Each paper shows what it tested, what it found, and who has a stake. Links go to PubMed.
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100 people · adults aged 60 to 90 with memory worries
Tested0.9 mg a day from wheat germ for 12 months, vs placebo (the SmartAge trial)
No difference on the main memory test. Extra analyses hinted at benefits for verbal memory and inflammation.
No differenceStake: The Longevity LabsAbstract only
Three authors hold equity in or advise The Longevity Labs. Another was its chief executive during the trial.
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30 people · adults aged 60 to 80 with memory worries
TestedSpermidine-rich plant extract for 3 months, vs placebo
Memory scores were moderately better than placebo. A small pilot, and the uncertainty range touched zero.
Points to benefitAuthors linked to a stakeAbstract only
No disclosure in PubMed. Three co-authors (Madeo, Sigrist, Stekovic) disclosed stakes in The Longevity Labs in other papers.
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85 people · nursing-home residents aged 60 to 96
TestedA higher vs a lower spermidine dose for 3 months
People with mild dementia on the higher dose gained 2.23 points on a memory screening test (MMSE). The authors call these first, preliminary results.
Points to benefitNo stake declaredAbstract only
No competing interests. The authors funded the study themselves.
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75 people · people from the SmartAge trial, with brain scans
Tested0.9 mg a day for 12 months, vs placebo
Small differences in blood flow and white matter in two brain regions. No change in brain size, and no link to memory. The authors call it exploratory.
Points to benefitAuthors linked to a stakeAbstract only
No disclosure in PubMed. Three co-authors (Madeo, Eisenberg, Sigrist) disclosed stakes in The Longevity Labs in the 2022 SmartAge paper.
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40 people · adults over 65 after a COVID-19 vaccine dose
Tested6 mg a day for 13 weeks, vs placebo
Well tolerated. In people who had responded poorly to the vaccine, antibody responses got stronger. A pilot study.
Points to benefitStake: The Longevity LabsAbstract only
Two authors consult for The Longevity Labs, which also helped fund the work. The paper says the company had no input into design or results.
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12 people · healthy adults
Tested1.5 or 3.3 mg a day from a rice germ extract for 56 days. No placebo group described.
The higher dose raised two autophagy markers by 7.3% and 13.4% and lowered the inflammation marker CRP by 20.8%, compared with starting values.
Points to benefitNo disclosure in PubMedAbstract only
No disclosure in PubMed. The study tested a named commercial extract (Miricell, Nutraland USA).
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12 people · healthy adults
Tested15 mg a day for 5 days, vs placebo
Blood spermidine did not rise. Blood spermine did. The authors say doses under 15 mg a day are unlikely to have short-term effects.
No differenceNo stake declaredAbstract only
No conflict of interest declared.
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37 people · healthy men aged 50 to 70
Tested40 mg a day of high-purity spermidine for up to 28 days, vs placebo
No safety problems found. Blood and urine polyamine levels did not change much.
No differenceStake: a companyAbstract only
Two authors work for Chrysea Labs, which also funded the other authors.
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30 people · adults aged 60 to 80 with memory worries, plus mice
Tested1.2 mg a day from wheat germ for 3 months, vs placebo
No differences in safety tests, weight, or self-rated health. Well tolerated.
No differenceStake: The Longevity LabsAbstract only
Four authors have a financial interest in The Longevity Labs.
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44 people · healthy adults near the top of the healthy weight range
TestedYogurt with a probiotic and arginine for 12 weeks, vs plain yogurt
Blood vessel function improved, and blood spermidine rose. Not a spermidine supplement.
Points to benefitStake: a companyAbstract only
Two authors work for Kyodo Milk Industry, which funded the study and sells products with this probiotic.
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41 people · adults aged 30 to 63
TestedA blend of AM3, 0.6 mg spermidine, and hesperidin for 2 months, vs placebo
Immune tests improved, and an immune-based age score fell by 11 years. The effect cannot be credited to spermidine alone.
Points to benefitNo stake declaredAbstract only
No conflicts of interest declared.
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5 people · healthy young men
TestedOne dose of a mix of spermidine and three other compounds
Blood taken after the dose reduced inflammation signals in lab cells.
Points to benefitNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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42 people · adults
TestedA mix of spermidine and three other compounds (Mimio) for 8 weeks, vs placebo
More people reported less appetite at mealtimes (91% vs 47%).
Points to benefitStake: a companyAbstract only
Funded by Mimio Health. One author works there.
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187 people · adults over 65 with heart disease
Tested24 mg a day for 48 weeks, vs placebo (the POLYCAD trial)
Results not yet published. The protocol expected the trial to finish in August 2026.
No directionNo stake declaredAbstract only
No conflicts declared. A supplement firm (DoNotAge) donated the capsules.
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829 people · adults aged 45 to 84, followed 20 years
TestedSpermidine in the diet, from repeated food questionnaires
Each step up in intake (one standard deviation) went with a 26% lower death rate (HR 0.74). A second study group showed the same pattern.
Points to benefitAuthors linked to a stakeAbstract only
No disclosure in PubMed. Three co-authors (Madeo, Eisenberg, Stekovic) disclosed stakes in The Longevity Labs in other 2018 papers.
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23,894 people · US adults (NHANES 2003 to 2014)
TestedSpermidine in the diet
The top quarter of intake had 30% lower death from any cause (HR 0.70) than the bottom quarter.
Points to benefitNo stake declaredAbstract only
No commercial or financial relationships declared.
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29,079 people · Japanese adults, followed 16 years
TestedSpermidine in the diet, from a food questionnaire
No link with death from any cause. A possible higher cancer death rate in women (HR 1.38, range 0.99 to 1.93).
No differenceNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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54,517 people · US men in a cancer screening trial
TestedSpermidine in the diet, from a food questionnaire
No link with prostate cancer or prostate cancer death. A link with fewer deaths overall, which the authors say may come from other factors.
No differenceNo stake declaredAbstract only
No commercial or financial relationships declared.
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77,092 people · UK adults aged 60 and over, followed 12 years
TestedSpermidine in the diet
The fourth of five intake groups had lower dementia risk (HR 0.68). The pattern was a curve, not a steady trend.
MixedNo stake declaredAbstract only
No support from any organization declared.
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184,732 people · UK adults, followed 11.5 years
TestedAll polyamines in the diet, not spermidine alone
Every group above the lowest intake had lower death risk. The lowest risk was in the second-lowest group (HR 0.82), so more was not better.
MixedNo stake declaredAbstract only
No conflicts of interest declared.
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2,674 people · US adults aged 60 and over (NHANES 2011 to 2014)
TestedSpermidine in the diet
The top intake group had lower odds of poor scores on all four thinking tests. Measured at one point in time.
Points to benefitNo stake declaredAbstract only
No conflicts of interest declared.
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2,664 people · older adults with metabolic syndrome, followed 1 year
TestedChanges in dietary spermidine
The group with the highest and rising intake had better liver fat scores and HbA1c (down 0.14%). Its BMI also fell.
Points to benefitNo stake declaredAbstract only
No spermidine-company tie declared. Some authors report food-industry funding.
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187 people · older adults with heart disease
TestedSpermidine in the diet
Each doubling of intake went with higher fitness (peak oxygen uptake up 2.6 mL/kg/min). Measured at one point in time.
Points to benefitNo stake declaredAbstract only
No spermidine-company tie declared.
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Number not stated · UK Biobank adults
TestedSpermidine in the diet and a biological age score
No abstract in PubMed, so the result was not read.
No directionNo stake declaredAbstract only
No competing interests declared.
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1,164 people · adults with past colon polyps, from two trials
TestedAll polyamines in the diet
Above-median intake went with 39% higher odds of new colon polyps (OR 1.39).
Points to harmNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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87,602 people · US women after menopause (Women's Health Initiative)
TestedAll polyamines in the diet
No higher risk of colorectal cancer. Some intake groups had slightly lower risk.
No differenceNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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1,504 people · Korean adults, followed 9 years
TestedSpermidine in the blood
Higher blood spermidine went with more fragility fractures (HR 1.35 per 1 μM).
Points to harmNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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Number not stated · adults in a community study
TestedSpermidine in the blood
The top blood spermidine group had about five times the stroke risk of the bottom group (HR 5.02, range 1.58 to 16.02).
Points to harmNo stake declaredAbstract only
No commercial or financial relationships declared.
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659 people · adults aged 21 to 81 (Study of Health in Pomerania)
TestedSpermidine in the blood
Higher blood spermidine went with a smaller memory center (hippocampus) and other signs of brain aging.
Points to harmNo stake declaredAbstract only
Some authors report drug-industry fees. None is tied to spermidine.
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76 people · 43 people with Alzheimer's disease, 12 with mild memory loss, 21 healthy
TestedSpermidine in the blood
Blood spermidine was higher in people with mild memory loss than in healthy people.
Points to harmNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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3,774 people · adults over 35
TestedSpermidine in the blood
Middle and high levels went with about 20% lower odds of mild memory loss. The link was a curve, not a straight line.
MixedNo stake declaredAbstract only
No commercial or financial relationships declared.
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377 people · heart attack patients, followed about 1 year
TestedSpermidine in the blood
Higher levels went with fewer major heart events (HR 0.566 for the top third vs the bottom third).
Points to benefitNo stake declaredAbstract only
No conflict of interest declared.
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297 people · kidney disease patients, followed 6 years
TestedSpermidine in the blood
Higher levels went with fewer heart events (HR 0.077). The link with death faded after accounting for kidney function.
Points to benefitNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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Number not stated · genetic data
TestedGenes that set blood spermidine (Mendelian randomization)
Genes for lower spermidine went with higher coronary heart disease risk.
Points to benefitNo stake declaredAbstract only
No competing interests declared.
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78 people · three age groups, including 26 people aged 90 to 106
TestedPolyamines in the blood
Total polyamines were lower in older groups. People aged 60 to 80 had the lowest spermidine.
No directionNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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80 people · nursing-home residents aged 60 to 96
TestedSpermidine in the blood
Blood spermidine was linked to memory test scores. The abstract does not say in which direction.
No directionNo stake declaredAbstract only
No competing interests declared.
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Number not stated · twins
TestedSpermidine in red blood cells
Red cell spermidine is 82% inherited. The link to long life is indirect, through red cell size.
No directionNo stake declaredAbstract only
No competing interests declared.
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192 people · older adults with heart disease
TestedSpermidine in the diet vs in blood and muscle
Doubling intake went with 18% higher blood levels. Muscle levels showed no link.
No directionNo stake declaredAbstract only
No conflicts declared.
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yeast, flies, worms; human cells in a dish
TestedSpermidine
Markedly longer lifespan in yeast, flies, and worms.
Points to benefitNo disclosure in PubMedAbstract only
No disclosure in PubMed. Several authors later held equity in The Longevity Labs, founded in 2016.
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mice and rats; diet data in people
TestedSpermidine in food or water
Longer lifespan in mice and a healthier aging heart.
Points to benefitStake: The Longevity LabsAbstract only
Five authors hold equity in The Longevity Labs.
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mice
TestedLifelong spermidine
Up to 25% longer life, and less liver scarring and liver cancer after chemical injury.
Points to benefitNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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mice
TestedFood high in spermine and spermidine
Higher survival on the high-polyamine food.
Points to benefitNo disclosure in PubMedAbstract only
No disclosure in PubMed.
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middle-aged male rats
TestedSpermidine in drinking water
No longer life. Some health measures improved, including less brain inflammation.
No differenceNo stake declaredAbstract only
No conflict of interest declared.
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mice on a high-fat diet
TestedSpermidine in drinking water for 30 weeks
Spermidine made heart scarring and fat build-up worse. Exercise did not.
Points to harmNo stake declaredAbstract only
No conflict of interest declared.
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mice and flies; diet data in people
TestedSpermidine in food
Old mice learned better.
Points to benefitStake: The Longevity LabsAbstract only
Authors hold equity in The Longevity Labs. Two are inventors on a related pending patent.
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yeast, worms, flies, mice; blood from fasting volunteers
TestedBlocking the body's own spermidine during fasting
Fasting raised spermidine. Blocking that rise removed fasting's lifespan benefit in animals.
Points to benefitStake: The Longevity LabsAbstract only
Authors hold equity in The Longevity Labs or co-founded Samsara Therapeutics.
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yeast, worms, flies, mice
TestedBlocking spermidine during fasting or rapamycin
The same pattern for fasting and for the drug rapamycin. May repeat data from the paper above.
Points to benefitStake: The Longevity LabsAbstract only
One author holds equity in The Longevity Labs and Samsara Therapeutics.
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human cancer cells in a dish
TestedPolyamines, the family that includes spermidine
Polyamines help cancer cells make a protein that supports their growth (eIF5A2).
Points to harmNo stake declaredRead in fullSubmitted by a reader
No conflicts of interest declared.
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Argues that spermidine acts like a vitamin in old age. No new data.
No weight on the ladderStake: The Longevity LabsRead in fullSubmitted by a reader
From the full text: three of four authors co-founded Samsara Therapeutics, and two hold equity in The Longevity Labs.
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Review of spermidine in health and disease.
No weight on the ladderAuthors linked to a stakeAbstract only
No disclosure in PubMed. Co-authors Madeo and Eisenberg disclosed stakes in The Longevity Labs in other papers.
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Review of spermidine in food and health.
No weight on the ladderAuthors linked to a stakeAbstract only
No disclosure in PubMed. Co-authors Madeo and Eisenberg disclosed stakes in The Longevity Labs in other papers.
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Review on Alzheimer's disease: the evidence is not enough to support using spermidine.
No weight on the ladderNo stake declaredAbstract only
Authors report company stakes. None is tied to spermidine.