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#04 / TIMEEducation · not medical advice

LONGEVITY KILL

“Outlive your enemies.”

// 01

The goal.

More healthy years, not just more years. Death optional is the attitude; healthspan is the target.

The strongest predictors of a long, healthy life are not exotic: cardiorespiratory fitness, muscle strength, not smoking, blood pressure, ApoB, blood sugar, sleep and the people around you. Start there. The compounds below are the speculative end of the conversation.

// 02

Foundations first.

01

Fitness

Cardiorespiratory fitness (VO₂ max) is one of the strongest predictors of all-cause mortality in large studies. Train for it.

02

Strength

Grip and leg strength track with longevity and independence in old age.

03

The cardiovascular numbers

Blood pressure, ApoB and Lp(a) drive the disease that kills the most people. Know yours.

04

Sleep and light

Consistent sleep and daylight. See S.T.A.R.T.E.D.

05

Screening

Age-appropriate cancer screening catches what lifestyle cannot prevent.

06

People

Social connection is associated with longer life about as strongly as many medical risk factors.

The free version of all of this: S.T.A.R.T.E.D.

// 03

The compounds people ask about.

These come up in every longevity conversation. None has been shown to extend human life or healthspan. Here is what the research does show.

No doses, schedules, combinations or sources — by design.

Evidence · Mostly animal and lab studies

Epitalon

Epithalon · AEDG peptide

What it is

A synthetic four-amino-acid peptide modelled on epithalamin, an extract of the pineal gland. It was developed by a research group in St Petersburg, Russia.

How it’s thought to work

Lab and animal studies report effects on telomerase activity in cell cultures and on melatonin rhythms in older animals.

What the research shows

  • —Most of the literature is animal and cell work, plus small human studies from the group that developed it.
  • —It has not been tested in rigorous, independently run trials. Read the literature as a signal, not proof.

Risks and side effects

  • —Long-term safety in humans is unknown. FDA cites possible immune reactions and impurities.
  • —Because it is described as growth-regulating, a history of cancer is a reason for caution.
  • —No data in pregnancy or breastfeeding.

Regulatory status

  • —Not approved by FDA for any use.
  • —FDA put it in “category 2” of its compounding policy — substances that may present significant safety risks. The nomination was later withdrawn, and in April 2026 FDA moved it to the “nominated but withdrawn” list on the same page, which still sets out its safety concerns. Withdrawal does not make it approved, and it does not place it in category 1 (the substances FDA is still evaluating for compounding).
  • —It was one of the peptides reviewed at FDA’s Pharmacy Compounding Advisory Committee in July 2026. The committee’s votes are recommendations only; as of 2 October 2026 FDA has not added it to the list of substances pharmacies may compound.

Sources

Evidence · Small human studies

Thymalin

What it is

A mixture of peptides extracted from calf thymus, used in Russia since the 1980s.

How it’s thought to work

Proposed to support immune signalling from the thymus, which shrinks with age.

What the research shows

  • —Russian studies of immune markers and long-term follow-up in older adults. Small, not independently replicated, and not run to Western regulatory standards.

Risks and side effects

  • —An animal-derived extract: purity, consistency and allergic reactions are real concerns.
  • —Anyone with an autoimmune condition should treat any immune-active product with caution.

Regulatory status

  • —Not approved by FDA for any use.
  • —It does not appear on FDA’s published lists of substances nominated for compounding (checked against the 14 May 2026 list).

Sources

Evidence · Small human studies

NAD+

Nicotinamide adenine dinucleotide

What it is

A coenzyme every cell uses for energy metabolism and DNA repair. Levels fall with age in many tissues in animal studies and some human studies.

How it’s thought to work

The idea is that restoring NAD+ supports cellular energy and repair. Precursors such as nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN) are studied as indirect ways to raise it.

What the research shows

  • —Small human trials show the precursors raise NAD+ levels in blood. Effects on things you would actually feel or measure — strength, insulin sensitivity, function — have been small or inconsistent.
  • —Direct NAD+ infusions have very little controlled data.

Risks and side effects

  • —Infusions: flushing, nausea, chest tightness and cramping are commonly reported. A cardiac history warrants a clinician’s review.
  • —Lab studies show cancer cells also rely on NAD+; whether raising it matters for cancer risk in people is unknown.

Regulatory status

  • —NAD+ is not an FDA-approved drug. For compounding it is in FDA’s category 1 (under evaluation) as of 14 May 2026.
  • —NR and NMN are sold as dietary supplements, which FDA does not review for safety or effectiveness before sale.

Sources

// 04

Labs to discuss.

Worth asking your clinician about before you change anything:

  • —ApoB and a one-time Lp(a).
  • —HbA1c and fasting insulin.
  • —Blood pressure, measured properly and at home.
  • —hs-CRP.
  • —Comprehensive metabolic panel and CBC.
  • —Age-appropriate cancer screening.
The full baseline panel →

// 05

Questions for your clinician.

  1. 01What are my biggest modifiable risks, based on my numbers and family history?
  2. 02Which screenings am I due for?
  3. 03How should I measure fitness and strength over time?
  4. 04What is the evidence for the longevity products I am hearing about, and are any of them risky for me?

// 06

Keep reading.

// 07

Related kills.

// Education · not medical advice

Talk to a licensed clinician.

This is education, not medical advice. KILLER*.HEALTH does not publish doses, schedules or combinations, does not sell or recommend any compound, and does not tell you where to get one. Compounds described here that are not FDA-approved have not been shown to be safe or effective. Before starting, stopping or changing anything about your health, talk to a licensed clinician who knows your history.