Resveratrol — Supplements

Polyphenol stilbene activating sirtuins and mimicking caloric restriction for longevity and cardiometabolic benefits.

Overview

Resveratrol (3,5,4'-trihydroxystilbene) is a polyphenolic compound found in red grapes, berries, and peanuts that activates SIRT1 and mimics aspects of caloric restriction. It has demonstrated cardiovascular protection, anti-inflammatory effects, and improved insulin sensitivity in clinical trials. Meta-analyses show modest reductions in systolic blood pressure, fasting glucose, and inflammatory markers. Resveratrol has poor oral bioavailability; taking with fat-containing meals and combining with NMN may enhance its efficacy through synergistic sirtuin activation.

Indications

  • Cardiovascular protection and endothelial function
  • Sirtuin activation and longevity support
  • Insulin sensitivity improvement
  • Anti-inflammatory and antioxidant support

Mechanism of Action

Allosterically activates SIRT1, promoting deacetylation of PGC-1alpha, FOXO3, and p53 for mitochondrial biogenesis and stress resistance

Dosing

CompoundDoseFrequencyNotes
Resveratrol (trans-)500 mgOnce daily with fat-containing mealTrans-resveratrol is the active isomer; take with NMN for synergy

Evidence Grade

GRADE B

Safety & Contraindications

  • GI side effects (diarrhea, nausea) at doses >1,000 mg/day
  • Mild estrogenic activity; theoretical concern in estrogen-sensitive conditions
  • May interact with CYP3A4 and CYP2D6 substrates
  • Antiplatelet effects; caution with anticoagulants