If you really want to improve your sleep through…
No · Moderate evidence
What is sleep debt and can you really pay it back?
Sleep debt is real and has measurable effects on your cognitive function and metabolism, but full recovery takes more than a…
Yes · Moderate evidence
Does melatonin as a supplement really work for better sleep in older age?
Melatonin can modestly improve sleep in older adults, but the evidence is preliminary and little is known about long-term use.…
Preliminary evidence
Does CBD oil help you sleep better?
There is currently too little good research to say that CBD oil genuinely helps with sleep problems; if you suffer from them,…
Preliminary evidence
Are there foods you should avoid eating before going to bed?
Alcohol, caffeine and fatty meals close to bedtime disrupt your sleep. You sleep better by avoiding all three in the evening…
Yes · Moderate evidence
Is it true that older people get less deep sleep, and what does that mean?
Older people demonstrably get less deep sleep, and this is associated with higher risks of dementia and lower growth hormone…
Yes · Strong evidence
Does walking outside during the day help me sleep better at night?
A daily walk of around half an hour outside helps improve your sleep, as shown by a randomised study. The surroundings matter…
Yes · Moderate evidence
Do I sleep worse when I am stressed, and does that create a vicious cycle?
Stress worsens your sleep, and poor sleep in turn makes you more stressed and anxious. Improving sleep is therefore one of the…
Yes · Moderate evidence
Does the time you eat affect how well you sleep?
When you eat influences your biological clock and probably also how well you sleep. The strongest practical takeaway is: try…
Can sleep deprivation raise your blood pressure?
Chronically sleeping too little is associated with a clearly elevated risk of high blood pressure. If your blood pressure is…
Yes · Moderate evidence
Why do you sleep worse as you get older, and do hormones play a role in that?
Sleeping worse with age is well documented and has multiple causes, including brain changes and, in women, the menopause.…
Yes · Moderate evidence
Does a sleep study in a clinic make sense, and when should you have one?
A clinic-based sleep study has its place, but not for ordinary sleep problems. It is only useful when your doctor suspects an…
Yes · Moderate evidence
Do you age faster if you sleep too little?
Sleep deprivation demonstrably disrupts the processes that keep the brain young, particularly the clearance of harmful…
Does valerian really help you fall asleep faster?
Valerian probably does not help you fall asleep faster. Multiple independent review studies and a recent controlled trial…
No · Moderate evidence
Why do I wake up tired even after sleeping for a long time?
Waking up tired despite sleeping for a long time is a normal phenomenon called sleep inertia, and the time of waking and…
Will my memory improve if I sleep more?
Getting enough sleep, and particularly the deep sleep phase, is an active part of how your brain retains new information. Too…
Yes · Moderate evidence
What is the difference between REM sleep and deep sleep, and do I need both?
You need both sleep stages: deep sleep and REM sleep each do something different for your memory and brain, and getting a full…
Yes · Moderate evidence
Can poor sleep cause me to develop diabetes sooner?
Consistently sleeping too little or poorly demonstrably increases your risk of type 2 diabetes, so it is worthwhile taking…
Yes · Moderate evidence
Do weighted blankets really help you sleep better?
A weighted blanket can reduce anxiety and improve sleep quality, but the evidence is still limited and largely based on small…
Preliminary evidence
Is it true that sleep before midnight is better for you than sleep after midnight?
A regular sleep rhythm that begins before midnight is associated with better health outcomes, but the timing alone is not…
Does the sleep tracking feature on my smartwatch have any value?
Your smartwatch gives a useful indication of your sleep pattern, but accuracy varies considerably by device and it is not a…
Moderate evidence
Why do I dream so much, and is that good or bad?
Simply dreaming a lot is normal and need not be a cause for concern. However, persistent nightmares or dreams that you…
Moderate evidence
Can a bed that is too warm cause me to sleep worse?
A bed that is too warm disrupts your sleep; a slight drop in body temperature is actually necessary for falling asleep well.…
Yes · Moderate evidence
Does magnesium really help you sleep better and keep your mind sharp?
Magnesium may help with sleep problems, but the evidence is still too limited and inconsistent to make firm claims. If you…
Moderate evidence
What does exercising right before bed do to my sleep?
Vigorous exercise within 4 hours of bedtime demonstrably worsens your sleep; schedule your workout earlier in the day and you…
Does poor sleep increase my risk of cancer?
There are cautious indications that sleep problems may increase cancer risk, but the evidence is still too thin for a firm…
Preliminary evidence
Does creatine affect your sleep?
Creatine may improve how your sleep feels, but objective measurements show no effect. Do not use it primarily as a sleep aid;…
Preliminary evidence
Chronic sleep deprivation: how harmful is it for weight and hormones?
Chronic sleep deprivation disrupts your hormones and metabolism after just a few nights. Structurally sleeping too little…
Does stopping coffee in the afternoon really help my night's sleep?
One cup of coffee in the afternoon probably does not harm your sleep. Three to four cups can already ruin your night, even if…
Yes · Moderate evidence
Is sleeping in on the weekend beneficial, or does it fail to make up for sleep deprivation?
Sleeping in on the weekend temporarily relieves fatigue but does not genuinely make up for sleep deprivation: cognition,…
No · Moderate evidence
How much does a consistent sleep schedule actually matter?
A consistent sleep schedule genuinely matters. Irregular sleep times are strongly associated with more depression, anxiety, a…
Does my sleep change as I get older, and is that normal?
Your sleep genuinely changes with age: feeling tired earlier, sleeping more lightly and for shorter periods, and waking more…
Yes · Strong evidence
Is it a problem that I often wake up during the night?
Waking up occasionally is normal, but if it happens frequently and affects you during the day, there may be an underlying…
Moderate evidence
Does the menopause disrupt my sleep, and what can help?
The menopause genuinely disrupts your sleep, primarily through hot flashes and hormonal changes. Cognitive behavioural therapy…
Yes · Moderate evidence
Does a cool, dark bedroom really help you sleep better?
A bedroom temperature of 20 to 25 degrees combined with good ventilation demonstrably improves your sleep. This effect is…
Yes · Moderate evidence
Are sleeping pills harmful in the long term?
Long-term use of classic sleeping pills increases the risk of dependence, cognitive decline, and impaired driving ability.…
Yes · Moderate evidence
What does alcohol do to my sleep quality, and is there anything I can do about it?
Alcohol demonstrably harms your sleep quality, particularly in the second half of the night. Drinking less shortly before…
Yes · Strong evidence
How much sleep do I really need?
For most adults, 7 hours of sleep is the safe minimum, with 7 to 8 hours representing the best-supported optimum. Both too…
Does poor sleep cause dementia sooner?
Poor sleep probably increases your risk of dementia, but ordinary insomnia does not make dementia inevitable. One exception:…
Yes · Moderate evidence
What can I do to sleep better?
Regular exercise is the most solid route to better sleep. Supplements sometimes help, but results are mixed. If you have pain,…
Strong evidence
How bad is screen light in the evening for my sleep?
Evening screen light disrupts your sleep through a biologically demonstrated mechanism, but how large the effect is in…
Is a daytime power nap healthy or not?
A power nap of less than 30 minutes taken early in the afternoon provides a modest but measurable boost to alertness and…
Moderate evidence
How harmful is irregular sleep or shift work, and what can you do about it?
Shift work and night work increase the risk of cardiovascular disease, diabetes, sleep problems and mental health complaints.…
Yes · Moderate evidence
How dangerous is sleep apnoea?
Moderate to severe sleep apnoea substantially increases your risk of cardiovascular disease, diabetes and depression.…
Is it safe to take melatonin every night?
For healthy adults, melatonin is safe with short-term use, but as a sleep aid for chronic insomnia it works considerably less…
Moderate evidence
Does magnesium help with poor sleep and muscle cramps, and which form should you take?
Magnesium may modestly speed up falling asleep in older adults with insomnia, but the evidence is small-scale and of limited…
Preliminary evidence
Bones54 questions
Which form of vitamin K2 is better: MK-4 or MK-7?
MK-7 has clearly better absorption than MK-4 at normal supplementation doses, and also activates proteins for bone and blood…
Moderate evidence
Should you take vitamin D together with vitamin K2?
Vitamin K2 has its own effect on bones, but the combination with vitamin D is not demonstrably better than K2 alone. For the…
Preliminary evidence
Do you really need calcium supplements for strong bones?
Whether you need calcium supplements depends strongly on your age and circumstances: for young, healthy women there is no…
Moderate evidence
Why do bones break more easily as you get older?
Bones become more brittle over the years because bone breakdown outpaces formation, hormonal changes (oestrogen) accelerate…
Does strength training help against osteoporosis?
Strength training demonstrably helps against osteoporosis: it increases bone density by one to three percent and also reduces…
Yes · Strong evidence
Can you still build bone mass after fifty?
Forming new bone after fifty is only possible to a limited extent, but slowing or stopping bone loss is very achievable with…
Yes · Moderate evidence
How deadly is a hip fracture for life expectancy?
A hip fracture strongly increases the risk of dying for many years, especially in older men and people with other illnesses.…
Does physiotherapy really help if you already have osteoporosis?
Supervised exercise genuinely helps if you have osteoporosis: it slows bone loss, improves your balance and muscle strength,…
Yes · Strong evidence
What does your balance have to do with preventing bone fractures?
Good balance and muscle strength reduce the risk of falling, and fewer falls mean fewer bone fractures. Supervised balance and…
Are there dietary patterns that have been proven to reduce bone fractures?
Fermented dairy, sufficient vegetables and fruit, and a varied diet with protein and calcium are best supported for bone…
Yes · Moderate evidence
Do people with darker skin have a greater risk of osteoporosis?
People with darker skin produce less vitamin D through sunlight, which more frequently leads to a deficiency and thus to a…
Yes · Moderate evidence
Can zinc contribute to stronger bones?
Zinc likely plays a genuine role in bone health, but whether supplementation offers any benefit in people without a deficiency…
Yes · Moderate evidence
Does a vegetarian diet weaken your bones?
Vegetarians, and vegans in particular, have on average lower bone density and a higher risk of fractures. That risk is not…
Yes · Moderate evidence
Does vibration plate training really help against bone loss?
Vibration plate training helps against bone loss, particularly in the lower back and partly in the hip, but regular strength…
Yes · Strong evidence
How quickly do you lose bone mass when you stop exercising?
A precise timeline for bone loss after stopping exercise is not established by this research. What you can do: strength…
What does using steroids (as in sports) do to your bones?
The effect of steroid misuse in sport on your bones has barely been studied at the high doses used in practice. The side…
Does diabetes increase the risk of bone fractures?
Diabetes clearly and demonstrably increases the risk of bone fractures, even when bone density appears normal. If you have…
What do thyroid problems have to do with osteoporosis?
Both an overactive and an underactive thyroid increase the risk of osteoporosis. If you have a thyroid condition, it is wise…
Can eating disorders such as anorexia cause permanent bone damage?
Anorexia causes permanent bone damage in the majority of cases, particularly when the condition begins during adolescence.…
Is soy good or bad for your bones after menopause?
Soy isoflavones probably do not protect the bones of postmenopausal Western women in any clinically meaningful way. It is…
No · Moderate evidence
Does drinking a lot of coffee increase the risk of bone fractures?
For most people, coffee does not appear to be a proven cause of bone fractures, but for women who drink a lot of coffee some…
Moderate evidence
Does omega-3 (fish oil) have an effect on bone strength?
Omega-3 does not appear to improve bone density in older adults; for bone preservation, it is better to focus on adequate…
No · Moderate evidence
Does boron as a supplement do anything for your bones?
Boron appears useful if you are not getting enough of it, but there is no good evidence that extra supplementation makes your…
Preliminary evidence
What does sunlight do for your bones, apart from producing vitamin D?
According to the available studies, sunlight has no demonstrable direct effect on your bones beyond the production of vitamin…
Is there a link between sleep deprivation and bone loss?
There is serious evidence to suggest that sleep deprivation and poor sleep quality go hand in hand with bone loss, especially…
Can having too little body fat damage your bones?
Too little fat can damage your bones, but muscle mass and the location of fat matter at least as much. If you have concerns…
Yes · Moderate evidence
Does being overweight affect your bone density?
Being overweight does not straightforwardly increase bone density, and the location and amount of fat strongly determine…
Do carbonated drinks damage your bones?
Drinking large amounts of sugary soft drinks is associated with lower bone density, but this effect is likely partly due to…
Moderate evidence
Does broth or bone broth actually do anything for your bones?
In rat research, bone broth did help against bone loss, but this has never been demonstrated in humans. It is too early to…
Insufficient evidence
What does magnesium do for your bone strength?
Getting enough magnesium through diet is clearly associated with stronger bones and a lower fracture risk, although large…
Is eating plant-based bad for your bones?
A strict vegan diet without supplementation increases the risk of weaker bones and fractures. With sufficient calcium, vitamin…
Yes · Moderate evidence
Does taking cortisone for a long time weaken your bones?
Taking corticosteroids in tablet or injection form for a prolonged period clearly damages the bones, but your doctor can…
Can statins (cholesterol-lowering medications) affect your bones?
The available study contains no data on bones, so no answer can be given on the basis of this material. If you have concerns…
Insufficient evidence
What happens to your bones when you lie in bed for a long time?
Prolonged bed rest demonstrably leads to substantial bone loss, particularly in the hip, spine and heel bone. Recovery takes…
Why do older adults break their hip so easily?
Older adults break their hip more easily due to the combination of more fragile bones (osteoporosis), more frequent falls, and…
Is walking enough to slow down bone loss?
Walking helps a little with mild bone loss, but is probably not enough if you genuinely want to build or preserve bone density…
Moderate evidence
Does running protect your bones better than swimming?
Running clearly stimulates bone formation better than activities without impact loading, but a direct comparison with swimming…
Yes · Moderate evidence
Does drinking a lot of alcohol weaken your bones?
Drinking heavily (three or more glasses per day) demonstrably weakens your bones and substantially increases the risk of a hip…
How much does smoking affect your bone density?
Smoking demonstrably damages your bone density and substantially raises your risk of a hip fracture; quitting helps, although…
Can adults still build bone mass, or only maintain it?
As an adult you can still increase your bone mass slightly, primarily through heavy strength training combined with…
Yes · Moderate evidence
What do bone-loss medications (bisphosphonates) do, and are they safe?
Bisphosphonates effectively inhibit bone breakdown and reduce the risk of fractures in osteoporosis. The rare side effect of…
Yes · Strong evidence
Do men get osteoporosis too?
Men certainly get osteoporosis, and after a first fracture they are at even greater risk of a subsequent fracture or death…
How much calcium do I need per day, and can too much be harmful?
Calcium requirements range from 800 mg (young children) to 1500 mg per day (older adults, teenagers, postmenopausal women). Up…
Yes · Strong evidence
Is collagen powder worth it for your joints?
For people with knee osteoarthritis or joint pain during exercise, there is reasonable support that collagen (hydrolysed, 10…
Yes · Moderate evidence
Does too little protein increase your risk of bone fractures as you age?
Yes, too little protein increases your risk of bone fractures in older age. This works through weaker bones as well as through…
Yes · Moderate evidence
How do I know if I am at risk of osteoporosis?
The risk factors for osteoporosis are well supported. If you recognise several of them in yourself, talking to your doctor and…
Moderate evidence
Which type of training has the best-proven track record against bone loss in later life?
High-intensity resistance training (at least 70-85% of maximum load, two to three times per week, for at least eight to twelve…
Strong evidence
Do calcium and vitamin D supplements really help against bone loss?
Calcium and vitamin D together can improve bone density and modestly lower the risk of hip fractures when a genuine deficiency…
Moderate evidence
How do I know whether my bones are strong enough (osteoporosis)?
Have your bone density measured with a DXA scan if you have risk factors, because osteoporosis produces no symptoms of its own…
How do I keep my bones strong after menopause?
Strong bones after menopause are achievable with weight-bearing exercise, adequate calcium and vitamin D, and where necessary…
Moderate evidence
Does glucosamine help with joint complaints?
Glucosamine sulfate (1500 mg per day) may produce a modest reduction in pain in knee osteoarthritis after twelve months, but…
Moderate evidence
Does vitamin K2 help your bones and blood vessels?
Vitamin K2 probably helps with bone building in postmenopausal women, but for blood vessels and fracture risk the evidence is…
Yes · Moderate evidence
Stronger bones and strength training -- does it help?
Strength training is a well-supported way to maintain or improve bone density, with the greatest effect from 2 to 3 supervised…
Yes · Strong evidence
Does vitamin D prevent me from breaking bones?
Vitamin D alone does not demonstrably reduce the risk of bone fractures. Combined with calcium it does help, especially in…
Moderate evidence
Metabolism55 questions
What does stable blood sugar do for healthy ageing?
A stable, low blood sugar is associated worldwide with more healthy life years. The association is clear, but the exact gain…
Yes · Moderate evidence
What is the relationship between fatty liver and type 2 diabetes?
Fatty liver and type 2 diabetes mutually reinforce each other, with abdominal fat and insulin resistance at their shared core.…
Does someone with diabetes age faster biologically?
Yes, diabetes noticeably accelerates biological ageing: the risk of cardiovascular disease, dementia, and premature death…
Does the timing of meals throughout the day affect your weight?
When you eat matters: meals earlier in the day appear more favourable for your metabolism than eating late, although the…
Yes · Moderate evidence
Does eating more fibre help against high blood sugar?
Eating more water-soluble fibre probably helps in lowering high blood sugar, but the overall meal composition also plays a…
Yes · Moderate evidence
What does alcohol do to your blood sugar and insulin sensitivity?
The effect of alcohol on your blood sugar depends strongly on when you drink, how much, and what you eat alongside it. On an…
Does cinnamon really lower your blood sugar?
Cinnamon can modestly lower fasting blood sugar in type 2 diabetes, but whether that makes any meaningful difference to…
Moderate evidence
Does strength training work better against high blood sugar than cardio?
Strength training appears to work better than cardio alone in people with diabetes and a normal weight, but in overweight…
Moderate evidence
What does chronic stress do to your weight in the long run?
Chronic stress contributes to long-term weight gain and abdominal fat through elevated cortisol, inflammation, and less…
How bad is sitting for too long for your blood sugar and metabolism?
Sitting for long uninterrupted periods noticeably impairs your blood sugar and metabolism, but short breaks of 2-3 minutes of…
What is the difference between high blood sugar and a blood sugar spike?
Chronically high blood sugar and a blood sugar spike are two different things that each require their own approach. If your…
Does cold showering or an ice bath speed up your metabolism?
Cold water raises your metabolism only during the immersion itself; after that the effect disappears. If you want to build…
No · Preliminary evidence
What does intermittent fasting do to your insulin sensitivity?
Intermittent fasting improves insulin sensitivity, but the studies are still mostly small and short-term. If you want to try…
What is visceral fat and why is it more dangerous than subcutaneous fat?
Visceral fat is more dangerous than subcutaneous fat because it acts directly on the liver, releases more inflammatory…
Does magnesium help with insulin resistance?
There is a reasonable amount of evidence that magnesium has a beneficial effect on insulin resistance, particularly if your…
Yes · Moderate evidence
Why do you gain weight more easily after 40, even if you eat the same amount?
After forty, your body burns fewer calories, mainly due to muscle loss and a lower resting metabolism. You therefore do not…
Is brown fat really different from regular fat, and can I activate it?
Brown fat is genuinely different from regular fat and you can activate it, with cold exposure having the strongest evidence.…
Yes · Strong evidence
How does metformin work in the body?
Metformin lowers blood sugar primarily by inhibiting glucose production in the liver and through effects on the gut, but…
Does metformin help with weight loss?
Metformin helps with weight loss, but the effect is modest: expect a few kilograms, not a dramatic transformation. Lifestyle…
Yes · Moderate evidence
Does strength training help against insulin resistance?
Strength training probably helps against insulin resistance, although the effect is most strongly demonstrated in combination…
Yes · Strong evidence
How do you measure insulin resistance?
There are several ways to measure insulin resistance, ranging from an accurate but expensive hospital method to simple blood…
Does insulin resistance accelerate ageing?
Insulin resistance is associated with measurably faster biological ageing, greater muscle loss, and possibly a higher risk of…
Yes · Moderate evidence
What foods improve your insulin sensitivity?
Diet can clearly improve your insulin sensitivity: a wholesome diet high in fibre, eating your largest meal early in the day,…
Moderate evidence
What are the earliest signs of insulin resistance?
Early signs of insulin resistance are measurable long before a diabetes diagnosis: elevated fasting insulin, abdominal fat,…
Can your HbA1c also be too low?
An HbA1c below 5.0% is associated with an increased risk of death in people without diabetes, although this is likely a signal…
Yes · Moderate evidence
How often should you have your HbA1c measured?
The ideal measurement frequency differs by situation: with prediabetes, annual monitoring is worthwhile; with type 2 diabetes,…
Moderate evidence
What does your HbA1c tell you about your risk of diabetes and ageing?
An elevated HbA1c, even well below the official diabetes threshold, is associated with a greater risk of diabetes, kidney…
How do you lower a high HbA1c?
Several medications demonstrably lower HbA1c: the weekly semaglutide injection has the strongest evidence base, but oral…
Strong evidence
What is a healthy HbA1c value?
There is no fixed 'healthy' HbA1c value: lower within the normal range appears to be better, but how low is optimal also…
Do proteins inhibit or boost your autophagy?
Eating a lot of protein, especially red and processed meat, likely inhibits autophagy via higher IGF-1 levels. If you want to…
Yes · Moderate evidence
What is the relation between NAD+ and vitamin B3?
Vitamin B3 is the only dietary building block for NAD+ in your body -- that relationship is causal and well supported. Whether…
Does coffee activate mTOR?
Caffeine does not activate mTOR -- it actually inhibits it. Whether this also holds for normal coffee consumption in humans…
What is AMPK and how do you activate it (through fasting or exercise)?
Exercise is the most solid way to activate AMPK. Fasting has surprisingly little measurable effect in muscle itself, and a…
Yes · Moderate evidence
What does insulin do to the ageing process?
Chronically high insulin signalling contributes to accelerated ageing and age-related diseases; maintaining your insulin…
Is yo-yo dieting -- repeatedly gaining and losing weight -- bad for me?
Yo-yo dieting has real biological disadvantages, such as a lower metabolism and fatty tissue that appears to become more…
Moderate evidence
Does eating a lot of sugar give you type 2 diabetes?
Sugary drinks clearly and demonstrably increase your risk of type 2 diabetes. Sugar from solid food barely does. The biggest…
Does it make sense to limit blood sugar spikes, even without diabetes?
Limiting blood sugar spikes makes sense even without diabetes. The simplest and best-supported method is to take a short walk…
Yes · Preliminary evidence
Why is it harder for me to lose weight than it used to be?
Ageing lowers your energy expenditure through muscle loss and a slower metabolism, making weight loss objectively harder.…
Does my metabolism really slow down as I get older?
Your resting metabolism really does decline with age, but the biggest culprit is muscle loss, not some mysterious metabolic…
Does it matter what time of day I eat?
Eating earlier in the day is more beneficial for your weight, blood sugar and hormonal balance than eating late or at night.…
Yes · Moderate evidence
Which works better for weight loss: semaglutide or tirzepatide?
Tirzepatide produces greater weight loss and better blood sugar control than semaglutide on average. Gastrointestinal…
Yes · Moderate evidence
What is NAD+ and what does it do in your body?
NAD+ is an indispensable molecule for energy, DNA repair and cell health, but the question of whether you should actively…
Does berberine help against high blood sugar (the natural metformin)?
Be careful with this. Berberine measurably lowers blood sugar, but EFSA could not establish a safe intake level (signs of DNA…
Yes · Moderate evidence
How bad is fructose compared to regular sugar?
Fructose places a greater burden on the liver than glucose and raises triglycerides, belly fat and uric acid more. But regular…
How do I know whether my blood sugar is healthy (prediabetes)?
Prediabetes is detected through a simple blood test at your GP's practice. For most people it is not an inevitable step toward…
How much sugar is too much?
Getting more than 10% of your daily calories from free sugars, roughly 50 grams, increases the risk of metabolic syndrome,…
I am overweight -- what will losing weight do for me?
Losing weight when overweight or obese produces real health gains. Combine a healthy diet with aerobic training and strength…
Does excess weight accelerate ageing?
Excess weight demonstrably accelerates biological ageing, but metabolic health counts at least as heavily as the number on the…
What is NAD+ and why does it decline as you age?
NAD+ is an indispensable energy carrier and guardian of your DNA, and your body produces less of it as you age. The mechanisms…
Do diabetes pills (SGLT2 inhibitors) also work against ageing?
For people with heart or kidney problems, large trials show that SGLT2 inhibitors clearly do more than lower blood sugar…
Moderate evidence
Does a walk after eating help with your blood sugar?
A short walk after eating, or better still several short walking breaks of 2 to 3 minutes spread throughout the day, is a…
Yes · Strong evidence
Does coffee help prevent type 2 diabetes?
Three to four cups of coffee a day is associated with a lower risk of type 2 diabetes, but this is an observed association,…
Yes · Moderate evidence
What is metabolic syndrome and how do I get rid of it?
Metabolic syndrome is silent but serious: years without symptoms, yet with a substantially elevated risk of cardiovascular…
Yes · Strong evidence
Is a glucose meter useful if you don't have diabetes?
Without diabetes, a glucose monitor gives you some genuinely interesting information about how your body responds to food,…
Preliminary evidence
What is insulin resistance and can I reverse it?
For most people, insulin resistance can be substantially reduced or even reversed through more exercise and a healthier diet,…
Yes · Strong evidence
Skin64 questions
Does slugging (smearing your skin with petroleum jelly) actually work?
Petroleum jelly genuinely works as a sealing layer that reduces moisture loss, but for structurally dry skin or barrier repair…
Yes · Moderate evidence
Does skin cycling really work better for your skin?
Skin cycling as a method has never been clinically tested, so it cannot be said to work better than a regular routine. If you…
Insufficient evidence
Does a vampire facial (PRP) work against skin ageing?
PRP has a modest, probably real effect on skin thickness and elasticity, but does little for wrinkles or pigmentation spots.…
Moderate evidence
Does castor oil work for your eyelashes and skin?
For eyelid inflammation and dark circles there are small positive studies, but the evidence is too thin for firm conclusions.…
Preliminary evidence
Does rosemary oil really work for hair growth?
Rosemary oil performs as well as minoxidil 2% in one small study, but dermatologists do not yet recommend it; feel free to use…
Preliminary evidence
Is beef tallow good for your skin?
There is no scientific evidence that beef tallow is effective for the skin in cases of acne, eczema or psoriasis. The online…
Insufficient evidence
Do gua sha and microcurrent devices work against skin ageing?
Both gua sha and electrical devices show measurable effects on skin ageing in small studies, but they work in different ways:…
Yes · Moderate evidence
Do copper peptides (GHK-Cu) work in skincare?
GHK-Cu shows positive effects on collagen and skin in the lab, but clinical evidence in humans is absent. Do not expect too…
Preliminary evidence
Does snail mucin actually work for your skin?
Snail mucin shows promising effects in laboratory and cell studies, but clinical evidence in humans is still largely absent.…
Preliminary evidence
Do exosomes in skincare really work?
There are preliminary indications that exosomes may do something for the skin, but the clinical evidence is very thin: one…
Preliminary evidence
Do polynucleotide or salmon DNA facial treatments actually work?
There are cautious indications that polynucleotide injections may improve the skin around the eyes, but well-controlled…
Preliminary evidence
Does red orange extract (Red Orange Complex) help against skin ageing and pigmentation spots?
One small study shows a striking reduction in pigmentation spots and skin redness after 15 days of 100 mg red orange extract,…
Preliminary evidence
Does microneedling work for wrinkles and scars?
Microneedling demonstrably works for wrinkles and acne scars, with radiofrequency microneedling being the variant with the…
Yes · Moderate evidence
Do chemical peels with fruit acids help against skin ageing?
Chemical peels demonstrably help against sun damage, wrinkles, and pigmentation spots, but for brown spots laser treatments…
Yes · Moderate evidence
Does taking collagen supplements actually work against wrinkles?
Taking hydrolysed collagen reduces wrinkles and improves hydration and elasticity, although the effects are modest and no…
Yes · Moderate evidence
Does your body odour change as you get older?
Yes, your body odour changes from around your forties onwards because a substance forms on your skin that is barely detectable…
Does fasting or calorie restriction make the skin look younger?
Fasting and calorie restriction appear to protect the skin in animal research, but direct evidence in humans that your skin…
Preliminary evidence
Does smoking age a smoker's skin on the inside too, or only on the outside?
Smoking does not only age the outside of your skin; it damages blood vessels, protective barriers and inflammatory regulation…
Does astaxanthin help protect your skin from the sun?
Astaxanthin likely offers some protection against UV damage, but the studies are too small and too commercially funded to…
Preliminary evidence
Do cold showers really make your skin tighter?
Cold showers do not make your skin tighter; frequent showering can actually damage the skin barrier and cause dry skin,…
No · Preliminary evidence
Can using too much retinol actually damage your skin?
Doses that are too high or built up too quickly can damage the skin barrier and cause irritation; start low and increase…
Yes · Preliminary evidence
Does resveratrol in skin cream actually do anything?
Resveratrol in skin cream demonstrably reaches the skin and has antioxidant activity, but whether it produces any visible…
Preliminary evidence
Is mineral sunscreen better for your skin than chemical sunscreen?
Both types of sunscreen protect your skin, but there is no direct comparative study that identifies mineral sunscreen as the…
Preliminary evidence
Does physical inactivity accelerate skin ageing?
Based on the available studies, nothing can be said about whether physical inactivity accelerates skin ageing. If you want to…
Insufficient evidence
Does chronically poor air quality age your skin?
Chronic exposure to air pollution measurably accelerates skin ageing, and the evidence for this is reasonably consistent. If…
Does red light therapy really help against skin ageing?
Red light therapy shows positive effects on wrinkles and skin quality in small studies, but without large controlled trials it…
Preliminary evidence
Do people with dark skin age more slowly than people with light skin?
Dark skin ages visibly more slowly than light skin, primarily because greater amounts of higher-quality melanin limit sun…
Yes · Moderate evidence
Does zinc help with acne and healthier skin?
Zinc demonstrably reduces inflamed spots, but works less well than the usual treatments such as benzoyl peroxide. It is most…
Yes · Moderate evidence
Does a cotton versus silk pillowcase really make a difference for wrinkles?
Based on the available study, nothing can be said about this. The source contains no information about pillowcases or…
Insufficient evidence
Does omega-3 from fish or flaxseed help give you better-looking skin?
Omega-3 shows preliminary indications of an effect on skin inflammation in conditions such as eczema and psoriasis, but the…
Preliminary evidence
Does a low-fat diet slow down skin ageing or make it worse?
There is no good research directly comparing a low-fat diet with a high-fat diet on skin ageing in humans. Focus on the type…
Insufficient evidence
Does drinking coffee dry out your skin?
Drinking coffee does not dry out your skin: the available research points rather in the opposite direction, but the studies…
No · Preliminary evidence
Do AHAs or BHAs really help against wrinkles and blemishes?
The sources provided contain no information about AHAs or BHAs, so no conclusions can be drawn from them. A well-supported…
Insufficient evidence
Does resveratrol really help protect cells against ageing?
Resveratrol protects cells impressively in the lab, but whether that also works in practice for you is uncertain: the body…
Preliminary evidence
Does screen time (blue light) age your skin?
Whether your screen meaningfully ages your skin has not been proven; the light doses used in research were far higher than…
Preliminary evidence
Does a face mask really work, or is it mostly just a treat for yourself?
An LED mask or a mask containing active ingredients such as salicylic acid works measurably better than doing nothing, but the…
Yes · Moderate evidence
Does urban pollution accelerate the ageing of your skin?
Urban pollution probably accelerates skin ageing, primarily through increased pigmentation spots and a weakened skin barrier.…
Is expensive face cream better than a cheap one?
A higher price says nothing about how well a face cream works; it is better to choose based on product type and the…
No · Preliminary evidence
Can your skin get used to retinol so that it becomes less effective?
Your skin gets used to the side effects of retinol, such as flaking and redness, but not to the effect itself; the active…
Do peptides in skincare actually do anything?
Peptides in skincare probably help to some degree, particularly for sun-damaged skin, but the effect is modest and cannot be…
Yes · Moderate evidence
Does menopause accelerate skin ageing?
Menopause noticeably accelerates the loss of collagen, moisture retention and skin thickness, but spots and skin cancer are…
Does your skin get thicker or thinner as you age?
Your skin thins at two levels with age: that is well established. Retinoid creams have the most support if you want to slow…
Does using a night cream help?
A night cream improves hydration and, with consistent use, can also have a visible effect on wrinkles, pores, and skin tone.…
Yes · Moderate evidence
Does your skin age faster than your organs?
There is no direct evidence that the skin ages faster than your internal organs, but the skin does have a specific and…
Does a high SPF really protect better than SPF 30?
SPF 50 offers slightly more protection than SPF 30 in theory, but in practice the way you apply sunscreen makes more…
Preliminary evidence
Do facial expressions cause more wrinkles?
The available studies do not answer this question, so no conclusion can be drawn from them. If you want to know, look for…
Does bakuchiol work as well as retinol but more gently?
Bakuchiol appears to target skin aging through biological pathways similar to those of retinol and is clearly gentler on the…
Preliminary evidence
Does sleep deprivation age your skin faster?
Sleep deprivation demonstrably worsens your hydration, elasticity, and wrinkles, after as little as one poor night. Aim for…
What happens to your DNA when you get too much sun?
Too much sun demonstrably damages your DNA and increases the risk of skin cancer. Protect your skin, especially if you have a…
Does rapamycin reverse or prevent gray hair?
Cell and animal research shows that rapamycin can activate pigment cells, but there are no studies in healthy humans and the…
Insufficient evidence
Does rapamycin improve skin aging?
Topical rapamycin showed promising signs for skin ageing in a small study, but the evidence is still too thin to justify…
Preliminary evidence
What causes age spots and can you prevent them?
Years of sun exposure is the clearest cause of age spots. Consistent sun protection is the smartest prevention; for existing…
Yes · Moderate evidence
Can you still repair sun damage to your skin?
Partial repair is possible, but full reversal is not. So start now with UV protection, sleep well and eat enough protein.
Preliminary evidence
Does niacinamide (vitamin B3) visibly benefit your skin?
Niacinamide cream (5%) demonstrably improves ageing skin and skin tone, and is safe to use. For people with a history of skin…
Yes · Moderate evidence
Does drinking a lot of water really help against dry skin and wrinkles?
Drinking extra water barely helps against dry skin and demonstrably does not help against wrinkles. Collagen peptides at 1000…
No · Moderate evidence
Does sugar accelerate skin ageing through glycation?
The biological mechanism is rock solid: chronically high blood sugar levels accelerate the breakdown of collagen and elastin…
Does hyaluronic acid applied to your skin actually help against dryness and wrinkles?
Hyaluronic acid on your skin genuinely helps against dryness. Injections work most powerfully against wrinkles. A pill or…
Yes · Moderate evidence
Does a vitamin C serum help against pigmentation spots and ageing?
Vitamin C serums likely reduce pigmentation spots and early signs of ageing, but the studies are too small or lack control…
Yes · Moderate evidence
What do smoking and alcohol do to the ageing of your skin?
Smoking demonstrably accelerates skin ageing through oxidative stress and inflammation. There are indications for alcohol, but…
What is the best-proven remedy for wrinkles: retinol or vitamin C?
Retinol has the more concrete evidence base for wrinkle reduction. A direct comparison with vitamin C is lacking. Start at a…
Moderate evidence
What actually works against skin aging?
Using sunscreen daily is the best-supported way to slow skin ageing, supplemented by not smoking, moderate alcohol consumption…
Moderate evidence
Do collagen supplements work against skin ageing?
Taking 2.5 to 10 grams of hydrolysed collagen daily for at least 8 weeks produces demonstrable but modest improvements in skin…
Yes · Moderate evidence
Does retinol help against wrinkles?
Retinol demonstrably works against wrinkles and improves skin texture, although tretinoin is more potent for those who can or…
Yes · Moderate evidence
Does sunscreen also protect against skin ageing?
Using broad-spectrum sunscreen daily demonstrably slows sun-induced skin ageing; anyone with concerns about chemical filters…
Yes · Moderate evidence