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Research pass: stub-manual Compound WATCH-LIST MEDIUM

Acarbose

Extended Research
Extended Research

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Deeper analysis, verdict reasoning, and per-archetype recommendations from our research team.

Editor's verdict WATCH-LIST MEDIUM

This is the only ITP-validated lifespan extension drug in non-rapamycin / non-17α-estradiol Class III evidence — male mice +22%, female mice +5% lifespan extension at standard dose, replicated across multiple sites (Harrison 2014, 2019). Mechanism likely via attenuated post-prandial glucose spikes + altered gut microbiome (SCFA production). For Dylan at 20 with healthy glucose tolerance, no current case — but acarbose is plausibly the most evidence-backed longevity-positioning drug after rapamycin + metformin, and the GI side effects make it tractable to test (start ~25 mg with first carby meal, titrate to tolerance). WATCH-LIST — would flip to OPTIONAL-ADD in middle age if metabolic markers slip OR if Dylan wanted to add one more longevity tool with the cleanest mouse lifespan signal of the bunch.

Research pass: stub-manual
Verdict change log
  • 2026-06-05 — Initial verdict WATCH-LIST. Track human ITP-translation work. (stub)

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