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Heart and circulation

What has been shown to lower heart risk?

Heart studies count real events, like heart attacks, not just blood test numbers. That makes the evidence here unusually trustworthy when it exists.

69 compounds studied for this · 41 with a completed trial of a hundred people or more · 9 with no study in people at all

What has actually been measured here

This page lists the compounds studied for heart and circulation. These pages work the other way round. They take one goal at a time and list every compound by how many people it was measured in, most first. Each shows what the study found, and the trials that found nothing are counted.

Or open all 4 of these together in the finder.

Strong and Moderate 41

At least one finished trial that gave the compound to a hundred people or more. That tells you how much has been measured. It does not tell you whether it will work for you. The math sits under every band.

Omega-3

Strong. At least two finished studies in people, and at least 1,000 people who took it. 3 completed trials, 34,050 people given it.4 reported
5 cited

Two big heart studies of fish oil drugs came to opposite answers, and the dummy pill may be why. People with more omega-...

SupplementLongevity

Nattokinase

Strong. At least two finished studies in people, and at least 1,000 people who took it. 9 completed trials, 1,795 people given it.6 reported
13 cited

Nattokinase is a clot-busting enzyme made when bacteria ferment soybeans into natto, a Japanese food. For a supplement,...

BiologicLongevity

Niacin

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 29,087 people given it.7 reported
5 cited

The only NAD-pathway product ever tested against real heart outcomes, in 25,673 people in HPS2-THRIVE and 3,414 in AIM-H...

SupplementLongevity

CoQ10

Moderate. At least one finished study in people, and at least 100 people who took it. 2 completed trials, 162 people given it.4 reported
3 cited

One strong study in people with serious heart failure cut major heart problems from 26% to 15%. For statin muscle pain,...

SupplementAntioxidant

Empagliflozin

Strong. At least two finished studies in people, and at least 1,000 people who took it. 3 completed trials, 16,738 people given it.4 reported
4 cited

A diabetes pill that also protects the heart and kidneys. Four big studies in more than 23,000 sick people found fewer d...

Small moleculeMetabolic

ANP

Moderate. At least one finished study in people, and at least 100 people who took it. 4 completed trials, 188 people given it.4 reported
6 cited

ANP is a hormone the heart releases when its chambers stretch. It is why the heart counts as a hormone-making organ. A l...

PeptideHormone

BNP and nesiritide

Strong. At least two finished studies in people, and at least 1,000 people who took it. 3 completed trials, 7,149 people given it.4 reported
6 cited

BNP is a heart hormone with two lives. As a blood test, it is the standard way to check for heart failure. As a drug, it...

PeptideHormone

Angiotensin II

Moderate. At least one finished study in people, and at least 100 people who took it. 1 completed trial, 344 people given it.3 reported
5 cited

Angiotensin II is the body's main hormone for raising blood pressure. It is approved as a drip for shock, when blood pre...

PeptideHormone

Enlicitide

Strong. At least two finished studies in people, and at least 1,000 people who took it. 3 completed trials, 2,909 people given it.2 reported
3 cited

The first PCSK9 cholesterol drug you can swallow. In 2,909 people it cut LDL cholesterol by 57 percent. Until now, drugs...

PeptideMetabolic

Relaxin-2

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 7,706 people given it.5 reported
3 cited

The pregnancy hormone that opens up blood flow. A drug version, serelaxin, was tested in 1,161 people with sudden heart...

PeptideHormone

Simvastatin

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 24,980 people given it.6 reported
2 cited

Mixed into mouse food at two doses from 9 months of age, simvastatin did not change how long mice lived, in males or fem...

Small moleculeLongevity

Enalapril

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 2,822 people given it.5 reported
3 cited

In people, it is a blood pressure and heart failure drug with one of the deepest records in heart medicine for keeping s...

Small moleculeLongevity

Semaglutide

Strong. At least two finished studies in people, and at least 1,000 people who took it. 12 completed trials, 42,363 people given it.10 reported
15 cited

A once a week shot for type 2 diabetes and weight loss. It is approved, and big studies show it also lowers the risk of...

PeptideMetabolic

Albiglutide

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 10,304 people given it.
6 cited

A once-a-week GLP-1 shot approved in 2014 and pulled from every market by 2018. In the 9,463 person Harmony Outcomes stu...

BiologicMetabolic

Liraglutide

Strong. At least two finished studies in people, and at least 1,000 people who took it. 6 completed trials, 16,760 people given it.9 reported
6 cited

A once-a-day shot for type 2 diabetes and weight loss. It was the first drug of its kind approved for obesity, and it lo...

PeptideMetabolic

Vitamin D

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 25,871 people given it.4 reported
5 cited

The most-tested supplement there is, and the big tests mostly came back empty. In a study of 25,871 adults, a daily vita...

SupplementLongevity

Degarelix

Moderate. At least one finished study in people, and at least 100 people who took it. 2 completed trials, 610 people given it.3 reported
3 cited

A hormone blocker approved in 2008 for advanced prostate cancer. In its main study of 610 men, testosterone was down to...

PeptideHormone

Cardiac glycosides

Moderate. At least one finished study in people, and at least 100 people who took it. 1 completed trial, 6,800 people given it.
2 cited

Two 2019 papers said these heart drugs kill worn-out cells in a dish and in mice. Separately, digoxin was tested for hea...

Small moleculeLongevity

Dulaglutide

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 10,500 people given it.1 reported
2 cited

A once-a-week shot for type 2 diabetes. In a big study it lowered heart attacks and strokes.

BiologicMetabolic

Efpeglenatide

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 4,076 people given it.3 reported
2 cited

An experimental long-lasting GLP-1 drug that lowered heart and kidney problems in a large study. It is not broadly appro...

BiologicMetabolic

Methotrexate

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 5,022 people given it.4 reported
2 cited

The best test we have of whether calming long-term inflammation makes you live longer. In a big heart trial in people, i...

Small moleculeImmune

Testosterone

Moderate. At least one finished study in people, and at least 100 people who took it. 1 completed trial, 5,246 people given it.10 reported
2 cited

The best-tested hormone on this site. A study of 5,246 men settled the heart safety question. A review that pooled 36 st...

HormoneHormone

Elamipretide

Moderate. At least one finished study in people, and at least 100 people who took it. 5 completed trials, 487 people given it.6 reported
5 cited

Approved in 2025 for one rare genetic disease, Barth syndrome, on a result its own main study missed. In a large final-s...

PeptideAnti-aging

Erythropoietin

Strong. At least two finished studies in people, and at least 1,000 people who took it. 3 completed trials, 4,641 people given it.6 reported
4 cited

Erythropoietin, or EPO, is the kidney hormone that tells your body to make red blood cells. It has been approved since 1...

BiologicHormone

MIB-626

Moderate. At least one finished study in people, and at least 100 people who took it. 4 completed trials, 107 people given it.1 reported
4 cited

The only NMN product with a real set of studies in people: three studies with a dummy pill group, about 104 people in al...

SupplementLongevity

Spermidine

Moderate. At least one finished study in people, and at least 100 people who took it. 2 completed trials, 130 people given it.4 reported
4 cited

A natural compound in foods like wheat germ and aged cheese that helps cells clean house. A year-long memory study found...

SupplementLongevity

Zoledronic acid

Strong. At least two finished studies in people, and at least 1,000 people who took it. 4 completed trials, 7,176 people given it.
4 cited

An approved once-a-year bone drip with an odd, unexplained link to fewer deaths. In a study of people after a broken hip...

Small moleculeLongevity

Taurine

Moderate. At least one finished study in people, and at least 100 people who took it. 1 completed trial, 120 people given it.5 reported
3 cited

A 2023 paper said falling taurine drives ageing. Two 2025 papers in people, one from the US government's own ageing inst...

SupplementLongevity

Vasopressin

Moderate. At least one finished study in people, and at least 100 people who took it. 1 completed trial, 778 people given it.3 reported
2 cited

The natural hormone that makes you hold on to water. As a drug, it is FDA-approved to raise blood pressure in very sick...

PeptideHormone

Betaine

Moderate. At least one finished study in people, and at least 100 people who took it. 3 completed trials, 170 people given it.4 reported
3 cited

Six grams a day lowers fasting homocysteine by 20 percent in healthy adults. In the same studies it raises LDL, the bad...

SupplementMetabolic

Hydralazine

Strong. At least two finished studies in people, and at least 1,000 people who took it. 3 completed trials, 1,724 people given it.4 reported
3 cited

An old blood pressure drug. In people, paired with a nitrate, it cut deaths in heart failure. It made worms live longer...

Small moleculeLongevity

Resveratrol

Moderate. At least one finished study in people, and at least 100 people who took it. 14 completed trials, 403 people given it.7 reported
14 cited

Resveratrol is the grape and red wine compound behind the first big wave of anti-ageing research. It is one of the most...

SupplementLongevity

Thymosin Beta-4

Strong. At least two finished studies in people, and at least 1,000 people who took it. 5 completed trials, 1,382 people given it.9 reported
8 cited

A natural peptide in most cells that grabs actin. It is studied for wound healing, heart repair and eye problems. It is...

PeptideHealing & Recovery

Hexarelin

Moderate. At least one finished study in people, and at least 100 people who took it. 6 completed trials, 105 people given it.7 reported
7 cited

A strong lab-made peptide that makes the body release growth hormone. It is also studied for direct effects that may pro...

PeptideGrowth Hormone

Epitalon

Moderate. At least one finished study in people, and at least 100 people who took it. 5 completed trials, 266 people given it.6 reported
6 cited

A lab-made peptide based on a pineal gland extract. It has more human data than its reputation suggests, including 266 o...

PeptideAnti-aging

Icatibant

Moderate. At least one finished study in people, and at least 100 people who took it. 5 completed trials, 306 people given it.4 reported
5 cited

Icatibant is a lab-made peptide that blocks bradykinin. It was approved in 2011 as a shot for sudden attacks of heredita...

PeptideHormone

Berberine

Moderate. At least one finished study in people, and at least 100 people who took it. 3 completed trials, 186 people given it.4 reported
3 cited

Across 46 studies, berberine lowered average blood sugar (HbA1c) by 0.73 points. In a small head-to-head test, it lowere...

SupplementMetabolic

Lixisenatide

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 6,068 people given it.2 reported
2 cited

An FDA-approved daily shot for type 2 diabetes in the GLP-1 family. It was also tested for heart protection.

PeptideMetabolic

Pioglitazone

Strong. At least two finished studies in people, and at least 1,000 people who took it. 2 completed trials, 9,114 people given it.5 reported
2 cited

An approved diabetes drug with real heart and stroke data in people. In the 2026 mouse lifespan run, it was one of two c...

Small moleculeMetabolic

Ruxolitinib

Moderate. At least one finished study in people, and at least 100 people who took it. 1 completed trial, 309 people given it.
2 cited

An approved drug that blocks two signalling enzymes, JAK1 and JAK2. In old mice it quieted the inflammatory signals from...

Small moleculeAnti-aging

AICAR

Moderate. At least one finished study in people, and at least 100 people who took it. 1 completed trial, 3,080 people given it.5 reported
1 cited

AICAR was the first exercise in a pill, from a 2008 mouse paper. It switches on AMPK, and it has been banned in sport si...

Small moleculeMuscle & Performance

Limited and Preliminary 19

Someone has been given it and a result was published, but in fewer than a hundred people. Or the studies in people only watched and never gave anybody anything. The math on each card says exactly how thin.

Angiotensin-(1-7)

Limited. People have taken it in a published study, but fewer than 100 of them. 5 completed trials, 76 people given it.3 reported
7 cited

Angiotensin-(1-7) is the brake on the body's main blood pressure system. It is made from angiotensin II. It has been giv...

PeptideHormone

Apelin

Limited. People have taken it in a published study, but fewer than 100 of them. 3 completed trials, 68 people given it.3 reported
6 cited

Apelin is a natural signal that widens arteries and makes the heart pump harder. That was shown with short drips in abou...

PeptideMetabolic

Bradykinin

Limited. People have taken it in a published study, but fewer than 100 of them. 2 completed trials, 47 people given it.2 reported
4 cited

Bradykinin is a small inflammation signal, not a treatment. It is the reason some blood pressure pills cause a cough and...

PeptideHormone

Galanin

Limited. People have taken it in a published study, but fewer than 100 of them. 4 completed trials, 21 people given it.
4 cited

Galanin has been dripped into healthy volunteers since 1986, and every one of those studies measured a hormone or blood...

PeptideNootropic & CNS

Pterostilbene

Limited. People have taken it in a published study, but fewer than 100 of them. 1 completed trial, 80 people given it.4 reported
2 cited

One study in people: 80 adults with high cholesterol. At 250 mg a day, it lowered the top blood pressure number by 7.8 p...

SupplementLongevity

25-Hydroxycholesterol

Preliminary. Studied in people, but no published study has had people take it. 1 human study where nobody was given it.2 reported
1 cited

A cholesterol byproduct your body makes itself. A 2025 study found it made old mice's main artery less stiff, about as m...

Small moleculeLongevity

Epicatechin

Limited. People have taken it in a published study, but fewer than 100 of them. 4 completed trials, 44 people given it.1 reported
6 cited

In people, small studies of the pure compound found a small drop in fasting insulin at 100 mg a day and nothing at 25 mg...

SupplementLongevity

Adiponectin

Preliminary. Studied in people, but no published study has had people take it. 3 human studies where nobody was given it.2 reported
3 cited

Adiponectin is a hormone your fat makes, and it falls as you gain fat. Many studies link low levels to diabetes. It has...

BiologicMetabolic

BGE-102

Limited. People have taken it in a published study, but fewer than 100 of them. 1 completed trial, none stating how many people.2 reported
2 cited

BioAge's daily pill that blocks NLRP3, a trigger of long-term inflammation. In an early study, a blood marker of inflamm...

Small moleculeLongevity

Neurotensin

Limited. People have taken it in a published study, but fewer than 100 of them. 1 completed trial, 6 people given it.
2 cited

Neurotensin is a small 13-building-block peptide your body makes. It eases pain in rodents. No human study has tested pa...

PeptideNootropic & CNS

Magnesium

Limited. People have taken it in a published study, but fewer than 100 of them. 1 completed trial, 46 people given it.4 reported
1 cited

It lowers blood pressure by a real but small amount, about 2 points. The sleep evidence is three small studies in 151 pe...

SupplementLongevity

SRT2104

Limited. People have taken it in a published study, but fewer than 100 of them. 1 completed trial, none stating how many people.
1 cited

The sirtuin drug that actually reached human trials against a dummy pill. It was built to succeed where resveratrol was...

Small moleculeLongevity

Humanin

Limited. People have taken it in a published study, but fewer than 100 of them. 1 completed trial, 30 people given it.6 reported
5 cited

A tiny peptide made from mitochondrial DNA. In people it has been watched, not given. It falls with age, runs high in th...

PeptideLongevity

17-DMAG

Limited. People have taken it in a published study, but fewer than 100 of them. 2 completed trials, 49 people given it.3 reported
4 cited

In people, it was only ever given into a vein to about 80 people with advanced cancer, in early dose-finding studies. He...

Small moleculeLongevity

Clusterin

Preliminary. Studied in people, but no published study has had people take it. 2 human studies where nobody was given it, 1 registered with no result.4 reported
3 cited

A blood protein that goes up with exercise. In old mice and in mice with an Alzheimer-like illness, it calmed brain infl...

BiologicLongevity

Acarbose

Preliminary. Studied in people, but no published study has had people take it. 2 human studies where nobody was given it.4 reported
2 cited

An old, cheap diabetes pill that slows how fast starch turns into sugar. In people, a large heart study found no heart b...

Small moleculeLongevity

Folate

Preliminary. Studied in people, but no published study has had people take it. 2 human studies where nobody was given it.2 reported
2 cited

B vitamins reliably lower homocysteine, an amino acid in the blood linked to heart disease. Two big trials, HOPE-2 and N...

SupplementMetabolic

Vitamin K2

Preliminary. Studied in people, but no published study has had people take it. 2 human studies where nobody was given it.1 reported
2 cited

The K2 half of Aaron's vitamin D3 plus K2 pairing. In the Rotterdam Study, people who ate more K2 in their food had less...

SupplementLongevity

Rilmenidine

Preliminary. Studied in people, but no published study has had people take it. 1 human study where nobody was given it.1 reported
1 cited

A European blood pressure pill that makes tiny worms live longer. In mice, the results are worse than nothing. It did wh...

Small moleculeLongevity

Animal or lab only, and nothing measured 9

Studied in animals or in cells in a dish, or studied in people for something else entirely. Listed, not hidden, because knowing a thing has not been tested in a person is the useful part.

Bergamot

None. No study cited on this page yet. no study cited on this page yet.
none cited

Fourteen small studies show big drops in blood fats, including LDL (bad) cholesterol down 55 mg/dL. That is a surprising...

SupplementMetabolic

Cardiogen

None. No study cited on this page yet. no study cited on this page yet.2 reported
none cited

A lab-made peptide from Russian research, aimed at the heart and blood vessels as they age.

PeptideAnti-aging

Senolytic vaccine (anti-GPNMB)

Animal or lab only. Only animal or lab studies on this page. No study in people yet. 3 animal studies, no human study.
none cited

A vaccine that trains the immune system to attack GPNMB, a protein found in high amounts on worn-out 'zombie' cells. In...

BiologicImmune

SG1002

Animal or lab only. Only animal or lab studies on this page. No study in people yet. 1 animal study, no human study.1 reported
none cited

No results in people for ageing. Hydrogen sulfide is needed for eating less to extend life in several species, so a pill...

Small moleculeLongevity

Psyllium

None. No study cited on this page yet. no study cited on this page yet.2 reported
none cited

A fiber that brought LDL cholesterol down when added to a diet, in a review that pooled 8 trials. That is a cholesterol...

SupplementMetabolic

Ac-SDKP

Animal or lab only. Only animal or lab studies on this page. No study in people yet. 1 animal study, no human study.2 reported
none cited

Ac-SDKP is the first four building blocks of thymosin beta-4. It is a natural peptide that fights scarring inside organs...

PeptideHealing & Recovery

Dihexa

Animal or lab only. Only animal or lab studies on this page. No study in people yet. 1 animal study, no human study.8 reported
none cited

An experimental peptide made from angiotensin, a blood pressure hormone. In animals it was reported to be very strong at...

PeptideNootropic & CNS

E5 Plasma Fraction

Animal or lab only. Only animal or lab studies on this page. No study in people yet. 4 animal studies, no human study.4 reported
none cited

A cleaned-up part of the blood plasma of young pigs, given to old rats. It more than halved the tissue age of their bloo...

ProcedureLongevity

Trodusquemine

Animal or lab only. Only animal or lab studies on this page. No study in people yet. 2 animal studies, no human study.4 reported
none cited

Trodusquemine is a compound first found in dogfish sharks. It blocks an enzyme called PTP1B. It regrew heart tissue in z...

Small moleculeMetabolic

What the number counts, exactly

The number on each card is how many sources on that compound’s page are studies in people. It is counted the same simple way for all 453 compounds. You can check any of it by opening the profile and reading the list of sources. That is the whole point of showing a number at all.

It counts what we cite. It does not claim how much research exists. A compound with three studies in people here may have thirty in print, and the honest thing to say is that we have read and listed three. It is also not a quality score. Three small, loose studies count the same as three careful ones. So the groups tell you how much was measured in people, and the profile page tells you how well.

Other goals